Extended Daycare Contract

OUR LADY OF PERPETUAL HELP SCHOOL

124 Columbus, Bakersfield, CA 93305 (661) 327-7741 Ext. 226
Becky Cheek, Director

For the convenience of our families, childcare is available all school days from 6:30AM to 7:30 AM and 2:30 PM to 5:30 PM.

Based on the philosophy of the school, Our Lady of Perpetual Help Extended Day Care is structured to provide a safe and caring environment for your child. The program includes snack time, quiet time for homework, organized arts and crafts, and play time.

*A late pick-up fee of $20.00 per child is charged for any portion of the first fifteen minutes after 5:30 P.M. and $2 for each additional minute.

PAYMENTS
All payments are due on the first of the month. A late fee of $20.00 will be added to payments made after the 15th of the month. There is a $30.00 fee for returned checks.

OPERATIONS

Children will be released only to those persons authorized in the Extended Day Care contract. Exceptions will require prior notice to the director and must be verified by written consent of the parent/guardian.

Parents will advise the director in writing of any change in address, phone number, emergency, or pick up information

The director will be advised of a student’s participation in after school activities.
Infraction reports will be issued to any student who disregards rules and procedures. If a student receives 3 infraction notices, a conference will be scheduled with parents.

Questions and concerns are to be directed to the Director of Extended Day Care.
Please fill out contract.

Guardian's Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Parent/Guardian Name*

First NameLast Name

Cell Phone*

Area CodePhone Number

Work Phone

Area CodePhone Number

E-mail*

Parent/Guardian Name

First NameLast Name

Cell Phone

Area CodePhone Number

Work Phone

Area CodePhone Number

E-mail

example@example.com

Students that will be in daycare:

	First Name	Last Name	Grade	Allergies
Student 1
Student 2
Student 3
Student 4

Before or After School Daycare?

Before School DaycareAfter School Daycare

Flate Rate or Drop In?

Flat RateDrop In

Days Needed for Drop in:

Dates

1.    Other Approved Pickup:   First Name   Last Name
Relationship to student:
Phone:   Area Code   Phone Number

2.    Other Approved Pickup:   First Name   Last Name
Relationship to student:
Phone:   Area Code   Phone Number

Registration Fee: $50.00
• Payments may be made by check or money order payable to OLPH Extended Day Care.

Basic Fee:

I First Name* Last Name* do authorize Our Lady of Perpetual Help Extended Day Care to release my child/children to the people listed below. I have checked with these people, and they have agreed to accept responsibility for my child/children in the event that I am unable to pick them up. In the event that they will pick up my child/children, I will be sure to call the daycare office, leave a message, or send a note to the office.

Signature*

Comments

OLPH School Daycare Behavior Contract

Expectations

1. Students must follow the daycare teachers’ instructions promptly and respectfully.

2. Students will keep hands and feet to themselves.
3. Students will use kind language towards themselves and others.
4. Students will only walk in the cafeteria and not tip their chairs forwards or back.

5. Students will use school property, including board games, blocks etc., correctly without causing unnecessary damage.

6. Students will be considerate of other students by taking turns, not interrupt board games being played, or purposefully destroy creations made by other students.

7. Students must clean up all messes before moving on to a new activity.
8. All playground school rules must be followed.
9. Cellphones must be checked in and may not be used until picked up from daycare.

Discipline Policy

1. Warning

2. Time out for 1-minute times their age (7 years old equals 7 minutes time out)

3. Removal from activity and Parent contacted

4. Student Visits Principal’s Office

5. Multiple violations of the rules over a period of time may result in removal from the daycare program. This decision will be made at the discretion of the administration.

Please keep this sheet for your records. Students please sign.

I student(s) names* understand that if I do not follow the expectations listed above, I will earn one of the consequences.

Students signature*

IParent/guardian* understand that if my child does not adhere to the expectations listed above, he/she will earn one of the consequences.

Parent/Guardian signature*

Extended Daycare Contract

OLPH Student School Daycare Behavior Contract