Child's age at the start of school: Age in years & months*
Does child have any Allergy/Medical issues we should be aware of: Type a label*
Name of child's pediatrician: Type a label*
Mother's place of employment: Type a label*
Father's place of employment: Type a label
Emergency Contact #1 Relation to Child: Type a label
Emergency Contact #2 Relation to Child: Type a label
I give my child permission to participate in the Christmas Program which will contain direct references to Jesus Christ. Signature*
I understand that if my child has a cough, fever, unexplained rash, any communicable disease, profuse runny nose from allergies or has vomited within the last 12 hours they are not permitted to be at school. Signature*
I understand that Virginia Beach School of the Arts is a nut free school. I will not send peanuts or any other nut containing snack to school including granola bars. Signature*
I understand that only water is allowed in sports bottles and sippy cups at school. Signature*
I understand that yogurt, fruit cups, gogurts and any other snack that is wet, mushy or requires a spoon, or poses a slipping hazard when spilled is not allowed. Only dry foods such as crackers, apple wedges, bananas, cheese or goldfish are permitted. Signature*
I understand and agree to remit the Advanced Preschool for the Arts tuition monthly. Signature*
I understand that tuition in full is due monthly regardless of my child's attendance or lack thereof due to illness, vacations, holidays or inclement weather. Signature*
I give the Virginia Beach School of the Arts staff permission to take my child on nature walks to the Francis Land House garden, property and park. I understand that this property is adjacent to the school and involves crossing King's Grant Road. I realize these places are public property. Signature*
I give my child permission to play on the property of Virginia Beach School of the Arts which includes a tire swing, tree climbing and other outdoor activities. I will not hold the Virginia Beach School of the Arts and its staff liable in case of injury while playing outside. Signature*
I understand that if my child withdraws, the full monthly amount of tuition is due with the exception of military transfer. If a parent is getting transferred, one month's written notification is required to be released from the contract. Signature*
I understand that the supply fee of $200.00 is non-refundable. Signature*
I understand the tuition of $532.00 monthly is non-refundable. Signature*
By enrolling in the Virginia Beach School of the Arts, I am giving my consent for my child's likeness or photograph to be used in advertising and all promotional materials including the newsletter and Facebook page. Signature*
I understand that payment of the $200.00 supply fee will reserve my child's spot. Signature*
I understand that if my child is violent toward another child/teacher or repeatedly impedes the instructor's teaching through inappropriate behavior, tantrums, etc. they may be disenrolled without notice. Tuition is not refundable. Signature*
I understand that if my child is consistently disrespectful, consistently loud in class, impedes other student's learning, uses profanity or disrupts the peaceful atmosphere of the school, they will be removed from the classroom and possibly the program. Signature*
If my child has ADHD or any other suspected or diagnosed mental, academic delay or psychiatric condition, I will inform Virgina Beach School of the Arts staff immediately. Signature*
My child does not have a learning delay and is not in need of special education or an IEP. Signature*
I acknowledge the Virginia Beach School of the Arts staff is not trained in Special Education or any other field involving meeting the needs of students with delays, autism, ADD/ADHD, ODD or similar. Signature*
I understand that the Virginia Beach School of the Arts teachers are CPR and First Aid certified and have clear criminal background checks. The VBSA complies with the requirements of student paperwork and facility safety standards by State of Virginia and is not overseen by any government agency. Signature*