Application 206-27 Our school address is 91-1254 Renton Road. Please use our map, on the web takes you to a wrong location.
Parent First Name
Parent Last Name
Main contact Phone Number
This number will be texted by the school
Current Email
Thiss will give you access to our Kaymbu school App
Choose your daily hours and days.
6:45a.m. to 4:00p.m. (Mon-Fri): $100 a month if you get POD . If not $1250.00
2 set days 7:30-3:30 (Mon/Tues) $895.00 ( progrm fills fast and it may not have opening)
Any program chosen might have the added fee of $100 more a month for potty training.
What is your child’s first and last name?
Child’s name on desk and cubby
What Month and Year was your child born? To protect your child’s identity, DO NOT put his or her complete DOB.
How old is your child and (s) he potty trained?
Age requirement of 3.3 yrs or older at entrance date.
SECTION 2: LEGALITIES & EMERGENCY AUTHORIZATION
In case of ian emergency or illness and if I cannot be reached, I authorize these contacts for consent. I understand that after waiting 10 minutes with no response from spouse or I, in an emergency, these contacts will be notified. Immediately 911 will be called to assess any medical needs for the safety of that child. Listed below are the people authorized to pick-up my child from care.
Full authorization to care is given with this signature.
*
1st Priority Pick Up Name and Number of who I wanted to be contacted:
*
First and Last Name
Phone Number
2nd Priority Pick Up Contact:
First and Last Name
Phone Number
Contact information for fun in the class!
Email Address to send reminders/photos and to use for log in to the school’s App called Kaymbu.
Street Address
Mailing Address (for letter writing)
State / Province
Zip code of your city
Section 3: TERMS AND CONDITIONS
By submitting this application to the school program I agree to the following terms: 1. Applying for admission does not guarantee a child's acceptance into Ewa Plains Enrichment Programs- Literacy Preschool. 2. Confirmation and acceptance of enrollment is not final until a deposit payment of $250 is received and an exact start date agreed. 3. Parent/guardian orientation via phone and or agree to be in compliance with all regulations stated in the Family/Parent’s Handbook. 4. All tuition must be paid in advance, in 30 day cycles, from your child's 1st day of school. A Tuition Late Payment Fee of $40 per week is applicable for tuition that arrives after the exact due date. A Return Check Fee of $25 will be charged by the bank. In the event of a returned check, all future payments will be in cash. 5. Refunds/proration are not given for days the child is absent (sick, vacation days, etc.) or for closure on holidays. 6.Sick care is not available. It is guardian/parent’s responsibility to make substitute arrangements and emergency pick up care due to an epidemic outbreak or ongoing illness of your child. 6. A FOUR-week notice is required when withdrawing a child from the program in writing..Early withdrawal without a four-week notice yields a $250.00 Early Withdrawal Fee. 7. Parents arriving after closing time of the program you chose a late fee will be charged as follows 1-10 minutes $10 or 11-20 minutes $20 or 21 minutes to 45 minutes. $45. Make payment directly to the teacher please.**Parents must notify the Director in text or through the school App (Kaymbu), if they are delay or beyond their scheduled arrival time. **Late care for 1 day cost $10 will add an extra 50 minutes., but not to exceed the closing time of the school. This can be arranged, but not for care after the closing time of the 4pm. An advanced 24 reservation via text to 808-220-3210 is required and can be paid at morning drop off to avoid the late fee of $10, $20 or $45 daily fee. 8. An annual Comprehensive Fee of $300.00 is due 30 days after enrolling to purchase new classroom materials. 9. This contract and rate is valid for the length of your family’s enrollment at Ewa Plains Enrichment Programs llc. Any changes must be on file, and remain up-to-date at all times, at the sole responsibility of the guardian.-ENROLLMENT LEGALITIES: 1.HEALTH STATUS FORM 14 DOH. 2.HEALTH SUPPLEMENT-FORM 908 DHS 3.NEGATIVE Tuberculosis screening or test, within 12 months. 4. CONSENT FORM for activities. Any occurrences which are contrary to this contract, will invalidate the contract and be cause for dismissal of the child from our programs and school. Pressing the “ submit button” to this application implies your Full Agreement to the Terms as described. I have read and understand the terms and conditions. Submission is your full agreement.
Today's Date
*
-
Month
-
Day
Year
Date
Pressing Submit Acknowledges Your Full Agreement
Pressing Submit Acknowledges Your Full Agreement
Should be Empty: