RISING STARZ

RISING STARZ
Students Name*
Date of Birth*

MonthDayYear
Date
If any falsified information or lack of information is discovered, it is grounds for immediate permanent expulsion from our center.

1. Childcare Assistance parent share is Due in full on or before the 1st of each month.

2. Private Payers' tuition is due by the close of Friday before the week of services. Tuition must be paid in advance. We do not make payment arrangements.

3.If full tuition is not paid by the close of business on the due date listed above, a fee of $20 per child will be added to your account.

4.We close at 6 p.m.; each minute after 6 p.m. is $2 per minute/per child. There are no refunds under any circumstances.

5.Students drop off from 7 a.m. to 9 a.m. We must limit late drop-offs to minimize disruptions to our educational programming.

6. An authorized pickup person must be 18 years old, have an ID, and be confirmed in writing to pick up the child.

7.Parent/teacher communication, Payments, Newsletters, Daily reports, Incidents Reports, Account updates (address or phone number), School Notices or reminders, and checking in / out daily is done with ProCare Solutions App

8. Parents may observe their child in class using our camera viewing area on the front carpet.

9.Milestone Evaluations and Parent Conferences are held twice yearly in person (Fall and spring Parents must attend these meetings. Midyear check-ins and recommendation follow-ups are done by phone in the winter.

10. Establishing positive relationships with families - found in the parent handbook.

11. Outside therapists can conduct therapy here - they must follow our safety and supervision policies.

12. Enrollment Process (Pre-register, fill out online forms, submit the required information, and supply any special needs accommodations; then, you will receive an enrollment email clearance

13. IEP, 504, or any other particular need, we must review the written diagnosis to ensure we are a good fit for the child and family. We aim to do what is best for the child, which may mean a specialized school environment.

14.Withdraw Process - a written 2-week notice (see parent handbook about withdrawal and re-enrollment)

15. Our website offers resources for financial assistance, childcare scholarship programs, Texas Rising Star Quality Certification, family support, milestones, and a developmental checklist.

16. Our curriculum is CLI Engage - We will adjust for students who need reasonable accommodations.

17. Incidents (behavior, Illness, or accident) are posted into Pro Care, and the parent can sign them in the app.

18. Children with disruptive behavior or that put other children at emotional or physical risk will be placed on Behavior management (please see Behavior MGMT process in parent handbook If the child improves, they will be removed from BHMGT; if not, they will be dismissed at any time.

19. If you suspect your child is ill, they must stay home.

20. If you take your child to the doctor for any illness, they should stay home. The child may return to care when they can participate in the daily activities posted for their age group and are not contagious to others.

21. If your child is diagnosed with a contagious illness, you must notify us that day SO we may notify other parents.

22. DISD or CFBISD determines Inclement Weather Days. If either one closes, then RSC will close.

23. Toys from home should stay safe at home. This includes cell phones, iPods, iPads, cameras, and any electronic devices without prior approval from the office.

24. All items should be labeled; we are not responsible for lost or damaged items.

25. A clear backpack will be needed to transport your child's items daily.

26. The dress code policy is to wear comfortable clothing that can get dirty and tennis shoes daily. (No sandals or crocs)

27. Screen time is not permitted for any child under 24 months of age. The curriculum coordinator must approve screen time for all other ages, correlated with the curriculum plan, and not exceed 30 minutes per week. (Children who watch less TV, Phones, and Tablets tend to learn better, eat healthier, and move more

28. If your child will miss 2+ days or more, please notify the office; full tuition is due regardless of attendance.

29. Explain to parents the process for Asthma, Allergies, or preferences outside our regular meals.

30. We are on a food program called the CACFP Meal program; it is a national school meals program with guidelines for higher quality meals with various options for children to eat.
Age
Responsible Party Signature

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Rising Starz a quality early childhood program
1200 E. Jackson RD BLDG 1, Carrollton, TX 75006

Phone 972-466-3800 Fax 972-695-6270

Operation #894769 Directed by Julie Martinez risingstarzccc@yahoo.com/www.risingstarzchildcarecenter.com
Childs Full Legal Name*
Date of Birth*

MonthDayYear
Date
Gender

MaleFemale
Address*

Childs Home Address

Street Address Line 2

City ZipState / Province

Postal / Zip Code
Days of the week the child will attend (please note the days you do not select your child will not be eligible for care those days)*

MondayTuesdayWednesdayThursdayFriday
Please select the schedule of your choice. (School-age children should select the option they will need during holidays or summer time.)*

7:30 am - 5 pm8 am - 5:30pm
Date of Enrollment*

MonthDayYear
Date
Date of withdraw

MonthDayYear
Date
Print the name of whos completing this forms*
Responsible Party #1 Full Legal Name ( This will be the primary contact person)*
Party #1 Date of Birth*

MonthDayYear
Date
Address*

Home Address if different from child

Street Address Line 2

City ZipState / Province

Postal / Zip Code
Email Address*
example@example.com
Drivers License*
Cell Phone Numbers*
Cell Carrier for text message alerts
Other / Home numbers to reach responsible party #1
Work Name and phone number*
Social Security Number*
Responsible Party 2 Full Legal Name (This will be the secondary contact person)
Second Contact
Responsible Party #2 Date of Birth

MonthDayYear
Date
Address

Home Address if different from child

Street Address Line 2

City ZipState / Province

Postal / Zip Code
Email Address
example@example.com
Responsible Party #2 Driver License Number
Cell phone Numbers
Cell Carrier or text message alerts
Other / Home number
Work Place Name and phone number
Social Security Number
Child Lives with*

Both ParentsMomDadTemporary Guardian (Family Member placement, or other type of temporary arrangement)Foster Parents with a 2085 form that will be supplied
Do you have any court order documentation for the custody of this child? (Please be aware that if Rising Starz receives any custody documentation at any time, we will follow the most up-to-date order available. Therefore, please make sure to supply any orders if they are in place. )*

No - There has never been any court-ordered documentation of custody for this child.Yes - I will supply the most up today order in place to risingstarzccc@gmail.com

Please list any special needs that this child may have or have had.*

	Yes	No
Environmental Allergies
Food Intolerances
Existing Illness
Adaptive Equipment
Diagnosed food allergy
Child has IEP or 504
Previous Serious Illness
Previous Injury Require Hospitalization
Hospitalizations
Accommodation or modification to daily activities
Long Term Medications
Developmental Delay or mental disorder

Additional Information
Any other Information the child care should be aware of if none please list None*
Child day care operations are public accommodations under the American with Disabilities Act (ADA) Title III. If you believe that such and operation may be practicing discrimination in violation of Title III, you may call the ADA information line at (800)514-0301 (voice) or (800) 514-0383 (TTY)
Responsible Party Signature

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Childs Name
Date of Birth

MonthDayYear
Date
Emergency Contact / Designated release

I hereby authorize Rising Starz Child Care Center Staff to release my child to the following people I have designated below. Please list name, telephone number, address and DL # for teacher person. Children will only be released to a parent, guardian or person designated by the parent or guardian after verification with a government issued ID only.

These contacts are not parents or guardians - Parents and Guardians are listed on page 1 under responsible parties
Emergency Contact Name - This person will be contacted if responsible party #1 or #2 is unreachable. ( This can not be responsible party #1 or #2 this must be someone that does not live in the child's home)*
Date of Birth for Emergency Contact*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Numbers work / Home*
Relationship to child*
Emergency Contact #2
Address

Home Address

Street Address Line 2

City ZipState / Province

Postal / Zip Code
Emergency Contact #2 DOB
Phone Numbers work / Home
Relationship to child
Emergency Contact #3
Address

Home Address

Street Address Line 2

City ZipState / Province

Postal / Zip Code
Emergency Contact DOB
Phone Numbers work / Home
Relationship to child
Lunch options*

I understand that Breakfast, Lunch, and afternoon snacks will be offered to my childI will provide meals for my child that meet CACFP guidelines
Transportation Options*

For Emergency CareFrom School to Rising StarzOn field trips for children 7 and older
My child is 7 years old or older - Field Trip Permission*

No my child is not 7 and will not participate in field tripsYes my child is over the age of 7 and will particpate in field trips
Immunizations Options*

I have given a copy of immunizations to Rising StarzI give RSCCC permission to obtain the record using ImmtracI have supplied a notarized exemptions letter to RSCCCMy child is school age - these records are on file at the following school listed below
The child is a student at the following school*

My child does not attend Elementary School yetFounders Academy 2400 N. Josey Ln Carrollton, Tx 75006 972-245-2900Good Elementary 1012 Studey Ln Carrollton, Tx 75006 972-968-1900McCoy Elementary 2425 Mccoy Rd Carrollton, Tx 75006 972-695-2300Jerry Junkins Elementary 2808 Running Duke Carrollton, Tx 75006 972-502-2400Country Place Elementary 2115 Raintree Carrollton, Tx 75006 972-968-1400School Not Listed
If you selected School not listed please list the school here.
Responsible Party Signature

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Rising Starz Child Care Center Inc. PHOTO RELEASE FORM
Parent Name Here
I ________________________________________________________the responsible party of a child/children at Rising Starz ChildcareCenter, agree to the following photo release: By granting photo permission, I allow my child/ward to be photographed at Rising Starz Childcare Center during regular school hours, field trips, special events, or daily activities. I understand that these photographs may be used in print for display in the classroom or on the Internet (social media platforms, ProCare apps, or third-party printing).
With my signature below, I am ______ granting permission for my child(ren) to be photographed, and I will see activities updates in the Procare App. / I am _____ Denying permission for my child (ren) to be photographed and I understand that I will not get photos of activities or events while my child is in care in the Procare app.*

Grant my permissionDeny my permission
Parent Guardian Signature If, for any reason, your family attends a special event at Rising Starz Childcare Center, the entire family may be subject to photos being posted on the internet. Special events are attended voluntarily, and pictures of them will be posted on social media sites. I understand that I am responsible for updating this form if I no longer wish to authorize the above uses. I agree that this form will remain in effect during my child’s enrollment term. I understand that there will be no payment for my participation in this release or for my child’s participation.

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Relationship To Children
Entry Door Code

Our front door has a secured entry system that is unique to each person that enters our building. The following information is regarding how to drop off and pick up at our school.

Parents must agree to the following safety rules.
- Do not share your code with anyone else that is not yourself. This is to provide the highest level of security possible for all our staff and students.
- Codes will be kept confident and will not be shared with anyone else.
- I understand that I am not allowed to open the door for unknown people to enter the building - this is imperative to the safety of the school.
- If someone is coming to pick up your child that is not a part of the child's normal routine, they should ring the bell.
- If for any reason the parties share codes with someone that is not yourself, the parents' codes will be removed, and that family will need to ring the bell at all drop offs and pick up.
Instructions - Press Start, enter the 4-digit pin, and then press open.
Responsible Party 1 Name
4 digit Pin
Responsible Party 2 Name
4 digit Pin
Should be Empty:

RISING STARZ

Rising Starz a quality early childhood program