Online Enrollment Forms

Additional Requirements:
- Health Statement from your child's
- Current Shot Record
- Registration Fee- $125 for 1 child, $250 for more than 1

Admission Information
Admission Information

Texas Health and Human Services Form 2935
Use this form to collect all required information about a child enrolling in day care. Directions: The day care provider gives this form to the child's parent or guardian. The parent or guardian completes the form in its entirety and returns it to the day care provider before the child's first day of enrollment. The day care provider keeps the form on file at the child care facility.

General Information
Operation's Name
Director's Name
Child's Full Name*
Child's Date of Birth*

MonthDayYear
Date
Child Lives With?*

Both ParentsMomDadGuardian
Child's Home Address*
Date of Admission

MonthDayYear
Date
Name of Parent or Guardian Completing Form*
Address of Parent or Guardian (if different from the child's)
List phone numbers below where parents or guardian may be reached while child is in care.
Parent 1 Phone No.*
Parent 2 Phone No.
Guardian's Phone No.
In case of an emergency, call:
Name of Emergency Contact*
Relationship*
Phone No.*
Address*
I authorize the child care operation to release my child to leave the child care operation ONLY with the following persons. Please list name
and phone number for each. Children will only be released to a parent or guardian or to a person designated by the parent or guardian after
verification of ID.
Name*
Phone No.*
Name
Phone No.
Name
Phone No.

Consent Information
1. Transportation: I give consent for my child to be transported and supervised by the operation's employees (Check all that apply)*

For Emergency CareOn Field TripsTo and From HomeTo and From School
2. Field Trips:*

I Give Consent for my child to participate in field trips.I do not give Consent for my child to participate in field trips.
Comments
3. Water Activities: I give consent for my child to participate in the following water activities (Check all that apply).*

Water Table PlaySprinkler PlaySplashing or wading poolsswimming poolsaquatic playgrounds
Is your child able to swim without assistance?*

YesNo
Does your child have any physical, health, behavioral or othercondition that would put them at risk while swimming?*

YesNo
Do you want your child to wear a life jacket while in or near aswimming pool?*

YesNo
4. I acknowledge receipt of the facility's operational policies, including those for (Check all that apply). See Family Handbook*

Discipline and guidanceSuspension and expulsionEmergency plansProcedures for conducting health checksSafe sleepProcedures for parents to discuss concerns with the directorPromotion of indoor and outdoor physical activity includingcriteria for extreme weather conditionsProcedures for parents to participate in operation activitiesProcedures for release of childrenIllness and exclusion criteriaProcedures for dispensing medicationsImmunization requirements for childrenMeals and food service practicesProcedures to visit the center without securing prior approvalProcedures for supporting inclusive servicesProcedures for parents to contact Child Care Regulation (CCR), DFPS,Child Abuse Hotline, and CCR website
5. Meals: I understand that the following meals will be served to my child while in care (Check all that apply):*

BreakfastMorning SnackLunchAfternoon Snack

6. Days and Times in Care: My child is normally in care on the following days and times:

	A.M.	P.M.
Monday
Tuesday
Wednesday
Thursday
Friday

Signature Parent or Legal Guardian*

Clear
Date*

MonthDayYear
Date
8. Child's Special Care Needs (check all that apply)*

Environmental allergiesFood intolerancesExisting illnessPrevious serious illnessInjuries and hospitalizations (past 12 months)Limitations or restrictions on child's activitiesReasonable accommodations or modificationsAdaptive equipment (include instructions belowSymptoms or indications of complicationsMedications prescribed for continuous long-term useOther
Explain any needs selected above
Does your child have diagnosed food allergies?
Does your child have diagnosed food allergies?*

YesNo
Food Allergy Emergency Plan Submitted Date*

MonthDayYear
Date
Child day care operations are public accommodations under the Americans with Disabilities Act (ADA), Title III. To learn more, visit https://
www.ada.gov/resources/child-care-centers/. If you believe that such an 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).
Signature Parent or Legal Guardian*

Clear
Date*

MonthDayYear
Date
9. School Age Children: My child attends the following school
School Area Code and Phone No.
My child has permission to (check all that apply):

walk to or from school or homeride a busbe released to the care of his or her sibling under 18 years old
Authorized pick up or drop off locations other than the child's address
Child's required immunizations, vision and hearing screening, and TB screening are current and on file at their school.

YesNo

Authorization For Emergency Medical Attention
In the event I cannot be reached to arrange for emergency medical care, I authorize the person in charge to take my child to:
Name of Physician*
Address*
Phone No.*
Name of Emergency Care Facility*
Address*
Phone No.*
I give consent for the facility to secure any and all necessary emergency medical care for my child.
Signature Parent or Legal Guardian*

Clear
Date*

MonthDayYear
Date

Requirements for Exclusion from Compliance
Only mark if applies*

I have attached a signed and dated affidavit stating that I decline immunizations for reason of conscience, including religious belief, on theform described by Section 161.0041 Health and Safety Code submitted no later than the 90th day after the affidavit is notarized.I have attached a signed and dated affidavit stating that the vision or hearing screening conflicts with the tenets or practices of a church orreligious denomination that I am an adherent or member of.

Vision Exam Results
Right Eye 20/ blanksLeft Eye 20/ blank
PassFail
Signature*

Clear
Date*

MonthDayYear
Date

Hearing Exam Results

	1000 Hz	2000 Hz	4000 Hz	Pass	Fail
Right
Left

Signature*

Clear
Date*

MonthDayYear
Date

Admission Requirement
If your child does not attend pre-kindergarten or school away from the child care operation, one of the following must be presented when your child is admitted to the child care operation or within one week of admission. (Select only one option Health Care Professional's Statement: I have examined the above named child within the past year and find that he or she is able to take part in the day care program. A signed and dated copy of a health care professional's statement is attached. Medical diagnosis and treatment conflict with the tenets and practices of a recognized religious organization, which I adhere to or am a member of. | have attached a signed and dated affidavit stating this. My child has been examined within the past year by a health care professional and is able to participate in the day care program. Within 12 months of admission, I will obtain a health care professional's signed statement and submit it to the child care operation.

Name of Health Care Professional, if selected
If your child does not attend pre-kindergarten or school away from the child care operation, one of the following must be presented when yourchild is admitted to the child care operation or within one week of admission. (Select only one option.)*

Health Care Professional’s Statement: I have examined the above named child within the past year and find that he or she is able to takepart in the day care program.A signed and dated copy of a health care professional's statement is attached.Medical diagnosis and treatment conflict with the tenets and practices of a recognized religious organization, which I adhere to or am amember of. I have attached a signed and dated affidavit stating this.My child has been examined within the past year by a health care professional and is able to participate in the day care program. Within 12months of admission, I will obtain a health care professional's signed statement and submit it to the child care operation.
Signature Parent or Legal Guardian*

Clear
Date Signed*

Clear

Vaccine Information
The following vaccines require multiple doses over time. Please provide the date your child received each dose.

Please bring Vaccine and immunizations form from Doctors office with Dates.

Varicella (Chickenpox)
Signature*

Clear

Additional Information Regarding Immunizations
Additional Information Regarding Immunizations

For additional information regarding immunizations, visit the Texas Department of State Health Services website at www.dshs.state.tx.us/ immunize/public.shtm

TB Test (If required)
.*

PositiveNegative
Date*

MonthDayYear
Date

Gang Free Zone
Under the Texas Penal Code, any area within 1,000 feet of a child care center is a gang-free zone, where criminal offenses related to organized criminal activity are subject to harsher penalties.

Privacy Statement
HHSC values your privacy. For more information, read our privacy policy online at: https://hhs.texas.gov/policies-practices-privacy#security
Signatures
Child's Parent or Legal Guardian*

Clear
Date*

MonthDayYear
Date

Comidas Consulting Services ( Food Program)
Suzanne Gilliam, Executive Director

14493 SPID, Ste. A, PMB 443

Corpus Christi, Texas 78418

(361)876-2128 FAX (361)949-0097

sgilliam@comidasconsulting.com
Comidas Consulting Services Enrollment Form

Our child care center participates in the Child and Adult Care Food Program (CACFP) under the sponsorship of Comidas Consulting Services, a locally-owned and operated nonprofit sponsor. The CACFP reimburses participating child care centers for serving nutritious meals. It is administered at the federal level by USDA, through the Food and Nutrition Division, an agency of the Texas Department of Agriculture.

Regardless of your income, ALL children at the center qualify for some amount of reimbursement for meals and snacks. This funding will help us to provide more nutritious meals and snacks. It is essential that all families complete and turn in the forms to help our center provide more nutritious foods for your child, and especially benefitting those families who may not have the resources to buy and prepare nutritious meals at home. The parent must circle the meals/ snacks and days the child is normally served and the hours in care. One enrollment form must be completed for each foster child.
I, the parent/guardian, have been provided a copy of the CACFP Meal Benefit Income Eligibility Form Letter to Households, Income Eligibility Guidelines, Form H1625-A, the "Building for the Future" flyerin English and Spanish and current WIC information.
Parent Signature*

Clear
Date*

MonthDayYear
Date

First Child Enrolled
Child's Name*
Date of Birth*

MonthDayYear
Date
Enrollment Date*

MonthDayYear
Date
Circle the following meals/snacks your child will normally be served while in care:*

BreakfastLunchPm Snack
Circle the following days your child will normally be in care:*

MondayTuesdayWednesdayThursdayFriday
Write in the hours your child will normally be in care: (Example: 8:00 am 5:00 pm)*

Second Child Enrolled
Child's Name
Date of Birth

MonthDayYear
Date
Enrollment Date

MonthDayYear
Date
Circle the following meals/snacks your child will normally be served while in care:

BreakfastLunchPm Snack
Circle the following days your child will normally be in care:

MondayTuesdayWednesdayThursdayFriday
Write in the hours your child will normally be in care: (Example: 8:00 am 5:00 pm)

Third Child Enrolled
Child's Name
Date of Birth

MonthDayYear
Date
Enrollment Date

MonthDayYear
Date
Circle the following meals/snacks your child will normally be served while in care:

BreakfastLunchPm Snack
Circle the following days your child will normally be in care:

MondayTuesdayWednesdayThursdayFriday
Write in the hours your child will normally be in care: (Example: 8:00 am 5:00 pm)

Fourth Child Enrolled
Child's Name
Date of Birth

MonthDayYear
Date
Enrollment Date

MonthDayYear
Date
Circle the following meals/snacks your child will normally be served while in care:

BreakfastLunchPm Snack
Circle the following days your child will normally be in care:

MondayTuesdayWednesdayThursdayFriday
Write in the hours your child will normally be in care: (Example: 8:00 am 5:00 pm)
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc, should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: How to File a Complaint, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992 Submit your completed form or letter to USDA by:

1. mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; 2. fax: (202) 690-7442; or 3. email: program.intake@usda.gov.

This institution is an equal opportunity provider

CACFP MEAL BENEFIT INCOME ELIGIBILITY FORM (Child Care)
Part 1. All Household Members
Name of Enrolled Child(ren)*

	Names of all Househole members (First, Middle Initial, Last)	CHECK IF A FOSTER CHILD (THE LEGAL RESPONSIBILITY OF A WELFARE AGENCY OR COURT) * IF ALL CHILDREN LISTED BELOW ARE FOSTER CHILDREN, SKIP TO PART 5 TO SIGN THIS FORM.	Check if no income
1
2
3
4
5
6
7

Part 2. Benefits: If any member of your household receives SNAP, TANF, or FDPIR, provide the name and eligibility number for the person who receives benefits. If no one receives these benefits, skip to part 3.
NAME
ELIGIBILITY NUMBER
Part 3. (Applies only to parents/guardians with children enrolled in a day care home) If any member of your household receives benefits listed on the enclosed List of Eligible Federal/State Funded Programs (H1660), provide the name of the program and eligibility number:
NAME
ELIGIBILITY NUMBER

name

	Name (list only household members with income)	1. Earnings from work before deductions	How often?	2. Welfare, Child support, alimony	How often?	3. pension, retirement, social security, ssi, va benifits	How often?	4. All other inocme	How often?
1
2
3
5
5

Part 5. Signature and Last Four Digits of Social Security Number (Adult must sign)
An adult household member must sign this form. If Part 4 is completed, the adult signing the form must also list the last four digits of his or her Social Security Number or mark the “I do not have a Social Security Number” box. (See Privacy Act Statement on the
next page.)
I certify that all information on this form is true and that all income is reported. / understand that the center or day care home will get Federal funds based on the information / give. / understand that CACFP officials may verify the information. / understand that if / purposely give false information, the participant receiving meals may lose the meal benefits, and / may be prosecuted.
Sign here*

Clear
Print name*
Date*

MonthDayYear
Date
Address*

Address

Street Address Line 2

CityState

Zip Code
Phone Number*

Area CodePhone Number
Last four digits of Social Security Number*
Part 6. Participant's ethnic and racial identities (optional)
Mark one ethnic identity:

Hispanic or LatinoNot Hispanic or Latino
Mark one or more racial identities:

AsianWhiteBlack or African AmericanAmerican Indian or Alaska NativeNative Hawaiian or Other Pacific Islander
Part 7. Sharing Information With Other Programs: OPTIONAL The above information may be disclosed for the purpose of enrolling children in the Children's Health Insurance Program (CHIP).Parents/guardians are not required to consent to such disclosure and electing not to allow disclosure will not adversely affect a child'seligibility.*

I DO elect to allow my household information to be disclosed.I DO NOT elect to allow my household information to be disclosed.
Privacy Act Statement:

The Richard B. Russell National School Lunch Act requires the information on this application. You do not have to give the information, but if you do not, we cannot approve the participant for free or reduced price meals. You must include the last four digits of the Social Security Number of the adult household member who signs the application. The Social Security Number is not required when you apply on behalf of a foster child or you list a Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF) Program or Food Distribution Program on Indian Reservations (FDPIR) eligibility number for the participant or other (FDPIR) identifier or when you indicate that the adult household member signing the application does not have a Social Security Number. We will use your information to determine if the participant is eligible for free or reduced price meals, and for administration and enforcement of the Program.

Non-Discrimination Statement:

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.

Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA's TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.

To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at:https://www.usda.gov/sites/default/files/documents/USDA-OASCR%20P-Complaint-Form-0508- 0002-508-11-28-17Fax2Mail.pdf, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant's name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:

(1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; or

(2) fax: (833) 256-1665 or (202) 690-7442; or (3) email: program.intake@usda.gov.

This institution is an equal opportunity provider.

Communications
Stay connected on Famly!
Hey families, This year we'll be encouraging positive skills, like perseverance and teamwork, with Famly. We'll also rely on it to communicate with one another: instantly sharing messages, updates, events, and photos from class. It's simple, secure, and gives you a window into their school day!

I'd like all families to join me by signing up for a parent account on Famly! You can use it on any device:

It's a simple, free mobile app for iOS and Android, and can also be accessed from your computer at famly.co

I'll need your email address to invite you.

Feel free to reach out with any questions.

Thank you!

Brandon Cornish (Director)

Jessill Fuller (Assistant Director)
Name*
Email*
example@example.com
Phone No.*
Your child's name*

CHILD EMERGENCY CONTACT AND PICK-UP AUTHORIZATION FORM
This form will be kept in a special binder used during emergencies and/or to use as a "quick reference guide". All sections must be filled out completely. Please update this form when changes occur (new phone number, employment, add or delete authorized pick-ups, etc This form must be updated every 6 months.
Child's Name*
Date of Birth*

MonthDayYear
Date

Mother/ Guardian 1 Information
Mother/Guardian Name*
Street
City
State
Zip Code
Home Phone
Cell Phone*
Work Phone
Email
example@example.com

Father / Guardian 2 Information
Father/Guardian Name
Street
City
State
Zip Code
Home Phone
Cell Phone
Work Phone
Email
example@example.com

Emergency Contacts (must have at least 2 other than the parent/guardian)
Emergency Contact 1 Name*
Relationship to Child*
Phone*
Emergency Contact 2 Name*
Relationship to Child*
Phone*

Authorization to Pick up
Please list all people who have your permission to pick up your child from New Beginnings Learning Center. All those authorized to pick up must be at least 18 years old and be able to provide a Government issued photo ID.
1.*
2.*
3.
4.
5.
6.
If you need to add an authorized pick up person by phone, you will be asked for your PIN (4 digits
Your PIN is*
Signature of Parent/Guardian*

Clear
Date*

MonthDayYear
Date

New Beginnings Learning Center Biting Policy
New Beginnings Learning Center Biting Policy

Biting is a natural developmental stage that many children go through. It is usually a temporary condition that is most common between thirteen and twenty-four month of age. The safety of the children at New Beginnings Learning Center is our primary concern. This policy addresses the actions that will be taken if a biting incident occurs. Unfortunately, biting is not unexpected when toddlers are in group care. It is always upsetting when children are bitten in our care, and we know how upsetting it can be for parents. Toddlers bite for a variety of reasons, most not related to behavior problems. Therefore, the focus is not on punishment for biting, but we focus on effective techniques that address the reason for biting. A child might be teething, hungry, or overly tired and frustrated. He/she might be experimenting or trying to get attention of the teacher or other children. Toddlers have poor verbal skills and are impulsive without a lot of self-control. Sometimes biting occurs for no apparent reason. The children will be encouraged to "use their words" if they become angry or frustrated.

The following steps will be taken if a biting incident occurs here at New Beginnings:
- The biting will be interrupted with a firm "No we don't bite our friends!"
- The bitten will be comforted.
- The biter will be removed from the situation.
- The wound of the bitten child shall be cleansed with soap and water, and ice will be applied if the child is willing.
- The teacher will work with the child who bit to learn other behaviors.
- The parents of both children will be notified of the biting incident and a written record will be kept.
- The names of the children involved will be kept confidential.
- After the third biting incident, you will be required to pick your child up and they will be suspended for the following day. Additional incidents will be dealt with on an individual basis.
I wish we could guarantee that biting will never happen here at New Beginnings, but we know there is no guarantee. Biting will be dealt with appropriately so that it will end as quickly as possible. We will support your child whether they are the biter or the bitten. We want the best for all children in our care.

If you have any questions or concerns, please let me know.

Sincerely,

Brandon Cornish (Director)
Signature*

Clear
Date*

MonthDayYear
Date
Operational Policy on Infant Safe Sleep

This form provides the required information per minimum standards Sections 746.501(9 and 747.501(6) for the safe sleep policy.

Directions: Parents will review this policy upon enrolling their infant at and a copy of the policy is provided in the parent handbook. Parents can review information on safe sleep and reducing the risk of Sudden Infant Death Syndrome/Sudden Unexpected Infant Death (SIDS/SUIDS) at: http://www.healthychildren.org/English/ages-stages/baby/sleep/ Pages/A-Parents-Guide-to-Safe-Sleep.aspx

All staff, substitute staff, and volunteers at

will follow these safe sleep recommendations of the American Academy of Pediatrics (AAP) and the Consumer Product Safety Commission (CPSC) for infants to reduce the risk of Sudden Infant Death Syndrome/Sudden Unexpected Infant Death Syndrome (SIDS/SUIDS):

Always put infants to sleep on their backs unless you provide Form 3019, Infant Sleep Exception/Health Care Professional Recommendation, signed by the infant's health care professional [Sections 746.2427 and 747.2327]. Place infants on a firm mattress, with a tight-fitting sheet, in a crib that meets the CPSC federal requirements for full-size cribs and for non full-size cribs [Sections 746.2409 and 747.2309]. For infants who are younger than 12 months old, cribs play yards should be bare except for a tight-fitting sheet and a mattress cover or protector. Items that should not be placed in a crib or play yard include: soft or loose bedding, such as blankets, quilts or comforters; pillows; stuffed toys and animals; soft objects; bumper pads; liners; or sleep positioning devices [Sections 746.2415(b) and 747.2315(b)]. Also, infants must not have their heads, faces or cribs covered at any time by items such as blankets, linens, or clothing [Sections 746.2429 and 747.2329]. Do not use sleep positioning devices, such as wedges or infant positioners. The AAP has found no evidence that these devices are safe. Their use may increase the risk of suffocation [Sections 746.2415(b) and 747.2315(b)]. Ensure that sleeping areas are ventilated and at a temperature that is comfortable for a lightly clothed adult [Sections 746.3407(10) and 747.3203(10)]. If an infant needs extra warmth, use sleep clothing(insert type of sleep clothing that will be used,

such as sleepers or footed pajamas) as an alternative to blankets [Sections 746.2415(b) and 747.2315(b)]. Place only one infant in a crib to sleep [Sections 746.2405 and 747.2305]. Infants may use a pacifier during sleep. But the pacifier must not be attached to a stuffed animal [Sections 746.2415(b) and 747.2315(b)] or the infant's clothing by a string, cord or other attaching mechanism that might be a suffocation or strangulation risk [Sections 746.2401(6) and 747.2315(b)]. If the infant falls asleep in a restrictive device other than a crib (such as a bouncy chair or swing or arrives to care asleep in a car seat), move the infant to a crib immediately, unless you provide Form 3019, Infant Sleep Exception/Health Care Professional Recommendation, signed by the infant's health care professional [Sections 746.2426 and 747.2326]. Our child care program is smoke-free. Smoking is not allowed in Texas child care operations (this includes e-cigarettes and any type of vaporizers) [Sections 746.3703(d) and 747.3503(d)]. Actively observe sleeping infants by sight and sound [Sections 746.2403 and 747.2303]. If an infant can roll back and forth from front to back, place the infant on the infant's back for sleep and allow the infant to assume a preferred sleep position [Sections 746.2427 and 747.2327]. Awake infants will have supervised "tummy time" several times daily. This will help them strengthen their muscles and develop normally [Sections 746.2427 and 747.2327]. Do not swaddle an infant for sleep or rest unless you provide Form 3019, Infant Sleep Exception/Health Care Professional Recommendation, signed by the infant's health care professional [Sections 746.2428 and 747.2328].

HHSC values your privacy. For more information, read our privacy policy online at: https://hhs.texas.gov/policies-practices-privacy#security.
This policy is effective on*
Child's name*
Signature Parent*

Clear
Date*

MonthDayYear
Date

Discipline and Guidance Policy for New Beginnings Learning Center
Discipline and Guidance Policy for New Beginnings Learning Center

Discipline must be:

(1) Individualized and consistent for each child;

(2) Appropriate to the child's level of understanding; and

(3) Directed toward teaching the child acceptable behavior and self-control.

A caregiver may only use positive methods of discipline and guidance that encourage self-esteem, self-control, and self-direction, which include at least the following:

(1) Using praise and encouragement of good behavior instead of focusing only upon unacceptable behavior;

(2) Reminding a child of behavior expectations daily by using clear, positive statements;

(3) Redirecting behavior using positive statements; and

(4) Using brief supervised separation or time out from the group, when appropriate for the child's age and development, which is limited to no more than one minute per year of the child's age.

There must be no harsh, cruel, or unusual treatment of any child. The following types of discipline and guidance are prohibited:

(1) Corporal punishment or threats of corporal punishment;

(2) Punishment associated with food, naps, or toilet training;

(3) Pinching, shaking, or biting a child;

(4) Hitting a child with a hand or instrument;

(5) Putting anything in or on a child's mouth;

(6) Humiliating, ridiculing, rejecting, or yelling at a child;

(7) Subjecting a child to harsh, abusive, or profane language;

(8) Placing a child in a locked or dark room, bathroom, or closet with the door closed;

(9) Requiring a child to remain silent or inactive for inappropriately long periods of time for the child's age.

Texas Administrative Code, Title 40, Chapters 746 and 747, Subchapters L, Discipline and Guidance
My signature verifies I have read and received a copy of this discipline and guidance policy.
Signature Parent*

Clear
Date*

MonthDayYear
Date

Picture Permission Slip
New Beginnings Learning Center Picture Permission Slip

Pictures are a memorable treasure. Here at New Beginnings, we would like to capture those memorable moments of children, especially of special events and birthdays.

Due to the sensitive nature with pictures of children, we are asking for your permission to take your child's picture of our activities. Please indicate your preference below.
.*

I give New Beginnings permission to take pictures of my child or children for theirdaily classroom activities and for possible use in the local newspaper and on the NewBeginnings and First United Methodist Church webpages and Face Book.I DO NOT give New Beginnings permission to take pictures of my child/children.
Name of Child/Children*
Parent or Guardian Signature*

Clear
Date*

MonthDayYear
Date

No Nit Policy
As a daycare facility we strive to keep each child safe and healthy. As with any environment where there are children, there will always be colds, illnesses, and other health issues. One such health issue concern is head lice. It is the policy of New Beginnings Learning Center to call parents when their child is sick, has a fever, diarrhea, or head lice. It is also the policy that the parents come to the center and pick up their child within one hour of being notified. This is for the health and safety of the other children in our care.

New Beginnings Learning Center has adopted a "No Nit Policy" as of July 13, 2021. This means that if your child is found to have nits, eggs, nymph (adolescent lice), or adult lice, you will need to pick up your child within one hour of being called and bring him/her home. After your child has undergone treatment, all of the dead nits, eggs, nymph (adolescent lice), or adult lice need to be removed from the hair, to avoid the possibility of an unkilled one causing another infestation. This can be done with a special comb that is often included in the treatment kit. Once your child is nits, eggs, nymph (adolescent lice), or adult lice free for five (5) days they may return to Center.

Please sign and date the form below. Thank you for your assistance.
I have received information regarding the No Nit Policy of New Beginnings Learning Center and understand the steps to follow if I am contacted regarding my child.
Child's Name*
Parent Signature*

Clear
Date*

MonthDayYear
Date

Financial Agreement
Updated January 1, 2023

1. Registration fee is due and payable at the time of registration and is non-refundable. This fee will be due each year at the beginning of the school year.

2. Fees are due and payable no later than the first day of the period that your child is enrolled for. If your fee is not paid on time, your child will not be accepted until the fee has been paid. You will also be assessed a late fee of $35/week until payment is made.

Because your child has a guaranteed slot in our school, your child's tuition is a set weekly amount (unless you are paying off a previous balance), regardless of the number of days attended. Therefore, no refunds, rebates, or discounts will be given for periods when the child is not in school. This included periods of illness, vacations, holidays, intercessions, school closures, local, state, and national emergencies (including COVID), or other absences.

Each family is permitted to take up to two weeks (10 days) vacation time each year. A year is considered the period from August-July. During your designated vacation dates, your childcare fees will be waived. However, you must inform the center in advance, in writing, of the days you will be using for your vacation days.

3.We accept Credit Cards, Money Orders, Checks, and Cash. Please make out checks and money orders to First United Methodist Church. There will be a $20 fee charged for returned checks.

When your payment is made, wait for your receipt!

4. Your child must be picked up by 6:00pm. If you are late, you will be charged a late fee of $10 per child, plus $1 per minute per child after six. Be prepared to pay this at that time!

5. The first two weeks of care/school are probationary for the center, child, and parent. This agreement may be terminated at any time during that period.

6. The Tuition Rates are attached to this agreement.

By signing this page, I agree to the rates charged and this Financial Agreement.
I/We certify that I/we have received a copy of this agreement and agree to comply with all the terms herein.
Parent/ Guardian*

Clear
Child/Children*
Date*

MonthDayYear
Date

Family Handbook
Family Handbook Acknowledgement

I have received and read a copy of the document entitled "Family Handbook"
Child/Children Name*
Parent or Legal Guardian's Name*
Parent or Legal Guardian's Signature*

Clear
Should be Empty:

Admission Information

In the event I cannot be reached to arrange for emergency medical care, I authorize the person in charge to take my child to:

The following vaccines require multiple doses over time. Please provide the date your child received each dose.

Signatures

I, the parent/guardian, have been provided a copy of the CACFP Meal Benefit Income Eligibility Form Letter to Households, Income Eligibility Guidelines, Form H1625-A, the "Building for the Future" flyerin English and Spanish and current WIC information.

Part 1. All Household Members

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