ILA Re-Registration Form

Student Re-Registration Form

iLingo Academy
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To begin, enter the family ID provided to you in the email you received from the iLingo Admissions Team. If you need a family ID to register your child, please contact our admissions team at admissions@ilingoacademy.com. You will need to fill out this form for each child you intend to register.
Family ID Provided by iLingo. You will use the same Family ID for each child you register. *
Family ID Starting with ILA

**Important Re-Registration Information:**

Thank you for choosing iLingo Academy for your child's education. To ensure the safety and well-being of all our students, we require complete and accurate information from parents or guardians during the registration process. Please take note of the following:

1. **Complete Information:** Even if you have previously provided certain details during previous registrations, we kindly request that you enter all required information once again. This includes, but is not limited to, allergies, updated parent or guardian information, updated addresses, phone numbers, emergency contacts, and any other relevant details.

2. **Maintaining Accuracy:** It is crucial that all information is up-to-date and accurate to the best of your knowledge. Any missing, incomplete, or inaccurate information can compromise the safety and quality of your child's education at iLingo Academy.

3. **Space Reservation:** Failure to provide complete and accurate information may result in the loss of a space at iLingo Academy for your child. We want to ensure that all students receive the best possible care, and having correct information is essential for this.

We appreciate your cooperation in this matter. Your child's safety and well-being are our top priorities. If you have any questions or need assistance with the registration process, please feel free to contact our registration team.

Thank you for choosing iLingo Academy. We look forward to another successful academic year with your child!
I acknowledge I have read and understood the information above:*

Yes

Student Withdrawal Procedure
We require a 45-Day WRITTEN notice of withdrawal. If you withdraw your child without proper written notice, you will be responsible for any tuition up to 30 days after the child’s last day of attendance
Primary Parent Signature*

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Today's Date*

MonthDayYear
Date
Authorization for Release of Child
In case of an emergency, or if I am unable to be reached or pick up my child, I authorize iLingo Academy to release my child to the following persons. I understand no further written authorization from me is required for my child to be released to one of the persons listed herein. I understand that additions or deletions to this list must be submitted in writing for iLingo Academy to honor them. Parents, as a matter of law, are afforded the right to immediate access to their child while attending iLingo Academy. Please refer to the Parent Handbook for more information on the Release of Children. If there is an issue with the parent picking up this child discuss it with the Academy Director so the appropriate documentation can be obtained. Please include anyone upon whom you may call in an emergency to help you with picking up your child. For the safety of your child, please inform all authorized pick-up persons listed herein that we will ask for a government issued photo ID when they arrive to pick up your child. If they do not have a government issued ID with them, we WILL NOT release your child under any circumstances. All persons authorized to pick up must be at least 18 years of age or older. If additional space is needed, use a separate piece of paper and submit to the office.
Primary Parent Signature *

Clear
Today's Date*

MonthDayYear
Date
Emergency Contact
Please note the emergency contact MUST be a person other than the primary and secondary parent/guardians, in the event that the parent/guardians are unreachable.
Emergency Contact Name*

First NameLast Name
Relationship to Emergency Contact*
Emergency Contact Email*
example@gmail.com
Emergency Contact Cell Phone *
Please enter a valid phone number.
Emergency Contact Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Signatures
Child's Initials*
Primary Parent Initials*
Primary Parent Signature*

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Document Upload
Immunization and Florida Health Form
Please upload a valid child's Florida immunization records or exemption.*

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Florida Immunization Record Expiration Date. If you upload a copy that doesn't match the correct expiration date, your enrollment may be delayed. *

MonthDayYear
Date
Please upload a valid your child's Florida Health Form.*

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Florida Health Form Expiration Date. If you upload a copy that doesn't match the correct expiration date, your enrollment may be delayed. *

MonthDayYear
Date
I acknowledge that I must provide my child's accurate immunization and Florida Health Form records within ten days of their start date to continue attendance.*

I acknowledge.
Primary Parent Initials*
Primary Parent Signature*

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Birth Certificate and Parent ID
Please upload your child's birth certificate. *

This can be a copy.
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Please upload the primary parent's driver's license or passport. (Front Only)*

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Please upload the secondary parent's driver's license or passport. (Front Only)*

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COVID or Communicable Diseases

Includes illnesses that spread from one person to another or from an animal to a person, or from a surface or a food. Diseases can be transmitted during air travel through: direct contact with a sick person. respiratory droplet spread from a sick person sneezing or coughing.
COVID-19 PUBLIC HEALTH EMERGENCY SPECIAL PROGRAM ATTENDANCE ACKNOWLEDGEMENT AND DISCLOSURE

*This document currently supersedes some policies you may read in the Parent/Student Handbook*
I understand that this procedure change is for the safety of all persons present in the facility and to limit to the extent possible everyone’s risk of exposure. I understand that it is my responsibility to inform any Emergency Contact person of the information contained herein.
Parent Initials*
I understand that if there is an emergency requiring me to enter the facility beyond the designated drop-off and pick–up area I MUST follow the CDC and iLingo Academy health procedures including washing my hands before entering, removing my shoes and wearing a mask. While in the facility I must practice social distancing and remain 6ft from all other people, except for my own child.  
Parent Initials*
I understand that to enter the facility premises my child must be free from any communicable diseases including COVID19.
- Fever of 100.4 degrees Fahrenheit or higher
- Dry cough
- Shortness of breath
- Chills
- Loss of taste or smell
- Sore throat
- Muscle aches
- Visible and prolonged Mucus Secretion
While we understand that many of these symptoms can also be related to non-COVID-19 related issues we must proceed with an abundance of caution. These symptoms typically appear 2-7 days after being infected so please take them seriously. You will need to be symptom free for 72 hours before returning to school.
Parent Initials*
I understand that my child will be required to wash their hands using CDC recommended hand washing procedures throughout the day using warm running water and rubbing with soap for at least 20 seconds in addition to any/all CDC requirements.  
Parent Initials*
I will immediately notify iLingo Academy management if I become aware of any person with whom my child or I have had contact exhibits any of the symptoms listed above, is advised to self-isolate, quarantine, or has tested positive for COVID- 19 whether or not I have had direct contact with that person.  
Parent Initials*
I understand that while present in the facility each day my child will be in contact with children, families, and other employees who are also at risk of community exposure. I understand that no list of restrictions, guidelines or practices will remove 100% of the risk of exposure to COVID-19 as persons who are asymptomatic can transmit the virus before showing signs of infection. I understand that I play a crucial role in keeping everyone in the facility safe and reducing the risk of exposure by following the practices outline herein.
Parent Initials*
I, {primaryParent15} certify that I have read, understand, and agree to comply with the provisions listed herein.
Signature*

Clear
*All policies are subject to change with notification.

Relocation and Reunification Instructions
In the event of an evacuation, students will be escorted by our team to Eagle Creek Elementary School next door located at: 10025 Eagle Creek Sanctuary Blvd., Orlando, Fl. 32832; which serves as our emergency evacuation site. Parents will be notified if an evacuation has occurred. All teachers will always carry the children’s emergency contact information with them, so in the event of an evacuation we will be able to notify families immediately.

I, {primaryParent15}, parent of {childsLegal},

Acknowledge receipt of the Reunification/Relocation instructions in case of an emergency evacuation and unable to return to the facility.
I acknowledge that I have read and understood the Policy on Relocation and Reunification.*

I acknowledge.
Policy on Relocation and Reunification*

Clear

Discipline Policy
PHILOSOPHY: iLingo Academy will utilize positive discipline and guidance techniques. The purpose of discipline is to help children develop self-control, and to teach children that each person is responsible for their own actions. Our goal is to help the children develop self-control and responsibility for their actions. Behavior guidance used by each teacher will be constructive, positive, and suited to the age of the child at the time.

DISCIPLINE PROCEDURES: To prevent unacceptable behavior from occurring the teachers will:
• Model appropriate behavior
• Arrange the classroom environment to enhance the learning of acceptable behaviors
• Use descriptive praise when appropriate behavior occurs
• Encourage children to use their words when having a disagreement with another child and facilitating children in their attempts to settle their own disputes
• Use redirection – substitute a negative behavior with a positive one
• Use distraction – change the focus of the activity or behavior
• Separate child from the group- this is used as a last resort, only when other less effective methods have been tried and/ or behavior of the child is dangerous to themselves or others. This time is not a punishment, but rather a time when the child reflects on the behavior the teacher is requesting, and decide when they are ready to rejoin the group with appropriate behavior.

DISRUPTIVE BEHAVIOR: distracts from the full benefit of the Academy program
The following behaviors are considered disruptive:
• Requires constant attention from the teachers
• Inflicts physical, verbal, or emotional harm on other children, adults, or self
• Disrespect’s people and materials provided in the program
• Verbally threatens other students or teachers
• Failure to adjust after a reasonable amount of time
• Continuous biting

Discipline procedures for disruptive behavior: Disruptive behavior will be addressed in a written incident report. This will be completed to document the behavior that directly impacts other children, teachers, or the group. This report will be shared with parents/guardians. It is to be signed by the teacher, parent/guardian, and the director. The report will be kept in the child’s file.

BITING: If a child bites another child, parents/guardians of both children will be notified. At the discretion of the team and director, the child can be dismissed from the school depending upon the severity of the bite. This is seriously considered when the health, safety, and welfare of the child or that of another child is at risk.

CHILDREN WHO ENDANGER OTHER CHILDREN OR TEACHERS: At iLingo Academy one of our primary goals is to provide a safe, nurturing, and pleasant environment for all of the students. We recognize that one of our jobs is to help children learn appropriate ways for conflict resolution. However, at times a child’s behavior may endanger others. We want to ensure parents that we will address such behavior immediately following these guidelines:

1st incident will be reported to the parent/guardian with a written incident report and possibly a call from the director
2nd incident will result in a conference with the director to be held within 2 days of the incident to establish a written plan of action
3rd incident will result in the parent/guardian being called immediately to pick the child up from school. A conference with the director to discuss the action plan and next course of action must be completed before the child would be permitted to return to school.

iLingo Academy reserves the right to dismiss a child if any further incident occurs, or if we feel that any of the following conditions exists:
• The Academy cannot meet the child’s needs
• The parents are not able to work with the Academy to find an acceptable solution
• The continuing behavior endangers the well-being of other children

THE FOLLOWING DISCIPLINE TECHNIQUES PROHIBITED AT ILINGO ACADEMY
- Please see the student handbook for additional information
Section 65C-22.006 (4) FAC requires that parents are notified in writing of the disciplinary practices used by the childcare facility
I acknowledge that I have read and understood the 65C-22.006 (4) FAC Disciplinary Policy.*

I acknowledge.
65C-22.006 (4) FAC Disciplinary Primary Parent Signature*

Clear

Permissions
Walking Trips within the academy’s neighborhood, using routes that pose no known safety hazards to children, with the understanding that the walk involves no entrance into another facility unless otherwise indicated.

This includes walking Afterschool students to and from school.
Walking Trips Permission Question*

Yes, I give permission for my child to participateNo, I DO NOT give permission for my child to particiapte.
Primary Parent Signature*

Clear
Photography
Photography iLingo Academy will take photographs of enrolled students for different occasions throughout the year. These photos are primarily used for academy purposes: to display on bulletin boards, create keepsakes for parents and on social media in our Facebook and Instagram updates. Occasionally, we will use photos for marketing purposes: iLingo newsletter, calendars, website, brochures, magazines, or local newspapers.

We will only use your child’s photo if we have permission from you. Please indicate below if you do or do not authorize the use of photos of your child for all the previously mentioned purposes.

*Names will never be used in advertising or web-based activity such as social media or website.
Photography Permission Question*

Yes, I authorize iLingo Academy to use photos of my child for these purposes and the Brightwheel application.Yes, I authorize iLingo Academy to upload pictures of my child via the Brightwheel application only (Parents only)No, I do not authorize iLingo Academy to use photos of my child. Your child will be excluded from all photos.
I understand that it is my responsibility to update iLingo Academy in the event that I no longer wish to authorize one or more of the above uses. I agree that this form will remain in effect during the term of my child’s enrollment.
Primary Parent Signature / *

Clear
Today's Date*

MonthDayYear
Date
Print Parent/Guardian Name*

First NameLast Name

Fees & Tuition
An annual Re-Registration fee of $160 is due at time of registration. One month of tuition is due at time of registration. Payments are made via Brightwheel with a bank account, debit or credit card. (Processing Fees apply and vary depending on payment method.) The registration fee and tuition are non-refundable and non-transferable. The registration fee is to help cover the cost of consumables, technology, (Brightwheel) and other costs during the school year for classrooms. Half day VPK students are not required to pay the registration fee.

Tuition is annual and broken down into equal monthly installments for your convenience. Tuition is due on the 1st of the month. If payment is received after the 5th a late fee of $30 will be charged to your account. If payment is not received by the 10th your child will not be able to return to school until it is paid in full. Tuition is based on the academic school year calendar and does not include any government holidays, school breaks, or teacher workdays. Vacation day camps and Summer camps for some of these days are offered at an additional cost.

Once your child has attended class, tuition is due and non-refundable. Your tuition payments enable us to make iLingo Academy a healthy and adequately supervised environment for your child. All rates are subject to change.

Upon registering for class, we need a copy of your child's birth certificate, health physical and immunization record.
Click here to download a copy of the Tuition and Fees PDF. Fill it out in your favorite PDF editor, then reupload to the field below.
Upload Tuition and Fees PDF*

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Signatures
Child's Initials*
Primary Parent Initials*
Primary Parent Signature*

Clear

Parent Acknowledgement and Agreement
I, {primaryParent15}, Parent/Guardian of {childsLegal} Acknowledge I have received, read, and had the opportunity to ask questions about the Parent/Student Handbook. I also acknowledge the following:

(Please initial each line below)
Section 2.8, of the Child Care Facilty Handbook, require that parents are notified in writing of the disciplinary and expulsion policies used by the Child Care facility.*
Section 3.9 Food Preparation/Food Service, 3.9.3 Food Safety requires the provider to advise parents and legal guardians in advance of each food-related activity, such as special occasions and learning activities that include food consumption. Written parental permission may be obtained in the form of a general or specific permission slip for each activity.*
Section 7.1 and 7.2, of the Child Care Facility Handbook, requires a current physical examination (form 3040) and immunization record (form 680 of 681) within 30 days of enrollment.*
Section 7.1, of the Child Care Facility Handbook, immunization records, requires providers to include written notification to inform parents, at time of enrollment, that some children in care may not have current immunizations.*
Section 7.3, of the Child Care Facility Handbook, requires that the parents receive a copy of the Child Care Facilty Brochure, "Know Your Child Care Facilty" (CF/PI 175-24)*
Section 7.3, of the Child Care Facility Handbook, Enrollment information shall include parental/guardian consent for child Care personnel to have access to child's records.*
Section 7.3, of the Child Care Facility Handbook, requires that the parents are provided food and nutrition policies used by the child care facility.*

Enrollment Pricing Information

Below is the estimated payment due before enrollment. This may change based on availability and may change at any time without notice. Discounts do not show up on the total amount.
Click Here to Download The Re-Registration Pricing
Do you qualify for one of the following discounts? Please note discounts can not be combined. Please select one option.*

US Active or Retired MilitarySibling DiscountNot Applicable
New Enrollment - Kindergarten
New Enrollment - 2.5 Year Old
New Enrollment - 3 Year Old
New Enrollment - 4 Year Old
New Enrollment - VPK
Calculated New Enrollment Amount Due
Enrollment Registration Fee
New Enrollment - Sleeping Mat
New Enrollment - School Supply Fees
Calculated Total Estimated Due Before Enrollment (Including Enrollment, Registration excluding any applicable discounts, sleeping mats, and school supply fees)
Total Estimated Due Before Enrollment (Including Enrollment, Registration excluding any applicable discounts, sleeping mats, and school supply fees)

I understand that the iLingo child registration process is on a first come first serve basis, based on availability. Submitting this form does not guarantee a spot for your child. Each child's enrollment will not be completed until all documentation has been submitted and you have received a confirmation email from the iLingo Academy Admissions team. Enrollment is not completed until ALL paperwork has been sent and completed.*

I Agree
Primary Parent Signature*

Clear
Should be Empty:

Student Re-Registration Form

Important Re-Registration Information:

Child’s Information

Parent/Guardian Information

Primary Parent/Guardian #1 Information

Secondary Parent/Guardian #2 Information

Signatures

Medical Release/Health Statement

Medical Information

Signatures

Student Withdrawal Procedure

Authorization for Release of Child

Emergency Contact

Signatures

Document Upload

Immunization and Florida Health Form

Birth Certificate and Parent ID

Receipt of Policies

COVID or Communicable Diseases

Relocation and Reunification Instructions

Discipline Policy

Permissions

Photography

Fees & Tuition

Signatures

Parent Acknowledgement and Agreement

Enrollment Pricing Information

Click Here to Download The Re-Registration Pricing

Student Re-Registration Form

**Important Re-Registration Information:**

Child’s Information

Parent/Guardian Information

Primary Parent/Guardian #1 Information

Secondary Parent/Guardian #2 Information

Signatures

Medical Release/Health Statement

Medical Information

Signatures

Student Withdrawal Procedure

Authorization for Release of Child

Emergency Contact

Signatures

Document Upload

Immunization and Florida Health Form

Birth Certificate and Parent ID

Receipt of Policies

COVID or Communicable Diseases

Relocation and Reunification Instructions

Discipline Policy

Permissions

Photography

Fees & Tuition

Signatures

Parent Acknowledgement and Agreement

Enrollment Pricing Information

Click Here to Download The Re-Registration Pricing

Important Re-Registration Information: