2024-25 SJPDS Childcare Services Registration

2024-25 Childcare Services Registration

Use this form to register, confirm or modify your selections for Childcare Services for the 2024-25 year.
Program Information
St. John's Parish Day School Childcare Services includes multiple options for families of both Early Childhood and Lower School students. Hours of operation during the regular school day begin at 7:00AM until the beginning of the school day for Before Care and from the end of the school day until 6:00 PM for After Care. These programs are operated through the SJPDS Auxiliary Programs and are licensed through the State of Maryland?s Office of Childcare.

For more information or if you have any questions or concerns about these regulations, please refer to the Office of Child Care:

https://earlychildhood.marylandpublicschools.org/child-care-providers/office-child-care

Students Name*

First NameLast Name

Please select one:

Interested in registering, confirming, or modifying an existing Childcare Services Plan, including Complimentary CareDECLINE Childcare Services Plan

Student Information
Student Birthday*

MonthDayYear
Date
Student Sex/Gender*
Please check the option that corresponds to the grade in which your child is enrolled for the 2024-2025 school year.*

Early Childhood- 3sEarly Childhood- 4sEarly Childhood- TKLower School- KindergartenLower School- 1st GradeLower School- 2nd GradeLower School- 3rd GradeLower School- 4th GradeLower School- 5th Grade

Required Information
Much of the information that is required for registration for Childcare Services is also required for enrollment in the school. For your convenience, we will use those forms, including the EMERGENCY CONTACT FORM to complete your registration.
By checking this box, I certify that I have completed all forms, including but not limited to the EMERGENCY CONTACT FORM and MEDICAL ADMINISTRATION AUTHORIZATION FORMS for my child pertaining to this registration alerting the childcare provider of parent/guardian(s) contact information, emergency contact information, and, if applicable, any pertinent medical/health information.

Parent/Guardian Information
Parent/Guardian #1*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Cell Phone*
Please enter a valid phone number.
Home Phone*
Please enter a valid phone number.
Parent/Guardian #2*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Cell Phone*
Please enter a valid phone number.
Home Phone*
Please enter a valid phone number.

Authorized to Pick-Up

In addition to the parents/guardian(s) as indicated on the EMERGENCY CONTACT FORM, parents are permitted to authorize individuals to pick-up their child (non-emergencies).These individuals will be required to present a photo ID to verify their identity.In the below section, please list up to three (3) individuals for whom you give authorization.
Authorized to Pick-Up #1*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Authorized to Pick-up #2

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Authorized to Pick-up #3

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Plan Selection
Plan Descriptions

Plan 1- "Full Time"
Registration: $25
Yearly Cost: $3,850
Access to Before and After Care programs Monday through Friday. This includes all of the school?s noon dismissal days.

***

Plan 2- "Before Care"
Registration: $25
Yearly Cost: $1,800
Access to the Before Care program Monday through Friday.

***

Plan 3- "After Care"
Registration: $25
Yearly Cost: $2,600
Access to the After Care program Monday through Friday.

***

Plan 4- "Drop-In"
Registration: $25
Before Care Daily Rate: $15
After Care Daily Rate: $25

There are two considerations for "drop-in" care: "regular" care whereby a family may choose to use care less than full time, but on a "regular" schedule, e.g. Tuesdays/Thursdays; "occasional" whereby a family may choose to use care a few times over the course of the year.

Both of these are billed at the daily base rate (per use). Additionally, both of these require advance notice of intent to attend as well as a completed registration.
Please select your plan*

Plan 1- "Full Time"Plan 2- "Beforecare"Plan 3- "Aftercare"Plan 4- "Drop-in"Complimentary Care ONLY
If you chose "Plan 4 'Drop-in,'" please indicate in the space below your intended schedule (to the best of your knowledge). For example, if you plan to use drop-in care regularly, please list the days of the week. If you you plan to use drop-in care occasionally, please put "occasional."Please note that if you list "occasional," you will still need to give advance notice (through a FACTS form) before being permitted to attend. Please select ALL that apply:

OccassionalFrequentlyAftercareBeforecare

Disclaimers
Subject to Change: program operations are subject to change based on scheduled and unscheduled school closings and/or delays.

Capacity: Plan availability is subject to change based on program capacity- "first come, first served."

Late Pick-Up Fees: While we understand that things happen that prevent timely pick up during an emergency. Please be respectful of our staff on a daily basis and before 6:00 PM.

Late Pick-Up Fees will be automatically assessed for pick-up at 6:00 PM. $25 for first 10 minutes and one dollar per minute beginning at 6:10 PM.

Chronic issues of lateness may result in dismissal of this program.
By signing, I accept these terms and conditions.*

Clear

Medical Release and Authorization
As the Parent and/or Guardian of this student, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending SJPDS Auxiliary Programs professional staff, requires immediate attention to prevent further endangerment. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for my child. This authorization is granted only after a reasonable effort has been made to reach me.

Release authorization is for the duration of the SJPDS 2024-2025 school year. This release is authorized and executed of my own free will, with the sole purpose of authorizing emergency medical treatment under emergency circumstances, for the protection of my child, in my absence.
By signing, I accept these terms and conditions.*

Clear

Participation and Payment Agreement
I, hereby, give my approval for my child's participation in the SJPDS Childcare Services activities described in the Plan I have selected.

I agree to pay the fee associated with the selected plan in accordance with the fee structure and schedule described for the plan available on the SJPDS Childcare Services page: https://www.stjohnspds.org/apps/pages/childcare
By signing, I accept these terms and conditions.*

Clear

Siblings
Do you have children in both the lower school and early childhood?

YesNo
If yes, please list the name(s) and grade(s)
Should be Empty:

2024-25 Childcare Services Registration

Program Information

Student Information

Required Information

Parent/Guardian Information

Authorized to Pick-Up

Plan Selection

Disclaimers

Medical Release and Authorization

Participation and Payment Agreement

Siblings