The Robin & Twig Schools

Please Upload a Picture of Your Child. (This is a requirement for their file and cubby once enrolled.)

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Child's Name

First NameLast Name
Child's middle initial
Date of Birth

MonthDayYear
Date
Gender
What is your desired start date?

MonthDayYear
Date
Child's Home Address
Child's Home Phone Number
Who does this child reside (live) with?
Tell us your child's likes.
Tell us your child's dislikes.
Are there any custody arrangements in place?
If your child is 2 or older, are they potty trained?
Parent/ Guardian Information

This section ask for parent(s)/ guardian(s) information.
Parent 1: Name

First NameLast Name
Parent 1: Phone Number
Parent 1: Email Address
Parent 1: Home Address
Parent 1: Employer Name
Parent 1: Employer Address
Parent 1: Work Phone Number
Parent 2: Name

First NameLast Name
Parent 2: Phone Number
Parent 2: Email Address
Parent 2: Home Address
Parent 2: Employer Name
Parent 2: Work Phone Number
Medical Information

All enrolling children MUST have a completed HEALTH ASSESSMENT Form. This form must be completed by a physician or medical professional and include your child's Shot Record (Up-To-Date Immunizations). CLICK THE LINK ~HERE~ TO ACCESS THE FORM
Does your child have any of the the following special or dietary needs?

Other
If your child has a special need, please provide us with some detail.
Is your child at risk for a MEDICAL EMERGENCY? If Yes, please explain in detail.
Does your child currently take any medication?
If yes, for what?
Do you have any concerns about your child's development (speech, cognitive, physical, social, emotional)? If so please descibe:
Child's Physican Name
Address
Phone Number
Emergency Contacts

Please provide us with three emergency contact persons and their numbers.
Emergency Contact 1 - Name

First NameLast Name
Emergency Contact 1 - Relationship to the Child
Emergency Contact 1 - Phone Number
Emergency Contact 2 - Name

First NameLast Name
Emergency Contact 2 - Relationship to the Child
Emergency Contact 2 - Phone Number
Emergency Contact 3 - Name

First NameLast Name
Emergency Contact 3 - Relationship to the Child
Emergency Contact 3 - Phone Number
Tution and Financing

Fees can be paid by Check, Money Order, or CashApp. NO cash is accepted
How will you be paying for childcare tuition?
If you recieve ELRC, how much is your co-payment per week?
Enrollment Agreement

Welcome to Robin & Twig Schools. We are committed to providing a safe, nurturing environment where your children can grow to his/her full potential. Your Full Day fee entitles you to 5 or more hours per day of educational childcare, breakfast, lunch and snacks. We believe children should enjoy learning and do so through play and exploration, both individually and in groups. We provide a rich and varied curriculum that gives children choices and teaches them in many ways. The information obtained in this section will be used to develop your child's enrollment agreement including their school schedule.
Requested Start Date for Your Child:

MonthDayYear
Date
Will your child be attending our school part-time (4 hrs or less) or fulltime?
Will Attend The Robin & Twig School on:
My child will arrive at:

Hour Minutes

AM/PM Option
My child will be picked up from daycare at:

Hour Minutes

AM/PM Option
My child is allowed to be picked up by the following person/ people:
Please give the first and last names of those who will be picking your child up from daycare.
Does your child need to be picked up/ dropped off from school?
If your child needs pick up. drop off from their school, What school?
What times does your child's school begin?

Hour Minutes

AM/PM Option
What times does your child's school end?

Hour Minutes

AM/PM Option
Financial Procedures

Fees can be paid by Money order or Cash-App. No Cash is Accepted. 1) Pay weekly tuition/ co-pay is due every Monday for the current week. If fees are delinquent, my child may not be allowed to attend day care until they are paid. a. If the fee is not received by Monday of the week for which the fee is due, we are required to inform the ELRC office who issued your subsidy. Services will be discontinued if the fee is still unpaid by the date the ELRC sets in writing as the final deadline. b. ELRC will also discontinue services if your fee is late three times within your family’s eligibility year.2) Pay by money order or cashapp ONLY - NO CASH accepted. 3) Pay my regular fee as charged regardless of the number of hours per day my child remains in care. 4) Pay my regular fee as charged regardless of illness, vacation, holidays, in service days, or closings. 5) Pay a late pick-up fee of $15.00 per 10 minutes or portion thereof, if my child is picked up after 6:00 PM. This fee must be paid the morning after the late pick-up or child will not be able to attend until fee is paid.
I acknowledge that I have read and reviewed "Financial Procedures".
Signature
Subsidized Care

I agree to pay my copay and any other excess costs to The Robin & Twig School each week. I understand that subsidized childcare will only pay for five (5) consecutive days absent from care. After the 5th day I will be responsible for the full daily reimbursement rate of tuition for my child(ren) until subsidy resumes. It is required that all subsidized families not exceed more than twenty-five (25) days absent within one (1) fiscal year of July 1 -June 30. If I am absent more than the 25 days allowed, I will be responsible for the full daily reimbursement rate of tuition per day for my child(ren) for any additional days until my renewal on July 1. Subsidized childcare allows for fifteen (15) total holiday, inclement weather or emergency closures per year. If the center needs to close more than the 15 days allotted, I will be responsible for any additional days not covered at the full daily reimbursement rate of tuition for my child(ren). All payments due to The Robin & Twig School are due in the current week to not accrue late fees or balances.
I acknowledge that I have read and reviewed "Subsidized Care."
Signature
Health Policies

1) My child will have physical examinations and age-appropriate immunizations in accordance with the American Academy of Pediatric recommendations, which legally qualifies him/her to attend daycare.2) If my child becomes ill during the day, I will arrange for pickup within 1 hour. My child will only return if able to fully participate in the program (i.e. all physical activities including outdoor play).3) Medication will be administered to my child in accordance with the The Robin & Twig School Medication Policy.4) The Robin & Twig School has permission to administer first-aid to my child.5) The center will be notified when my child will be absent for part/full days due to illness, medical appointments or other reasons.6) My child’s medical and allergy information may be posted, discreetly, within easy access of caregiving staff.7) My child’s medical/allergy info may be posted in his/her classroom easily accessible to the teachers.
I acknowledge that I have read and reviewed "Health Policies."
Signature
Other Policies

1) To communicate the following changes promptly to the staff: a. Home or work address and telephone number b. Emergency or escort information including court orders c. Time of drop off/pick-up d. When a person who is not designated on my escort list will pick up my child 2) To provide all the supplies requested on the supply list.
I acknowledge that I have read and reviewed "Other Policies".
Signature
Miscellaneous

1) I will try to attend parent orientation meetings and parent teacher conferences. 2) When requested, I will meet with the Director or other The Robin & Twig School staff members to discuss child or family related issues. 3) I understand that The Robin & Twig School staff actively supervise groups of children at all times. 4) I must provide The Robin & Twig School staff with my child’s IEP or IFSP if they have one, upon enrollment, or at the time one is completed. 5) Parents are expected to behave appropriately toward and our staff while in the daycare setting. 6) Parents are expected to retrain from entering The Robin & Twig School premises in a state of intoxication or under the influence of narcotics. 7) Firearms are never to be brought on the premises of The Robin & Twig School . 8) Children who exhibit behaviors that are deemed unmanageable will be discharged from the program. These behaviors include but are not limited to presenting a danger to self or others, running away, behavior that requires constant individual attention, constantly
I acknowledge that I have read and reviewed "Miscellaneous Policies".
Signature
Daycare Consent Forms

Typing your full name is recognized as your valid, digital signature on your child's application.
Transportation Consent Form
Signature
Photo/Video Consent Form

I release The Robin & Twig School and any person(s) or corporation(s) acting under the permission/ authority of Future Achievers Childcare Center from any liability resulting from the distortion, bluffing, altercation, or optical illusion either unintentionally or otherwise, that occurs or is produced in the taking, processing, or reproduction of the finished product, its publication and. or distribution.
Signature
**Complete the Following REQUIRED Documents For Enrollment**

Daycare Enrollment Agreement & Emergency Contact Form. Click: Start Filling, then scroll to complete. At the end of form: CLICK SUBMIT
Additional Documents

Each child needs a health assessment SIGNED by your child's physician and immunization records. They can be submitted below with the upload feature.
File Upload

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For Your Interest In Robin & Twig Schools!
By signing your electronic signature, you acknowledge that all information submitted is true and completed to the best of your ability. You also acknowledge and agree to the school policies stated within this enrollment application. The completion of an enrollment application does not guarantee a seat at our school. The full tuition is payable for each week that your child is enrolled.Shall your child attend, all families and individuals must abide by the rules and regulations set out by Robin & Twig Schools. We strive to provide a positive and enriching environment for all children. Violation of policies and procdures may result in penalties including suspension or withdrawld from our early childhood education program.
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MonthDayYear
Date
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Parent/ Guardian Information

Medical Information

Emergency Contacts

Tution and Financing

Enrollment Agreement

Financial Procedures

Subsidized Care

Health Policies

Other Policies

Miscellaneous

Daycare Consent Forms

**Complete the Following REQUIRED Documents For Enrollment**

Additional Documents

For Your Interest In Robin & Twig Schools!

Complete the Following REQUIRED Documents For Enrollment