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Child Enrollment Form (2026-2027)

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    Please Select
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    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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    I  *     * give    *     * permission to ride the Toledo Public School Bus to Center of Hope Family Services (4447 Talmadge, Suite G) at the end of the school day. I agree to pick my child from the ELEVATE Program at Center of Hope Family Services each day no later than 6:30 PM. 


    My child will participate in ELEVATE at Center of Hope Family Services, and will catch the bus at their school on the following days (select each day that you want service):

                       *    

         *    
    Pick a Date *    

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    I  *     * give    *     * permission to ride the Black and White Transportation to Center of Hope Family Services (4447 Talmadge, Suite G) at the end of the school day. I agree to pick my child from ELEVATE Program at Center of Hope Family Services each day no later than 6:30 PM.


                       *    

         *    
    Pick a Date *    

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    I  *     * give    *     * permission to ride the Washington Local School Bus to Center of Hope Family Services (4447 Talmadge, Suite H) at the end of the school day. I agree to pick my child from the ELEVATE Program at Center of Hope Family Services each day no later than 6:30 PM. 




                       *    

         *    
    Pick a Date *    

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    Unfortunately, we don't offer transpoartation to/from your child's school at this time. 

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    As a part of participating in the ELEVATE Program, I understand and agree to abide by the following guidelines:

    1. My child must attend at a minimum, 4 days/week
    2. My child must participate in all of the activities in the ELEVATE Daily Schedule
    3. My child is expected to attend for the duration of the daily schedule
    4. My child is expected to abide by the ELEVATE Citizenship Standards
    5. My child is expected to complete iReady diagnostics, and weekly lessons

    I also understand and support ELEVATE’s 4Rs classroom management policies:
    1. Redirect – tell the child what they should be doing rather than restating what not to do.
    2. Remind - remind the child of the appropriate behavior.
    3. Reflection Island – place the child in reflection island to take a break from the group, think about the appropriate behavior and how he/she will return to the group demonstrating the appropriate behavior. 1 minute per year of age.
    4. Return to the group – after identifying the appropriate behavior and agreeing to return to the group demonstrating the appropriate behavior.

    I understand and accept ELEVATE’s exclusionary policies for the following behaviors listed below:
    1. Disruptions – when a child persistently disrupts classroom learning.
    2. Destruction of Property – when the child defaces, destroys, or damages property owned by CHFS, the school/site, a staff member, themselves, or another child.
    3. Defiance – refusal to follow instructions or participate in ELEVATE activities. Refusal to respect adults, authority figures, or peers.
    4. Direct Threat to Safety – when a child threatens physical and emotional safety to self, students and/or adults.
    5. Failure to Follow the ELEVATE Attendance Policy – failing to attend at least 2 days per week; consistently leaving early
    6. Failure to Make Progress - Failure to complete iReady assessments and weekly assignments; failure to meet expectations as outlined in enrichment activities.

    I understand that CHFS managers retain sole discretion at all times to admit, exclude, suspend, or deny participation in the ELEVATE program to any child.

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    NONDISCRIMINATION

    Center of Hope Family Services (“COHFS”) does not discriminate on the basis of gender and prohibits gender discrimination in any educational program or activity that it operates, as required by Title IX, including in admission and employment.Discrimination on the basis of gender includes discrimination on the basis of gender stereotypes, gender characteristics, pregnancy or related conditions, sexual orientation, and gender identity. COHFS is committed to maintaining an education and work environment that is free from gender discrimination (including sex-based harassment), responding promptly and effectively when it has knowledge of conduct that reasonably may constitute gender discrimination, and addressing gender discrimination in its educational programs or activities. Persons who commit gender-based harassment are subject to the full range of disciplinary sanctions set forth in this policy. COHFS will provide persons who have experienced gender-based harassment ongoing remedies as reasonably necessary to restore or preserve access to COHFS educational programs or activities.

     

    Complaint Procedure

    If you experience or observe any harassment or discrimination based on gender, or if you believe that you have been treated in an unlawful, discriminatory manner, you should promptly report the incident to Mrs. Willetta Perryman. You are not required to complain first to the person who offended you. If for any reason you are not comfortable reporting the incident to Mrs. Willetta Perryman, or if you are not satisfied with the response, then you should bring the situation to the attention of Dr. Tracee Perryman. Your complaint will be kept confidential to the extent possible, as determined by COHFS.

    COHFS will investigate any claims of harassment or retaliation promptly, impartially, thoroughly and, to the extent possible, confidentially. The manner and extent of investigation is at the discretion of COHFS as it deems necessary.

    If you believe that you have been harassed or treated in an unlawful, discriminatory manner, you may also file a complaint with the Office for Civil Rights, U.S. Department of Education, or with the Ohio Civil Rights Commission. These administrative agencies are not part of COHFS’s internal complaint process, and a complaint may be filed with the Office of Civil Rights or the Ohio Civil Rights Commission at any time. The time limits for filing complaints with these agencies may vary. Contact the relevant state or federal agency for further information.

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