Prompt payment of tuition is essential to the proper functioning of our school. By signing this contract, you are agreeing to pay the tuition for the entire academic school year. No portion of the tuition will be forgiven or refunded on account of absences or school closures.
We do not offer discounts or refunds if your child is absent. If your child is picked up after 5:30 pm, you will be charged $1.00 for every minute you are late.
Tuition is due on Monday of each week unless a different arrangement has been made with the business manager. Any late payments will be subject to a $10.00 late fee or a child being dismissed from the afterschool program.
Payments may be made by cash or personal check. A $20.00 fee will be assessed for any returned checks. Checks should be made payable to the ECA Afterschool Program.
All new applicants must pay a one-time $25 registration fee. This fee will not have to be paid again unless a child is withdrawn from the program and then returns.
Child’s Medical Report
ECA Afterschool Program
Part B. (Must be completed and signed by a licensed physician, his/her authorized agent currently approved by the N.C. Board of Medical Examiners (or a comparable board from bordering states), a certified Nurse Practitioner, or public health nurse meeting DHHS standards for EPSDT program.
Date of Birth: ______________________________________
Parent’s Name: _____________________________________
Child’s Height: _______________________% Child’s Weight:____________________%
Head _____________________ Neck _____________________
Eyes ______________________ Heart ____________________
Ears ______________________ Chest ____________________
Nose ______________________ Abd/GU __________________
Teeth _____________________ Ext ______________________
Throat ____________________ Neurological System _________________
Skin ______________________ Vision ____________________
Result of Tuberculin Test if given:
Type __________ Date _________ Normal _____ Abnormal _____ follow-up ____________
Delayed _________ Age Appropriate _________
If delay, note significance and special care needed: ________________________________
Date of Examination: ________________________
Signature of authorized examiner/title: __________________________________________
Phone # ____________________
Enter the date an immunization was received in the space below or attach a copy of the immunization record. G.S. 130A-155(b) requires all childcare facilities to have this information on file.
Enter date of each dose - Month/Day/Year
* Required by state law.
** Required by state law, however the requirements for the booster dose #4 is temporarily suspended.
*** Required by state law for children born on or after 4/01/01.
Belief Statement: ECEM believes that preventing, recognizing, responding to, and reporting shaken baby syndrome and abusive head trauma (SBS/AHT) is an important function of keeping children safe, protecting their healthy development, providing quality child care, and educating families.
Background: SBS/AHT is the name given to a form of physical child abuse that occurs when an infant or small child is violdently shaken and/or there is trauma to the head. Shaking may last only a few seconds, but can result in servere injury or even death1 According to North Carolina Child Care Rule (child care centers, 10A NCAC 09.0608, family child care homes, 10A NCAC 09.1726), each child care facility licensed to care for children up to five years of age shall develop and adopt a policy to prevent SBS/AHT2.
Prevention Strategies to Assist Staff* :
Staff first determine if the child has any physical needs such as being hungry, tired, sick, or in need of a diaper change. If no physical need is identified, staff will attemplt one or more of the following strategies5
In addition, the facility:
Strategies fo Assist Staff Members Understand How to Care for Infants:
Strategies to Ensure Staff Members Understand the Brain Development of Children Up to Five Years of Age:
All staff take training on SBS/AHT within first two weeks of employment. Training includes recognizing, responding to, and reporting child abuse, neglect, or maltreatment as well as the brain development of chldren up to five years of age. Staff review and discuss:
Parent Web Resources:
Facility Web Resources: