School Registration

"*" indicates required fields

Step 1 of 14

Child Information

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Enrollment Date*

Intended Start Date*

Child's Name*

Child's Date of Birth*

MM slash DD slash YYYY

Child's Address*

City*

State*

Zip*

How did you learn about Sound Beach Day School?*

How many parents/guardians would you like to register/associate with this child?*

1 parent/guardian

2 parents/guardians

Parent/Guardian #1

Name*

Email Address*

Address*

City*

State*

Zip*

Home Phone*

Cell Phone*

Employer*

Work Phone*

Employer Address*

City*

State*

Zip*

Parent/Guardian #2

Name*

Email Address*

Address*

City*

State*

Zip*

Home Phone*

Cell Phone*

Employer*

Work Phone*

Employer Address*

City*

State*

Zip*

Care Programs

Pre-Approval:*

How many people (non-parents) would you like to add to your list permitted to remove the child from the child care program on behalf of parent?

Full Name*

Phone*

Relationship*

Full Name*

Phone*

Relationship*

Full Name*

Phone*

Relationship*

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List persons permitted to remove the child from the child care program on behalf of parent.*

Full Name

Phone Number

Relationship

Medical Emergency:*

In the case of a medical emergency, how many people (non-parents) would you like to add to your list to be contacted if a parent cannot be reached, and to whom the child can be released?

Full Name*

Phone*

Relationship*

Full Name*

Phone*

Relationship*

Full Name*

Phone*

Relationship*

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In an emergency, adults to be contacted if parent cannot be reached and to whom the child can be released.*

Full Name

Phone Number

Relationship

Medical Information

Please list any known allergies*

Insurance Carrier*

Insurance ID*

Child's Physician Name*

Physician's Phone*

Physician's Address*

City*

State*

Zip*

Emergency Authorization

Consent*

I give my consent for the First Aid and CPR certified staff of Sound Beach Day School to administer first aid and CPR to my child and to contact the above named physician or dentist if my child has a medical emergency. I also give my consent for my child to be transported to the nearest hospital in the event of a medical emergency. I will be responsible for all medical fees.

I consent to this Emergency Authorization

Preferred Medical Facility*

Behavior Management and Parent Handbook

I acknowledge that I have read the parent handbook and agree to abide by the policies contained in it and that the techniques used to manage child behaviors in the facility have been discussed by staff with me prior to enrollment. If needed, here is a link to view/download the Sound Beach Day School Handbook.

Parent/Guardian #1 Name*

Signature*

Date*

MM slash DD slash YYYY

Parent/Guardian #2 Name

Signature*

Date

MM slash DD slash YYYY

Enrollment Policy

Open enrollment will begin on November 1st, or the first business day after November 1st, of each year. Currently enrolled children will have priority.

Refunds

Deposits are NON-REFUNDABLE. Tuition is NON-REFUNDABLE. If a family withdraws their child for any reason after tuition payments are made, SBDS will refund pro-rated tuition (not deposits) if SBDS is able to fill that child’s spot. If SBDS is not able to fill that child’s spot prior to the start of the academic year, tuition will not be refunded. There will be no refunds of deposits, advance tuition installments, or tuition due to absence, withdrawal or failure to continue in Sound Beach Day School, except under the limited circumstances described below.

Sound Beach Day School may issue a refund, in whole or in part, if a child withdraws from the School due to the School’s inability to provide special services to said child. To qualify for a refund, the child’s special needs and/or necessary services must be identified and documented by a professional and provided to the School to enable the School to determine whether, and the extent to which, such needs may be met and/or such services provided. If the School determines that it is unable to provide the services identified as necessary by a professional, upon written request for a refund, the School will issue a refund less any amounts due for the period of time in which the child was enrolled.

Any request for a refund must be made in writing and submitted to the Director of the School within thirty (30) days of the child’s withdrawal from the School. All appeals for refunds are subject to review.

Withdrawal

Withdrawal for any reason must be made in writing and submitted to the Director of the School. Withdrawal should be made a soon as possible, and no later than two (2) weeks before anticipated date of withdrawal. The deposit or payments made or any installment due and paid at the time of withdrawal will not be refunded, except as specifically stated above.

Discounts

Tuition discounts will apply for families that have more than one child enrolled in the School. Full tuition will be paid for the child enrolled in the program with the highest tuition. A 10% discount will apply for each child thereafter enrolled in a program of equal or lesser value.

Payments

Payments can be made by check or credit card. A credit card number or voided check must be on file so that payments can be applied. By your signature below, you hereby authorize Sound Beach Day School to automatically debit your checking account or charge your credit card in the amount of the installment amount due and owing, if same is not paid within 10 days of the due date (i.e. if the installment is not paid on or before the 10th). This authorization shall be valid unless and until specifically withdrawn in a writing to the Director.

Families are encouraged to speak with the Director if they find themselves unable to keep current with their payment schedule so that a financial agreement can be worked out.

Consent

I have read and reviewed the Sound Beach Day School Enrollment Policy, understand its terms and agree to be bound by such terms.

According to program selected, a deposit is required toward tuition, together with a completed registration application form and a registration fee of $25.00 to hold your position.

No refunds will be issued for registration fee, deposit or tuition.

Parent/Guardian #1 Name*

Signature*

Date*

MM slash DD slash YYYY

Parent/Guardian #2 Initials

Signature*

Date

MM slash DD slash YYYY

Permission Agreement Form

Participation Consent:
I grant permission for my child to use all of the play equipment and to participate in all of the activities of the school, unless exceptions are noted below

Participation Consent*

I AGREE to participation consent

I DO NOT AGREE to participation consent

School Premises Consent:
I grant permission for my child to leave the school premises under the supervision of The Sound Beach Day School staff for neighborhood walks.

School Premises Consent*

I AGREE to school premises consent

I DO NOT AGREE to school premises consent

Medical Care Consent
The Sound Beach Medical consent is as follows:

1. Administering first Aid
2. Attempt to contact a parent or guardian
3. Attempt to contact child’s physician
4. Attempt to contact the parents through any of the persons listed on the emergency information form completed for SBDS. {NOTE: It is the responsibility of the parent to keep this information current.}
5. If the school cannot contact the parent or child’s physician, SBDS will do any or all the following:
a. Call another physician
b. Call for an ambulance
c. Have the child taken to the E.R in the company of a staff member.
6. Any expenses incurred under number 5 will be borne by the child’s family. We do administer EpiPen and Benadryl for allergies in LIFE THREATENING SITUATIONS ONLY. The staff can only administer EpiPen or Benadryl to those who have them prescribed by their physician. All EpiPen and Benadryl must be provided by the child’s parents before the child can attend school.

Please note, we do not have a license to dispense medications.

• SBDS and staff will not be held responsible for anything that may happen because of false information given, or pertinent information withheld.
• SBDS and staff will not assume responsibility for a child who has not signed in when he/she arrives at school for the day.

School Premises Consent*

I AGREE to the medical care consent

I DO NOT AGREE to the medical care consent

Please describe any comments or concerns regarding the above

Parent/Guardian #1 Initials*

Date*

MM slash DD slash YYYY

Parent/Guardian #2 Initials

Date

MM slash DD slash YYYY

Photo Release

Photo Consent:
I give permission for my child/children to be included in school pictures, video and Brightwheel App.

Photo Consent*

I AGREE to photo consent

I DO NOT AGREE to photo consent

Photo Consent for Marketing:
I authorize Sound Beach Day School to use photographs taken through the year which may include my child’s image to be used for marketing purposes. These images may appear on our website, in our brochures, magazines, newspaper and SBDS Facebook page.

Photo Consent (Marketing)*

I AGREE to photo consent for marketing

I DO NOT AGREE to photo consent for marketing

Help us get to know your child

We are so excited about having your child at Sound Beach Day School. To help us get to know your child before the year begins, please fill out the information and return to us prior to the start of school.

Nickname*

Names of other siblings*

List other language spoken at home*

Pets? (name/animal)*

Has your child attended any other programs prior to Sound Beach?

Program Name

School/Operator

Location

Development Profile

Please describe your child's personality and current interests

Please describe your child’s developmental strengths and challenges (i.e. consider social interactions, temperament, separation from caregivers, language/communication, milestones, etc.).

Has your child had a formal developmental evaluation and/or do they receive services privately, or through Birth -three? Do you have concerns about your child’s development? Please elaborate.

Is there anything else you would like us to know about your child?

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My child's strengths are:*

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My child struggles with:*

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What motivates your child?*

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What kinds of things upset your child?*

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3 Words to best describe your child*

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Do you have any other concerns or comments you would like school staff to be aware of privately?

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Please write a short paragraph describing your child which will be POSTED OUTSIDE THE CHILD'S CLASSROOM*

Tuition

In which Age Group are you enrolling your child?*

Two Year Old Program

Three Year Old Program

Four Year Old Program

Bridge Program

Which days of the week? (Two Year Old)*

2 Days (Tues/Thurs)

3 Days (Mon/Weds/Fri)

5 Days (Mon - Fri)

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Mon/Tues/Weds Afternoon Program (Two Year Old)*

12:30 - 3:00 - Total tuition cost is $7,500. A deposit of $1,000 is required along with 3 additional installments of $2,166.67

Tues/Thurs Program Options (Two Year Old)*

9:00 - 12:00 - Total tuition cost is $7,500. A deposit of $1,000 is required along with 4 additional installments of $1,625

9:00 - 3:00 - Total tuition cost is $11,500. A deposit of $1,000 is required along with 4 additional installments of $2,625

9:00 - 5:30 - Total tuition cost is $12,600. A deposit of $1,000 is required along with 4 additional installments of $2,900

Mon/Weds/Fri Program Options (Two Year Old)*

9:00 - 12:00 - Total tuition cost is $9,800. A deposit of $1,000 is required along with 4 additional installments of $2,200.00

9:00 - 3:00 - Total tuition cost is $15,300. A deposit of $1,000 is required along with 4 additional installments of $3,575

9:00 - 5:30 - Total tuition cost is $17,000. A deposit of $1,000 is required along with 4 additional installments of $4,000.00

Mon - Fri Program Options (Two Year Old)*

9:00 - 12:00 - Total tuition cost is $15,400. A deposit of $1,000 is required along with 4 additional installments of $3,600

9:00 - 3:00 - Total tuition cost is $24,700. A deposit of $1,000 is required along with 4 additional installments of $5,925

9:00 - 5:30 - Total tuition cost is $27,600. A deposit of $1,000 is required along with 4 additional installments of $6,650

Which days of the week? (Three Year Old)*

4 Days (Mon - Thu)

5 Days (Mon - Fri)

Mon - Thurs Program Options (Three Year Old)*

9:00 - 12:00 - Total tuition cost is $10,200. A deposit of $1,000 is required along with 4 additional installments of $2,300

9:00 - 3:00 - Total tuition cost is $15,900. A deposit of $1,000 is required along with 4 additional installments of $3,725

9:00 - 5:30 - Total tuition cost is $18,500. A deposit of $1,000 is required along with 4 additional installments of $4,375

Mon - Fri Program Options (Three Year Old)*

9:00 - 12:00 - Total tuition cost is $12,200. A deposit of $1,000 is required along with 4 additional installments of $2,800

9:00 - 3:00 - Total tuition cost is $19,300. A deposit of $1,000 is required along with 4 additional installments of $4,575

9:00 - 5:30 - Total tuition cost is $22,300. A deposit of $1,000 is required along with 4 additional installments of $5,325

Which days of the week? (Four Year Old)*

5 Days (Mon - Fri)

Mon - Fri Program Options (Four Year Old)*

9:00 - 12:00 - Total tuition cost is $12,200. A deposit of $1,000 is required along with 4 additional installments of $2,800

9:00 - 3:00 - Total tuition cost is $19,300. A deposit of $1,000 is required along with 4 additional installments of $4,575

9:00 - 5:30 - Total tuition cost is $22,300. A deposit of $1,000 is required along with 4 additional installments of $5,325

Which days of the week? (Bridge Program)*

5 Days (Mon - Fri)

Mon - Fri Program Options (Bridge Program)*

9:00 - 1:45 - Total tuition cost is $17,000. A deposit of $1,000 is required along with 4 additional installments of $4,000

9:00 - 3:00 - Total tuition cost is $19,300. A deposit of $1,000 is required along with 4 additional installments of $4,575

9:00 - 5:30 - Total tuition cost is $22,300. A deposit of $1,000 is required along with 4 additional installments of $5,325

Deposit holds your Childs spot and is applied towards tuition. Additional installment payments to be invoiced.

Registration Processing Fee

Price:

Total (Registration Fee + Deposit):

Coupon

Credit Card*

Card Details

Cardholder Name

School Registration

Child Information

Parent/Guardian #1

Parent/Guardian #2

Care Programs

Medical Information

Emergency Authorization

Behavior Management and Parent Handbook

Enrollment Policy

Permission Agreement Form

Photo Release

Help us get to know your child

Development Profile

Tuition

Location

Latest News

Programs