Early Childhood Center Registration

ECC offers Early Care, Late Care, and Enrichment Programs in three sessions (Fall, Winter, Spring) throughout the school year. ECC Hours: 9 AM to 12 Noon TK Hours: 9 AM to 1 PM

Current Enrollment Session - September 2012 to June 2013

* Child's Name

* Birthdate

*

Male

Female

* Street Address

* City

* Zip Code

* Parent #1 First Name

* Parent #1 Last Name

* Daytime Phone

* Cell Number

* Email Address

Parent #2 First Name

Parent #2 Last Name

Daytime Phone

Cell Number

Email Address

Temple Adat Elohim ECC is accredited by the National Association for the Education of Young Children (NAEYC) and the Builders of Jewish Education (BJE). We offer ECC programs for children between the ages of 2 and 5-years old. Priority enrollment is given to Temple Adat Elohim members and currently enrolled students.

* Temple Membership Type

	Dues Paying Member	Non-Dues Paying Member	Please Call Me About Temple Membership
Membership

SELECT DAYS THAT APPLY TO YOUR CHILD

Select The Program That Applies To Your Child

	2-Year Old			3-YEAR OLD		4-YEAR OLD-PreK		5-YEAR OLD-TK
	Sept. 2012	January 2013 (Tues./ Thurs. Only)		Sept. 2012		Sept. 2012		Sept. 2012
Session Beginning

Tuition for Dues Paying Members

2 year olds - 2 days, $3,200 ($320/mo.)	2 year olds - 3 days, $4,800 ($480/mo.)
2 year olds - 2 days (Start Jan.) $1,920 ($320/mo.)	3 year olds - 3 days, $4,700 ($470/mo.)
3 year olds - 5 days, $6,000 ($600/mo.)	4 year olds - 5 days $6,000 ($600/mo.)
5 year olds - 5 days (TK), $6,500 ($650/mo.)

Tuition for Non-Dues Paying Members

2 year olds - 2 days, $3,700 ($370/mo.)	2 year olds - 3 days, $5,500 ($550/mo.)
2 year olds - 2 days (Start Jan.) $2,220 ($370/mo.)	3 year olds - 3 days, $5,400 ($540/mo.)
3 year olds - 5 days, $6,900 ($690/mo.)	4 year olds - 5 days (Pre-K), $6,900 ($690/mo.)
5 year olds - 5 days (TK), $7,450 ($745/mo.)

*

A non-refundable Registration Fee of $150 must be processed with this application.

Registration Fee, $150 (Non refundable & does not apply to tuition),

Disaster preparedness, $20 (First time enrollment only)

Security Fee, $35 per month, ($350 yearly), per family, See payment plan options below.

Diaper Program, $60 (Covers 10 months if needed)

* Payment Information

One payment in full by July 31, 2012.

Two payments; 50% by July 1, 2012, balance by December 31, 2012.

Ten payments; starting July 1, 2012 through April 1, 2013, (credit/debit card payment have an additional one-time $50 processing fee paid in July 2012)

*

Please read carefully and sign: I have read the admissions agreement below. I agree to be bound by and adhere to the conditions. I understand that enrollment is limited to families who are current in their payments to both TAE ECC and Temple Adat Elohim. If I have requested a copy of the contract, one has been provided to me. Classes are subject to availability on a first-come, first serve basis.

TEMPLE ADAT ELOHIM ECC ADMISSIONS AGREEMENT 2011-2012

THE STATE OFCALIFONIALICENSING REQUIREMENTS STATE THAT WE MUST HAVE AN ADMISSIONS AGREEMENT WITH ALL CLIENTS OF OUR SCHOOL.

1) Admission shall be granted without discrimination with regard to religion, race or color. Our school is licensed by the State ofCaliforniaand requires us to fulfill their guidelines. Our teachers meet the standards of State Licensing as well as NAEYC and BJE accreditation standards.

2) Tuition is based on an entire 10-month school year, September through June, subject to approval of the Temple Adat Elohim Board of Directors..

a. Each family will be assessed an additional $350 (annually) for a security guard fee.

3) Temple rates apply ONLY to Temple Adat Elohim Members who are current in their dues. NO REFUND OR CREDIT WILL BE GIVEN FOR ABSENCES and CHILDREN MAY NOT SWITCH ONE DAY FOR ANOTHER DURING THE SCHOOL YEAR IN LIEU OF ABSENCES. If a child does not complete the school year, tuition will be prorated based upon the number of months attended. In addition, a one-month notice is necessary for a refund. Registration fees and Disaster fees are non-refundable. If you run past your scheduled or unscheduled pick-up time, you will be charged $5.00 for every 15 minutes of Late Care. Pick up after 6 p.m. is $20.00 per 15 minutes.

4) THE STATE OFCALIFORNIADEPARTMENT OF SOCIAL SERVICES REQUIRES THE FOLLOWING STATEMENT TO BE INCLUDED ON ALL ADMISSION AGREEMENTS.

The Department of Social Services, our licensing agency shall have the inspection authority in regards to specified Health and Safety Codes.
The Department of Social Services shall have the authority to interview clients, including children or staff, and to inspect and audit client or facility records without prior consent. The licensee shall make provisions for private interviews with any clients, including children, or staff members and for the examination of all records relating to the operation of the facility.
The Department of Social Services shall have the authority to observe the physical condition of the client, including conditions which could indicate abuse, neglect, or inappropriate placement, and to have a licensed medical professional physically examine the client.

5) PLEASE read the Parent Handbook, which you will receive with your new Student packet.

6) All important documents (immunization record, preadmission, emergency card, payment Option, etc.) must be completed before your child can be admitted to school.

7) The school separation policy requires a parent or caregiver to stay or be available to stay with the child during the first full day of school. All changes in home or work phone numbers must be reported to the office immediately so parents can be reached in case of an emergency.

8) This agreement may be terminated when a child leaves Temple Adat Elohim ECC with a one-month written notice from the parent/guardian or from the school. A new agreement will be issued if modifications to the original agreement are necessary.

9) This agreement must be dated and signed by the parent, legal guardian or his/her authorized representative BEFORE your child can be admitted to school.

* Indicates Response Required

	2-Year Old			3-YEAR OLD			4-YEAR OLD-PreK		5-YEAR OLD-TK
	Mon./ Wed./Fri.	Tues./ Thurs.		Mon./ Fri.	Mon./Wed./Fri.		Mon./ Fri.		Mon./ Fri.
Days Attending