SIGN-UP PAGE FOR HOLIDAY STEP CHILD CARE

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1 SIGN-UP PAGE FOR HOLIDAY STEP CHILD CARE Contact ext. 2 for assistance and information. This sign-up page needs to be in the STEP/SACC office no later than 5 business days prior to the holiday program date(s) that you select. Check off the date(s) you wish your child to attend. Mail to: STEP, Cooper Elementary School, 1960 Greentree Road, Cherry Hill, NJ (check payable to STEP ). Holiday STEP Child Care is open from 7:00 a.m. to 6:00 p.m. for grades K-5. The program is held at the Cooper Elementary School. Use school door # 7 from the large parking lot. Tuition: $50.00 per child, per day. 10% sibling discount for 2 nd child. 20% discount for each additional sibling. September 10, 2018 September 11, 2018 September 19, 2018 October 8, 2018 November 8, 2018 November 9, 2018 February 15, 2019 March 15, 2019 April 22, 2019 April 23, 2019 April 24, 2019 April 25, 2019 April 26, 2019 The deadline for a refund or credit if your child will not attend is 5 business days prior to the program date. Child s Full Name Use a separate form for each child. Family Name School Grade Allergies: Health & Medical conditions: Medications: Does your child require: Epi-Pen Yes No - Inhaler Yes No Please check Yes or No Check here if bringing medication for your child. In addition to written parent permission on the district form, the form must be completed by the prescriber and includes the name of the medication, dose, diagnosis/purpose, and prescriber comments. This form also requires a physician s office stamp. Obtain the form from your home school nurse. Parents must provide proper documentation from child s school nurse to allow the program s nurse to dispense medications. Bring medications to the Holiday program. Medications are dispensed between noon and 1:00 pm. The nurse is at the program noon to 1:00. Custodial Restrictions? If yes, indicate: My child has permission to participate in the Holiday STEP Child Care program which may include a field trip. Prior to each program date, please access the web site for program or trip information. Print name of parent: Signature: address: Phone: Name of additional contact who may pick up your child: Phone: OFFICE USE ONLY Dt Pd $ p/w Incl Orig Hol bk

2 Important Information about the Holiday Child Care Program If the Holiday STEP Child Care program is closed due to inclement weather or is delayed in opening, we will information to families who are registered. The Holiday Program is available to all students of Cherry Hill in kindergarten through fifth grade, up to and including the age of twelve. You do not need to attend any other STEP or SACC program in order to attend Holiday Child Care. The purpose of Holiday Child Care is to provide child care. In addition to normal child care fun activities, we choose between providing athletic activities, bringing programs to the school, and/or on some dates we will go on a trip. The Holiday Program is open for 11 hours from 7:00 a.m. to 6:00 p.m. The program is held at the Cooper Elementary School unless an alternate school is necessary. Programs and trips are subject to change. Programming and trips are listed here prior to the child care dates. September 10, 2018 Trip to Roller Skate. September 11, 2018 Athletics with the Sports Coach and Art Project Day. September 19, 2018 The Zoo program has been moved to February 15 th. The September 19 th activities are to be determined. October 8, 2018 Dance Party and Fall Project. November 8, 2018 Trip to the PHILIADELPHIA EAGLES for a Stadium Tour. November 9, 2018 Trip to Roller Rink

3 February 15, 2019 PHILADELPHIA ZOO ON WHEELS Around the World Safari. Meet live animals from four different continents. The zoo will bring this program to the school at 10:00. March 15, 2019 SPRING BREAK CARE Monday, Tuesday, Wednesday, Thursday, Friday: April 22, 2019 April 23, 2019 April 24, 2019 April 25, 2019 April 26, 2019 Families enrolled in SACC or EDCC in will simply do (1), as explained below. If you are NOT registered for SACC or EDCC in , do (1) and (2), as explained below. 1. There is a Sign-Up Page for Holiday Child Care with a $50 fee for each 11-hour program day that you select (the Sign-Up Page is the first page, above). 2. There is a school-year family Registration Form with a $30 family annual fee. This form is the last two pages, below. (If your child is in SACC or EDCC, you have already completed this registration form and have paid this registration fee.) Send a non-perishable lunch and your snack items with your child. On some trips the children might take their lunches with them, therefore, please pack lunches for that possibility (no glass bottles; use a strong moisture resistant bag or a lunch box). For the younger children, you may wish to label what is lunch and what is snack so it is not all eaten at one time. Some children have severe allergies to peanuts/nuts or latex. To help keep all of the children safe who use the schools we ask that you are careful to avoid sending items that contain peanuts, tree nuts, or any peanut product (such as peanut butter sandwiches, crackers, peanut butter snacks, etc). Latex balloons can spread latex dust throughout the school creating breathing difficulties for those with severe latex allergies. Medications are only dispensed at noon (approximately). In addition to written parent permission on the district form, the form must be completed by the prescriber and includes the name of the medication, dose, diagnosis/purpose, and prescriber comments. This form requires

4 a physician s office stamp. Obtain the form from your home school nurse and submit it with the sign-up page. Bring medications to the Holiday program each day enrolled. Parents: Obtain medical paperwork from your child's school nurse to allow the program nurse to dispense medication at Holiday Child Care. The nurse is at the program at approximately NOON to 1:00. The nurse will try to make a time adjustment with you when there is a trip during the NOON to 1:00 hour. The cancellation deadline for a refund or credit to be issued is 5 business days prior to the program date. A written request must be received 5 business days in advance of the program date. If your late registration is accepted and you then cancel, there will be no refund or credit. Trips or programming activities held at the school site will be listed above prior to each Holiday Child Care program date. Children may not be picked up while on a trip. Arrange to pick up before the trip at the school, if needed. This is a security issue. We do not take parent chaperones on trips. Please arrange for your child to arrive at the appropriate school site for the Holiday Program well in advance of any trip that might be scheduled. By so doing, the children are accounted for, use the bathrooms, and prepare for the trip in an orderly fashion. For your planning, be advised that the trip return times are best judgments and may be later due to traffic, children's needs, and an event running long. When there is a trip, the children are bused by a school bus contractor for the district. Please make a point to be aware, in advance, of the time that trips depart from the school. We send all staff on the trip and do not leave staff at the school. It may be necessary to relocate students and staff to another district school or more than one school due to an unforeseen situation at the STEP program such as a utility outage, work being conducted at the school, or other situations that may occur. The movement to another school would be by district approved school buses and could take place within an extremely short notice. Families would be contacted as soon as possible by the STEP Office or the District Notification System. This would require picking up your child at the other school. Please remember that an adult photo ID and the student ID number is required to be shown when picking up your child. If an authorized adult is picking up your child remind them to bring their adult photo ID and the student ID number. They must be authorized in our records to pick up. Holiday Child Care dates can be effected by the school district s inclement weather make-up days inclement weather make up dates are: Feb. 15, Feb. 18, Mar. 15, Apr. 26, 25, 24. Please call us at ext. 2 for assistance and information. We are happy to be helpful.

5 SCHOOL AGE CHILD CARE Mail to: STEP/SACC School Year Greentree Road, Cherry Hill, NJ ext 2 HOLIDAY REGISTRATION FORM FOR CHILDREN NOT REGISTERED IN SACC Child s Last Name First Name School Birth Date Sex OFFICE USE ONLY Rec d $ p/w inc Grade List names of either living parent(s) or legal guardian(s). Attach certified copy of court order if custodial restrictions are in effect. Indicate (X) next to name of parent (guardian) which should be contacted first in the event of an emergency. Please print Name Parent / Guardian # 1 (please check appropriate box) Mother Father Other If other, indicate relationship Parent / Guardian # 2 (please check appropriate box) Mother Father Other If other, indicate relationship Street Address City, State, zip Home Phone Cell Phone Employer Work Address Work Phone ext. ext. Custodial restriction? If yes, indicate: If yes, indicate: (Continued)

6 Child s Name School EMERGENCY LOCAL CONTACTS: List adults (over age 18), with different phone numbers, to be called in the event of an emergency, if parents cannot be reached. Contacts are expected to act on behalf of parents. Contacts should be made aware that they are listed. NAME Cell Phone Home Phone Work Phone CARE INFORMATION: Please state relevant information that you have shared with your child s school that would be useful in meeting your child s needs in the STEP Program. Allergies: Medical conditions/disabilities: Current medications/dosage: Social, emotional, speech, language, academic, family structure, etc. Does your child have a Care Plan at school? Yes No If yes, attach a copy of plan to this registration. CHILD S PHYSICIAN: Telephone ( ) Address Child s Insurance Co. and Policy Number for primary coverage if accident or injury occurs while participating in program. The district only provides secondary insurance coverage; parent/guardian is responsible for expenses related to accidental injuries. MEDICAL PERMISSION: If a medical emergency arises, the program staff will first attempt to contact me. If I or the emergency contact cannot be reached and the emergency is such that immediate medical attention is necessary, my child will be treated by Professional Emergency Personnel. Enrollment in the Program allows access to my child s District Health Care Plan should it be deemed necessary. Signature of Parent/Guardian #1 Signature of Parent/Guardian #2 Date

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