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Second Baptist Church 2517 Sam Houston Avenue Huntsville, TX 77340

936.295.6404 www.SBChuntsville.org

Welcome…

We believe that God loves and care for each child and we make it a point of reminding the children of this each day.

Goals for your children: o Spiritual:

Sharing with your children God’s word so that he or she experiences the love of Jesus Christ.

o Emotional:

Encouraging, supporting, and helping your child grow in positive self-awareness as a child of God.

o Social:

Providing an environment in which your child understands and strengthens relationships with other people.

o Physical:

Planning activities in which your child regards their body as a gift of God and grows perceptual motor skills and bodily development.

o Intellectual:

Involving your child in age appropriate lessons to enhance discovery, communication and creativity.

Tuition Rates:

6wks-12 months………….…………$480

12-18 months……….….……………$450

19 months & up…………………..…$420

2’s (must be 2 by Sept 1st)………..$410

3’s (must be 3 by Sept 1st)…….….$390

Pre-K (must be 4 by Sept 1st)……$380

After School…………….………..…$120

Registration Fee for 12 months and up: $100 with completed registration form Infant Registration Fee (6 wks – 11 months): $100 plus first month’s tuition (tuition

will be applied to first month’s bill) with completed registration form $25 reduction/month for siblings

Curriculum Fees: none Supply Fees: none

Second Baptist Preschool

“A distinctively Christian early learning center for ages 6wks through preK.” 2517 Sam Houston Avenue, Huntsville, TX, 936-295-6404, www.SBCHuntsville.org

ENROLLMENT INFORMATION

Child’s Name Birthdate Sex

Child’s Address City State Zip Date of Admission

Child lives with (please check all that apply):

Mother and Father Mother Father Other _________________________

Father’s Name Driver’s License Employer

Home Address Phone Occupation

City State Zip

Work Phone Pager Mobile

Mother’s Name Driver’s License Employer

Home Address Phone Occupation

City State Zip


Give name of person to call in case of an emergency if parents/guardian can not be reached

Name Relationship Phone

Name Relationship Phone List any special problems that your child may have, such as allergies, existing illness, previous serious illness, injuries during the past 12 months, any medication prescribed for long-term continuous use, and any other information of which staff should be aware. Circle None or List Special Problems: NONE

I authorize that my child, __________________________________, be released by Second Baptist Preschool to the following persons, in addition to those already listed on this form.

Name Driver’s License Relationship

Home Address Phone

City State Zip


Name Driver’s License Relationship

Home Address Phone

City State Zip


EMERGENCY MEDICAL CARE In the event that I cannot be reached to make arrangements for emergency medical attention, I authorize Second Baptist Preschool staff to take my child to an Emergency Room or to the following physician or his/her associates, for medical care.

Dr. Hospital

Address Phone

City State Zip Special Instructions Circle N/A or Write out Special Instructions: N/A

I give consent for any and all treatment deemed necessary by the attending physician (attach a copy of your insurance card.) _________________________________________________________ Signature of Parent/Guardian

Child’s Health Record

Child’s Name____________________ Date of Birth___________________________ Please attach a recent copy of your child’s shot record to this form. Varicella (chicken pox) vaccine is not required if your child has had chickenpox disease. If your child has had chickenpox, please complete the form below: My child had varicella (chickenpox) on or about (date)____________________and does not need the varicella vaccine.

Parent Signature Date

Physician Signature Date

This section is to be completed by a physician Is the child free from communicable diseases? _______yes _______no Is the child able to participate in group care? _______yes _______no List any medications and drugs taken regularly by the child Other special physical conditions

The above is correct as of Signature of physician Physician Address Physician Phone Number

Diaper Rash Ointment Parent Authorization Form

I give permission for Second Baptist Preschool to use the following diaper rash creams on my child if needed:

Desitin A & D Ointment Dribottom Boudreaux’s Other____________________________________


I do not give Second Baptist Preschool permission to use a diaper rash ointment on my child other than the one I provide.


Dispensing Medicine

Only medicine prescribed by a physician will be dispensed in our school.

• All Medication will be in the director’s office.

• Parents must sign an authorization and include times for us to administer each medication

according to the label directions.

• The medication must be in the original container labeled with the child’s full name and date

brought to the director’s office.

• We must administer the medication in amounts according to the label directions or as

amended by a physician.

• We must administer the medication only to the child for whom it is intended.

• We cannot administer medication after its expiration date.

• Medication will not be administered in a child’s cup mixed with juice.

• Please take home all medications at the end of the day.

Health Guidelines

It is the purpose of Second Baptist Preschool to provide a safe and healthy environment for each

child. A child is too sick to attend school when they are displaying one or more of the following

symptoms:

• Fever

• Diarrhea

• Vomiting

• Undiagnosed Rash

• Red eyes with discharge

• Nose with colored discharge that requires constant wiping

Your child may return to school when he or she is symptom free for 24 hours or has seen your

child’s pediatrician and they have deemed it appropriate for the child to return. If your child has seen

the doctor and may return to school sooner than 24 hours please provide a note from the doctor.

SECOND BAPTIST PRESCHOOL MINISTRY, HUNTSVILLE, TX PARENT AGREEMENT

The following conditions involved in the care of (child’s name) ___________________________ are understood and agreed upon between Second Baptist Church Preschool and (Parent/Guardian) __________________________________

1. In return for the sum which the parent agrees to pay, the Second Baptist Preschool will give regular care to the above named child from 6:30 a.m. to 5:30 p.m., Monday through Friday year round except for holidays. Holidays will be determined on an annual basis and inclement weather days will be determined on an as needed basis.

2. The teacher will observe the children daily for symptoms of contagious diseases or illnesses before they are admitted. Children must be fever/diarrhea/vomiting free for 24 hours prior to attending preschool. In the event of an absence, parents will notify the director.

3. In accordance with Minimum Standards for Child-care centers 746.3801 Parents must sign an authorization and include times for child-care center employees to administer each medication according to label directions. The medicine must be in the original container labeled with the child’s full name and the date brought to the Second Baptist Preschool. The medicine will be administered in amounts according to the label directions or as amended by a physician and the medication cannot be administered after its expiration date.

4. Second Baptist Preschool will give written notice in the event of any exposure to a contagious disease within the group, as defined by the Texas Department of Protective and Regulatory Services. Reasonable care and judgment will be exercised in all matters related to the welfare and safety of the child.

5. In case of an accident or illness to the child, the teacher will promptly take such reasonable measures as is, in his/her judgment, in the best interests of the child, and will notify the parents as soon as possible.

6. Second Baptist Preschool will not release the child to anyone other than the parent or guardian unless there is written permission from the parent/guardian. The adult will be required to provide picture ID.

7. Second Baptist Preschool is not liable for accidents or illnesses occurring to a child while he/she is in its care; Parents/Guardian insurance is primary coverage.

8. Children will not be allowed in the classroom before 6:30 a.m. Parents/Guardians picking children up after 5:30 p.m. will be charged a late fee. Children must be supervised at all times as the parking lot is not a safe play area.

________________________________________________________________________ This agreement is a contract binding for both operator and parent/guardian. The contract may be terminated by either the parent/guardian or Second Baptist Preschool upon notification of intention at least (2) weeks in advance, or at any time by mutual agreement of both parties. Registration and tuition refunds will not be given.


Authorized Signature of Second Baptist Church

Second Baptist Preschool Discipline and Guidance Policy

In accordance with Minimum Standards for Child Care Centers section 746.2801-746.2813, the following is the discipline and guidance policy for Second Baptist Preschool. It is a privilege to provide a safe, Christian, learning environment for children of Huntsville. Discipline must be: Individualized and consistent for each child Appropriate to the child’s level of understanding Directed toward teaching the child acceptable behavior and self-control Teachers may only use positive methods of discipline and guidance that encourage self-esteem, self-control, and self-direction, which include:

o Using praise and encouragement of good behavior instead of focusing only upon unacceptable behavior

o Reminding a child of behavior expectations daily by using clear, positive statements o Redirecting behavior using positive statements o Using brief supervised separation or time out from the group, when appropriate for the child’s

age and development, which is limited to no more than one minute per year of the child’s age. There will be no harsh, cruel, or unusual treatment of any child. The following types of discipline and guidance will not be administered. Corporal punishment or threats of corporal punishment Punishment associated with food, naps, or toilet training Pinching, shaking, or biting a child Hitting a child with a hand or instrument Putting anything in or on a child’s mouth Humiliating, ridiculing, rejecting, or yelling at a child Subjecting a child to harsh, abusive or profane language Placing a child in a locked or dark room, bathroom, or closet with the door closed Requiring a child to remain silent or inactive to inappropriately long periods of time for the child’s age My signature verifies I have read and received a copy of this discipline and guidance policy.


Second Baptist Preschool Health Policy

I want to remind everyone that our goal here at Second Baptist Preschool is to provide a safe and healthy environment for your child. We need everyone’s help when it comes to keeping our children healthy and safe. Our wellness policy is as follows: Your child is too sick to attend school when he/she displays any of the following symptoms: Fever Diarrhea Vomiting Undiagnosed Rash Red eyes with Discharge Your child may return to school when he/she is symptom free for at least 24 hours or has been on antibiotics for the appropriate time as determined by your child’s physician. If your child has been seen by a doctor and is told he/she may return to school sooner than 24 hours, please provide a note from the doctor. If a child has a minimum of 2 loose bowl movements, parents will be notified that the child needs to be picked up from school. If the parent feels that the loose bowl movements are due to teething, a doctor’s note documenting that teething is the cause of loose bowl movements is required. Administration of prescription medications will be in accordance with Minimum Standards 746.380i. Please see the attached copy of the standard. The policy for the administration of over-the-counter medications is changing. We will be able to administer over-the-counter medications as long as a written request is made and signed by the parent. In addition, the label on the medication must indicate that it is appropriate to administer to the child. An example: when the medication indicates a physician should be consulted for ages 2 and under, no medication will be given without a physician’s order.

My signature verifies I have read and received a copy of this health policy.


SECOND BAPTIST PRESCHOOL IMMUNIZATION POLICY

A copy of the child’s completed immunization record and TB test (for ages 12 months and older) are required by the date of admission to Second Baptist Preschool. Children require frequent boosters and immunizations in early childhood and since the risk of vaccine preventable disease is increased in group settings, updated immunization records will be required as needed.

Sunscreen Authorization We need authorization to apply sun block/ sunscreen. Please indicate which option that is best for your child, taking into consideration allergies, and sensitivity to chemicals, ect. ________ Second Baptist Preschool may apply sunscreen to my child from the bottle that I supply. ________ Second Baptist Preschool may apply sunscreen to my child from the supply that the preschool maintains. Note: Brands may vary. ________ Second Baptist Preschool may NOT apply ANY sunscreen to my child. Childs Name Parent Signature Date

Child’s Name Date of Birth

Phone Additional Phone

Home Address

Parent’s Name I acknowledge receipt of the facility’s operational policies including those for discipline and guidance (Parent Handbook).


Transportation: I hereby give consent for my child to be transported and supervised by the operations employees: For emergency care On field trips To and from home To and from School I DO NOT give consent for any transportation

Field Trips:

I hereby give consent for my child to participate on field trips I DO NOT give consent for my child to participate on field trips

Water Activities: I hereby give Consent for my child to participate in water activities: Sprinkler play Splashing/wading pools Swimming pools Water table play I DO NOT give consent for my child to participate in ANY water activities

Second Baptist Preschool Parent Email/Cell Phone Contact Form

In an attempt to have better communication with you, please fill out the form below and turn back in.

Would you like us to contact you when:

We have a minor behavior issue with your child (ex: talking back, not listening) Yes or No, if yes who should we contact first: ___________________________________________________

We have a moderate behavior issue with your child (ex: they need to go to the Director’s office) Yes or No, if yes who should we contact first: ___________________________________________________

Your child is complaining about nausea, headache, feeling bad, running a very low grade fever (and exhibits those signs) but symptoms alone are not bad enough to send home yet (ex: your child is only running a temperature of 99.9, or very tired and complaining of a stomachache, or has been crying for over 30 minutes and will not calm down)

Yes or No, if yes who should we contact first: ___________________________________________________

Note: We will contact you immediately if your child is running a 100.4 fever, vomits, has multiple bouts of diarrhea, or shows sign of pink eye or other contagious viruses. Please see our handbook for a full description of our health policy. We will also contact you immediately with any serious behavior issue such as: fighting, cursing, or has an uncontrollable outburst.

Mother’s Name:

Mother’s Cell Number:

Do you receive texts?

Mother’s Work Number:

Email Address:

Which method is best to reach you? (Please Check) CELL TEXT EMAIL WORK

Father’s Name:

Father’s Cell Number:

Do you receive texts?

Father’s Work Number:

Email Address:

Which method is best to reach you? (Please Check) CELL TEXT EMAIL WORK

Would you like to receive texts or emails about our upcoming events? Yes No

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