CONSENT FORM

I authorize A Child's Heart Learning Center & Nursery to administer Acetaminophen or Ibuprofen

Statement of Responsibility:

A Child's Heart Learning Center & Nursery will be responsible for acting in a responsible manner and in compliance with the legal requirements of the state of Idaho Standard of Care. I understand that A Child's Heart Learning Center & Nursery will make my child's safety a priority and I understand that risk of accident or injury of my child cannot be completely eliminated, even when A Child's Heart Learning Center & Nursery has satisfied the Standard of Care. I accept this risk and agree that A Child?s Heart Learning Center & Nursery will care for my child. I will not sue A Child's Heart Learning Center & Nursery in the event of an accident or injury to my child, while they meet the Standard of Care.

I authorize A Child's Heart Learning Center & Nursery to ensure emergency care for my child

Authorization for Medical Emergencies:

Should such treatment be necessary, I understand that all responsible effort will be made to notify me before action is taken, and I also agree that the expense of such emergency care will be accepted by me. I also certify that my child has Medical Insurance.

I authorize A Child's Heart to provide transportation for my child (school, field trips,emergencies)

Agreement for Payment and Hours of Care:

Schedule

When you enroll with A Child's Heart Learning Center & Nursery, you have a choice of full-time or part-time. If you need part time you may select the days of care you need during the week. You will be responsible for the cost of these days, even if your child is sick or they do not come for a day. The days during the week may not change or fluctuate week to week, unless you make arrangements with Director. If you need a full-time schedule you will be responsible for the full weeks cost even if your child does not come or may be sick. See Vacation allowance in Parent Handbook & Policies. We do not charge for days we are closed.

Acknowledgement of Biblical Curriculum/Teaching:

I understand that A Child's Heart Learning Center is a Christian-based Facility. With agreement and signature of this contract, I acknowledge their teaching according to their Christian Faith and I understand that A Childs Heart Staff will be reading Bible stories, singing praise songs, making faith-based crafts, praying with children, and talking about Jesus.

I am enrolled/ have applied for ICCP. Until approval from ICCP is received in writing, I am responsible to pay in full, for Childcare services on a weekly basis. Once written approval is received, a credit will be applied towards parent co-pay or refunded if warranted. I also understand that if I do not pay my full co-payment by the 10th of the month I will be charged the applicable late fee. If the co-payment is still not received by the 20th of the month (including late fees) your child may not return the following month until your account is brought current. If ICCP fails to pay, regardless of the reason, I understand that I am responsible for the entire amount.

Is it okay for the Director or Staff Members of A Child's Heart Learning Center & Nursery to take photos of your child for identification purposes, craft projects, activities done as a group, or photo posts to A Child's Heart website and Facebook page?

I have read and understand that additional charges may occur under the following circumstances:

  • Payments are due the Friday before the week of care. If payment is not received by the previous Friday, there will be a $3, late fee assessed to your account each day following the Friday due date.
  • Payment Arrangements Fee $30
  • All Day Rate covers up to 10 hours of care.
  • Overtime Rate is pro-rated $10 per hour. Closing time is no later than 6:00pm. $5 Late Fee assessed for first 5 minutes and $1 for every additional minute.
  • Returned Check Fee $30

I agree to the above terms and conditions, and scheduled hours