Amite Baptist Church

Mother’s Day Out Registration & Handbook

2014-2015

Date registration received: ______By:______Check #:______

Child’s Information

Name: ______DOB:______

Parent Information
Persons listed in this section are automatically considered as an emergency contact & eligible for pick up – information in this section can only be changed through a notarized court order that grants one party custody or sole decision making authority.
Marital Status (please circle): Married / Single / Separated / Divorced
Natural Father’s Name / Natural Mother’s Name
([]) / ([]) / ([]) / ([])
Home Phone / Work Phone / Home Phone / Work Phone
([]) / ([])
Cell Phone / E-mail Address / Cell Phone / E-mail Address
Address / Address
City, ST ZIP Code / City, ST ZIP Code
Emergency & Pick up Contacts
*Please list only one persons' name per line
Name / Number / Relationship to child
Medical Information
Hospital/Clinic Preference
Physician’s Name / Phone Number
Dentist’s Name / Phone Number
Insurance Company / Policy Number
Allergies/Special Health Considerations
*If your child requires an epipen please ask a nursery employee for special instructions.
I authorize all medical and surgical treatment, X-ray, laboratory, anesthesia, and other medical and/or hospital procedures as may be performed or prescribed by the attending physician and/or paramedics for my child and waive my right to informed consent of treatment. This waiver applies only in the event that a parent/guardian can not be reached in the case of an emergency.
Parent’s/Guardian’s Signature / Date

Amite Baptist Church Mother’s Day Out program is a division of ABC Children’s Ministry. Our purpose is to provide childcare for children ages 1-4 for the members of Amite Baptist Church. In order to participate, the child must be 1 year of age by September 30, 2013. We are able to accept 12 children per year. Those spots are filled on a first come, first serve basis. Once these spots are filled, a waiting list will be made available for the current year only. Our program is a preschool type setting with a biblical emphasis. We look forward to showing these children the love of Jesus. We are honored that you entrust them into our care.

Financial Obligations

Please read and note the following information and explanation of our payment policy.

  • Registration is $25/year, due upon submitting registration, and is non-refundable.
  • Tuition is $20/month.
  • Payments are due the first Thursday of the month. The first payment for 2013 is due August 15, 2013.
  • You may pay by check or cash.
  • Should you choose to withdraw your child, we ask that you give us a two week, paid, notice.
  • This notice MUST be given to the nursery coordinatoror Brother Frank Mons. Once your child’s spot is filled, he or she will not be allowed to return for the remainder of the school year.
  • Your child’s registration is your financial commitment to pay monthly tuition whether your child is present or absent. Salaries and overhead expenses cannot be reduced because of “absentee losses” in income. Therefore, tuition must be charged regardless of attendance, in order to support the enrollment space guaranteed for your child. We appreciate your cooperation in this matter.

Holiday Schedule

ABC Mother’s Day Out follows the Livingston Parish Public School schedule and will not be in session on the following dates:

  • November 27, 2014 – Thanksgiving
  • December 25, 2014, January 18, 2015 – Christmas
  • April 9, 2014 – Easter
  • Our last day of Mother’s Day Out for the 2014-2015 school year will be May 28, 2014
  • We follow the Livingston Parish public school closings on bad weather days. If all of LPS are closed, we will close as well. You can determine if we will be open or not by listening to Channel 2, Channel 9 or WJBO in the morning. If bad weather conditions would become threatening to our children in any way, we will take every precaution to keep them safe.

Sick Child Policy

Policy Regarding Sick Children:

It is the goal of ABC Mother’s Day out to provide a safe and healthy environment for your child. However, germs are spread everyday when two children’s worlds cross paths in our facility. Even though we pride ourselves in adhering to proper hand washing and sanitizing procedures, germs are still spread. With the help of parents keeping their sick children at home, we can help prevent the spread of even more germs and illnesses in our daycare.

When is your child too sick to attend MDO? When they are displaying one of the following symptoms:

* Fever

* Diarrhea

* Vomiting

* Un-diagnosed rash

* Red eyes with discharge (pink eye)

* Hand-foot-mouth disease

* Thrush

* cannot participate in the daily activities of the program

If your child develops any of these symptoms while in our care, you will be contacted and asked to pick up your child immediately. If you cannot be reached, we will call one of your approved contacts. Should we need to send your child home, please remember that it is to protect the health and well-being of the other children in our care.If your child has any of the above symptoms on a day prior to MDO, he or she may only attend when they are symptom free for at least 24 hours. If your child has seen a doctor and the doctor states that they may return, the excuse MUST state that the child is no longer contagious.

ABC MDO employees will not administer medication of any kind to your child.

Handbook Acknowledgement Form

2014-2015

At least one parent must sign this form acknowledging that they are aware of and understand the policies contained in the Handbook.

Please sign and return this form on or before August 4th, 2013.

______

Parent/Guardian Date

______

Parent/Guardian Date