School Age Registration

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As the legal guardian of the minor child, named in this registration, I hereby authorize Vermont Hills Family Life Center to secure any first aid, medical treatment, and/or hospital care deemed advisable by and rendered under the general supervision of any medical professional or medical institution, licensed in the state where the center is located. Additionally, I agree to hold Vermont Hills Family Life Center harmless for seeking medical care of my child, and to assume all financial responsibility and expenses of such care.

My child may be taken on field trips by bus or on walks with prior notice and with proper supervision.

My child may have his/her photo taken and used on VHFLC information

My child may participate in swimming. (If your child is a non-swimmer, a flotation device will be required.)

I give VHFLC staff permission to communicate with school personnel regarding my child's student's school day in order to provide the best care for my student.

My child has an IEP or 504 plan in place for the school year?

My child may have a generic sunscreen administered when appropriate

I confirm that I have read the parent handbook and agree to abide by the policies outlined in the handbook (under the parent handbook tab @ VHFLC.com)

Please select toady's date, as the date with which you've granted authorization to the above section

You must select at least two days per week, as we do not offer one day per week care. When selecting your student's schedule for the school year, please understand the following: You must choose a consistent schedule for each week. (We do allow for schedule changes, depending on availability, with a two-week written notice). Please see the school age tab and select your student's school from the dropdown list to view tuition costs

Full Week Before School care is currently available at Our Lady of Lourdes and St. Ignatius Schools only. You must choose a consistent schedule for each week (we do allow for schedule changes, depending on availability, with a two-week written notice). Please see the School Age tab and select Our Lady of Lourdes or St. Ignatius to view Before School care tuition costs.

Currently Holy Family Catholic will have the option for One day of before school care on Wednesdays ONLY. If you are registering for Holy Family, please choose your regular After School schedule and only choose this option IF you'd like AM care on Wednesdays.

I agree to follow the payment plan I have chosen according to the guidelines outlined in the parent handbook. I understand that VHFLC reserves the right to mandate options if the guidelines are not followed. Failure to pay as scheduled will result in my child's removal from the program.

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School Age Registration

School Age Registration Form 2022-2023

School Age Registration 2022

Child Information

Emergency Information

Parent/Guardian Information

Emergency Contact

Emergency Contact

Authorizations

Schedule and payment

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