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2021-2022 Preschool Application

CHILD'S INFORMATION


Last Name

First Name

Nickname (if Any)

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PARENT OR GUARDIAN’S INFORMATION


Last Name

First Name


Phone

Cell Phone


Street Name and No.

Apartment-Unit


City

State

Zip Code


Last name

First name


Phone

Cell Phone


Street Name and No.

Apartment-Unit


City

State

Zip Code

EMERGENCY CONTACT


Last Name

First Name

Relation


Phone

Cell Phone


Last Name

First Name


Phone

Cell Phone

HOW DID YOUR LEARN ABOUT BABYSTARS?

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This Registration is entered into between Baby Stars Inc., a Florida corporation (“us”, “our” or “we”) and the parent or legalguardian identified as “Parent” in the signature block of this Registration (the “Parent”) and the child identified in thisRegistration (the “Child” and together with the “Parent”, “you” or “your”). This Registration will become effective as of thedate we approve the Child for the program in which you enroll the Child (the “Program”). This Registration is subject to(i)the terms and conditions set forth in Exhibit A (the “Terms”) and (ii)any other documents you execute with us withrespect to the Program (the “Riders”), all of which are attached to this Registration and incorporated herein by thisreference. You hereby acknowledge, understand and voluntarily accept the Terms.

Terms and Conditions

1. Registration Your execution of the Registration constitutes your acceptance of these Terms. Capitalized terms used but not otherwise defined in these Terms will have the meanings ascribed to such terms in the Registration. When interpreting the Registration, these Terms and any Riders, precedence shall be given to the respective parts in the following descending order: (i) the Riders, (ii) the Registration and (iii) these Terms. These Terms apply to your enrollment of the Child in the Program and you represent that you are the parent or legal guardian of the Child and have the authority to enter the Child into the Program.
2. Medical and Injury Release To the maximum extent permitted by law, you, on behalf of the Child, (i) expressly assume any and all risks and hazards, both known and unknown, resulting from, arising out of or in any way related to the Child’s articipation in the Program, including for bodily harm, injury, illness, infection, death and damage (ii) unconditionally and irrevocably release and forever discharge us and our shareholders, directors, employees, agents, representatives and affiliates (collectively, the “Releasees”) from any and all claims, actions, damages, liabilities and losses of any kind or nature whatsoever, including court costs and reasonable attorneys’ fees (collectively, “Losses”) howsever caused, directly or indirectly, resulting from, arising out of or in any way related to the Child’s participation in the Program and (iii) shall defend, indemnify and hold harmless the Releasees, from any and all Losses, howsever caused, directly or indirectly, resulting from, arising out of or in any way related to the Child’s articipation in the Program. You hereby authorize us to secure proper emergency services and medical treatment from a hospital or physician for the Child in the event of an emergency and agree to bear sole responsibility for any and all such costs.
 
3. Payment Authorization Unless you otherwise agree to a payment plan, full payment is due on the start date of the Program (payment plans are unavailable for the camp program). Payment arrangements must be made in advance of the commencement of the Program. A 5% surcharge will be applied to late payments. Deposits are non-refundable and will not be applied to any other services we offer. Early withdrawal has no effect on your payment obligations hereunder. We do not provide make-up sessions or classes or offer credit to any of our other programs. You hereby agree that you are fully responsible for any and all amounts due for payment of the Program.
 
4. Force Majeure Event If we are unable to provide you the Program by reason of any law, government mandate, pandemic, natural disaster, hurricane, riot or any similar event beyond our control (each, a “Force Majeure Event”), failure to perform shall not be deemed a breach of or default under the Terms and we shall not be liable to you. Notwithstanding the occurrence of a Force Majeure Event, your payment obligations under Section 3
will remain in full force and effect. We may invoke our rights under this section as often as any Force Majeure Event occurs.
 
5. Photography Release Authorization You hereby give permission to us, and all persons acting on our behalf, to obtain, use, copyright, and publish photographic portraits, pictures and videos of the Child and accompanying adult, whether such pictures are still, moving, single or multiple, and authorize use of such individuals names. You shall not videotape or take photos on our premises without our consent.
 
6. Sick Policy Our staff and administrators have the authority to ask you to take the Child home when he or she exhibits symptoms
or otherwise deem appropriate, in our sole discretion. In such event, the Child must be picked up in our office.
 
7. Limitation of Liability TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, OUR AGGREGATE LIABILITY FOR
ANY LOSSES THAT MAY ARISE UNDER THESE TERMS, FOR ANY CAUSE WHATSOEVER, AND REGARDLESS OF THE FORM
OF ACTION, WHETHER IN CONTRACT OR IN TORT, WILL BE LIMITED TO FIVE HUNDRED AND 00/100 UNITED STATES
DOLLARS ($500). WE SHALL NOT BE LIABLE FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, EXEMPLARY OR PUNITIVE DAMAGES OR LOSSES INCURRED BY AMBASSADOR ARISING FROM OR RELATING TO THESE TERMS, WHETHER IN CONTRACT, TORT OR ANY OTHER FORM OF ACTION, EVEN WE HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH LOSSES OR SUCH LOSSES WERE REASONABLY FORESEEABLE.
 
8. Miscellenaeous The Registraiton, these Terms and any Riders constitute the entire agreement between the parties with respect
to the subject matter hereof and supersede any prior agreement or communications between the parties, whether written, oral,
electronic or otherwise. No change, modification, amendment, or addition of or to these Terms or any part thereof shall be valid unless in writing and signed by both parties. You shall at no time publicly disparage us or our employees, agents, officers or representatives. No waiver of any term or right in this Agreement will be effective unless in writing and signed by our authorized representative. Our failure to enforce any provision of these Terms will not be construed as a waiver or modification of such provision, or impairment of our right to enforce such provision or any other provision of these Terms thereafter. Our rights and remedies will be cumulative and not exclusive of any rights or remedies provided by law or equity. The section headings in these Terms are for reference purposes only and will not define, limit or affect the meaning or interpretation of these Terms. Unless the context of this Agreement otherwise clearly requires, (i) the word “or” will not be construed as exclusive and (iii) the word “including” (and its derivative forms) will not be construed as limiting. In the event an ambiguity or question of intent or interpretation arises, these Terms will be construed as if drafted jointly by the parties and no presumption or burden of proof shall arise favoring or disfavoring any party by virtue of the authorship of any provision of this Agreement. If either party brings an action to enforce their
rights under these Terms, the prevailing party may recover
its expenses (including reasonable attorneys’ fees) incurred in connection with the action and any appeal from the losing party. These Terms and all questions relating to validity, interpretation, performance and enforcement will be governed by and construed in accordance with the laws of the State of Florida, notwithstanding any conflicts of laws, doctrines of such states or other jurisdictions to the contrary. Only the courts in the State of Florida, sitting within Miami-Dade County will have jurisdiction over any disputes under this Agreement and the parties stipulate to Miami-Dade County as the county of proper venue. The parties hereby voluntarily and knowingly waive any right they may otherwise have to a trial by jury in any action to construe and/or enforce this Agreement. If any provision of These Terms is held by a court of competent jurisdiction to be invalid, void, or unenforceable, the remaining provisions will continue in full force and effect without being impaired or invalidated in any way. Upon the conclusion of the Program in which you register the Child,
Sections 1, 2, 3, 5, 7 and 8 of these Terms will survive and continue in effect and will inure to the benefit of and be binding upon the parties and their legal representatives, heirs, successors and assigns.

Child’s and Family Information

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Part timeFull time

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3.

Developmental Information

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Disclosure

The information provided in this form is confidential and Baby Stars, its teacher or administrators may not release this information to anyone outside the institution without written consent from the child’s guardian. The information will only be used for appropriate instructional purposes.


Parent's Name

Parent's Signature

Date

Pick-Up Authorization Form & Emergency Contact List

All individual listed below are authorize to pick up your child without any previous notice. Proper photo ID must be provided.

First-Aid Form

As parents you have the option to authorize teachers to take your child’s temperature. Please mark the appropriate box if you will like or will NOT like your child’s temperature to be taken on premises. Note that we only use non-invasive, forehead digital thermometers. *Due to COVID-19, you must consent to have your child’s temperature taken in order to participate in the program.

I authorize the Baby Stars’/Kid Stars’ personnel to take my child’s temperature.I do NOT authorize Baby Stars’/Kid Stars’ personnel to take my child’s temperature

As parents you have the option to allow teachers to apply a topical cream such as diaper rash cream, antibacterial ointment, and wound cleanser antiseptic, in case of diaper rash or to any cuts and scrapes. Otherwise, children will only be treated with soap and water. Please mark the appropriate box.

I authorize Baby Stars’/Kid Stars’ personnel to apply topical creams and solutions to my child.I do NOT authorize the Baby Stars’/Kid Stars’ personnel to apply topical creams and solutions to my child.

My child is allergic to the following medications:

Section 65C-22.006(2), F.A.C., requires a current physical examination (Form 3040) and immunization record (Form 680 or 681) within 30 days of enrollment.

Specific Authority 402.302, 402.305 FS. Law Implemented 402.302, 402.305 FS. History–New 6-1-97, Amended 3-17-99, 7-26-00, 4-2-02, 7-13-03, 9-12-04, 4-12-07

Medicine Administration Form

If your child requires medicine to be administered during class time or need for medicine to stay in school all year in case of emergency, please complete the following information and sign at the bottom.


Specific Authority 402.302, 402.305 FS. Law Implemented 402.302, 402.305 FS. History–New 6-1-97, Amended 3-17-99, 7-26-00, 4-2-02, 7-13-03, 9-12-04, 4-12-07

Snacks Form

All children will receive a mid-morning snack every day. Snacks will be different every day and could consist of a seasonal fruit and a side of sweet cracker, cookie, cereal, salty cracker, chip, or pretzels. To drink, children will be given water. Children younger than 2 must provide a drinking cup with a lid.

Parents are responsible for providing the snacks for their children if they follow a special diet. Please provide us a list of any food allergies or particular foods your child cannot eat.

My Child will be eating snack from Baby Stars/Kid StarsMy child will be bringing snack from home

















Specific Authority 402.305 FS. Law Implemented 402.305 FS. History–New 6-Amended 3-17-99, 7-26-00, 1-4-01, 7-13-03, 9-12-04, 4-12-07, repromugated.

Grooming and Hygiene Release

As parents you have the option to authorize teachers to change your child’s diaper and assist during toilet training. Please mark the appropriate box if you will like or will NOT like your child to be assisted with diapering and toilet training practices.

I authorize the Baby Stars’ personnel to assist my child with diaperingI do NOT authorize Baby Stars’ personnel to assist my child with diapering.My child does not wear a diaper.

I authorize the Baby Stars’ personnel to assist my child with toilet training.I do NOT authorize Baby Stars’ personnel to assist my child with toilet training

As parents you have the option to authorize teachers to cut your child’s fingernails. Please mark the appropriate box if you will or will NOT like your child’s nails to be cut/filed when teachers finds them too long to be in school. If you do NOT authorize, please understand that Baby Stars’/Kid Stars’ staff and administrators have the authority to ask a parent and/or guardian to take the child home or come to school to cut the child’s fingernails.

I authorize Baby Stars’/Kid Stars’ personnel to cut my child’s fingernails.I do NOT authorize Baby Stars’/Kids Stars’ personnel to cut my child’s fingernails

First application of sunscreen and bug repellent should be at home, prior to bringing your child to Baby Stars/Kid Stars Camp. As parents you have the option to authorize teachers to re-apply sunscreen and bug repellent to your child throughout the day. Please mark the appropriate box if you will like or will NOT like your counselor to apply sunscreen to your child when deemed appropriate by your child’s teachers or counselor.

I authorize Baby Stars’/Kid Stars’ personnel to re-apply sunscreen to my child.I do NOT authorize Baby Stars’/Kid Stars’ personnel to re-apply sunscreen to my child.

I authorize Baby Stars’/Kid Stars’ personnel to re-apply bug repellent to my childI do NOT authorize Baby Stars’/Kid Stars’ personnel to re-apply bug repellent to my child.

Phone Release

Baby Stars will not distribute children or parent’s phone numbers or addresses without prior authorization. Please sign the attached form if you would or would NOT like your personal information to be included in our Member phonebook.

I will like my name(s), phone number, and address to be included in the Baby Star’s Member phonebook.I will NOT like my name(s), phone number, and address to be included in the Baby Star’s Member phonebook.

Discipline Policy

We are required by the Children and Families Department to provide parents with a written discipline policy. Baby/Kids stars will not release the names of children involved in any disciplinary incident. Please sign the attached form and return it to our office. Signing indicates that you have read and agree with our Discipline Policy.

Our program will ensure that age-appropriate, constructive disciplinary practices are used for your child. This care will allow the child time to look over his or her behavior. To ensure a safe and successful program, discipline is a must. We welcome suggestions from parents, so feel free to share them with us.

The following steps will be used for behavior modification:

  1. Children will be corrected and asked to change their behavior whether with a gentle look, shake of the head or words to indicate the behavior is inappropriate
  2. Children will be re-directed from the situation where he or she was misbehaving.
  3. Children will be placed in “A Safe Space” to have the opportunity to calm down. The child will be separated from the group until he or she feels ready to return to the activity for a total of one minute more than their age (i.e. child is 3yr old then child will be in the “safe space” for 4 minutes maximum.)The responsibility for behaving appropriately is placed on the child.
  4. Parents will be contacted if the child does not correct his or her behavior. The teacher will discuss with the parent strategies to help the child overcome his or her difficulties.

When deemed appropriate, based on child’s behavior, Baby Stars/Kid Stars reserves the right to terminate or suspend a student from the school, with no financial refund, remove him/her from afternoon activities and/or send the child home for the day. When child is sent home, child will be brought to the office and wait to be picked up. It is the parent’s/guardian’s responsibility to pick up child from the office immediately.

Section s. 402.305(12), F.S., requires that parents are notified in writing of the disciplinary practices used by the child care facility

I, have received in writing the disciplinary practices used by Baby Stars/Kid Stars and are in accordance with them.

Parent Teacher Conferences

We are the most progressive and innovative Early Childhood Development education facility in South Florida. Our staff is dedicated to preparing your child to be successful in school. Our teachers work hand in hand year-round and expose your child to high quality stimulation that will increase his/her opportunities to succeed academically and socially. We are very proud of our program and believe in building a strong bond between school and home. We encourage a constant open communication between you and your child’s teachers.

Throughout the year you have two (2) mandatory Parent-Teacher formal conference. In these meetings your child’s teacher will let you know how he/she is doing and if we believe your child needs extra professional help.

It is your responsibility to attend these meetings. The school reserves the right to terminate or suspend, with no financial refund, a student from the school if parents do not attend both meetings and if the parents chooses not to comply with the recommendations of the school.

I, have read and understand the Parent Teacher Conferences guidelines. I will be responsible to attend and comply with the school recommendations. If I don’t do so, my child can be suspended or terminated from the Kids Stars program.

Enrollment Manual Acknowledgement Form

I, Parent or Guardian of Have read and understand all the contents included in the Transitional Program Enrollment Manual.

Know your Pre-School Facility Acknowledgement Form

Section 402.3125(5), F.S., requires that parents receive a copy of the Child Care Facility Brochure

I, Parent or Guardian of Have received the Florida Department of Children and Families “Know your Child Care Facility” brochure.

Tuition Policy 2020-2021

Half Day- Cost per year

Pre-K 1- 18 to 24 months- 9:00 am to 12:00 pm - $10,815

Pre-K 2- 2 to 3 years- 8:45 am to 12:30 pm -$11,322

Pre-K 3- 3 to 4 years- 8:45 am to 12:30pm -$11,322

Pre-K 4- 4 to 5 years- 8:45 am to 1:00 pm -$11,835

Full Day- Cost per year

Pre-K 1- 18 to 24 months- 9:00 am to 3:15 pm - $14,800

Pre-K 2- 2 to 3 years- 8:45 am to 3:30 pm - $15,250

Pre-K 3- 3 to 4 years- 8:45 am to 3:30 pm- $15,250

Pre-K 4- 4 to 5 years- 8:45 am to 3:30 pm- $15,250

Early Drop Off- Any group at 8:00 AM- additional $1,050

Extended- Pre-K1: 5:00 PM- additional $2,900

    Pre-K2-4: 5:00 PM- additional $2,150

  1. A $1,000 non-refundable deposit is required to secure your child’s space. Deposit payment will be deducted from total tuition cost.
  2. A $250 registration fee for initial enrollment to Baby Stars/Kid Stars.
  3. Tuition payments options:
    a. Option 1 - Payment in full or in 2 installments due September 1, 2021 and January 5, 2022. 5% discount applies to each payment
    b. Option 2 - Nine monthly installments beginning September 1, 2021
  4. Parents re-enrolling receive a 5% discount when deposit paid by February 28, 2021.
  5. Enrollment of multiple children will receive a 10% discount on the least expensive tuition.
  6. Any enrollment for 5 months or less will result in tuition premium of 20%.
  7. If you desire for the child to begin at a date later than the beginning of the school semester, you are still required to pay tuition from the beginning of the school semester in order to guarantee a space.

Option 1 - Payment in full or in 2 installments due September 1, 2021 and January 5, 2022 5% discount applies to each payment

Option 2 - Nine monthly installments beginning September 1, 2021

Payment is due at the time of service. Payment arrangements must be made in advanced.

I, have read and understand the Tuition Policy and will comply with the terms and conditions set forth herein.