Parent Contract

Shine Summer Day Camp - Parent Contract

CHILD PLACEMENT CONTRACT

This contract is required of all licensed child care centers by R400.5105b of the Michigan Administrative Code. The Michigan Department of Consumer and Industry Services is required to inspect the child care center and enforce the contract based on the terms provided in this contract.
As of June 22nd, 2020 I...
Parent or Legal Guardian Name*
...agree to enroll my child(ren)...
Child’s full name*
Date of birth*
Date Format: MM slash DD slash YYYY
Child’s full name
Date of birth
Date Format: MM slash DD slash YYYY
Child’s full name
Date of birth
Date Format: MM slash DD slash YYYY
...in Shine Summer Day Camp, licensed by the State of Michigan. I certify that my child(ren) will be at least 57 months old by their first day of camp and can be enrolled in a school age program (K-7th grade).
Cancellations:
I understand the one-time $40.00 registration fee and $40 per child / per camp week deposit(s) are non-refundable. I agree that there will be no refund for children who are cancelled less than 1 week prior the registered week (8:00 a.m. Monday). Cancellations must be in writing and given to the Day Camp Director, or emailed to the Day Camp Registrar at shinedaycamp@wardchurch.org.
Children picked up after 6:00 p.m. will be charged a fee of $25.00 per ¼ hour per registered child. Payable upon pick-up.*
Please initial above
Payments:
I agree to make full payment for the registered week(s) no later than one week prior (the Monday before) based on the published fee for that week.
If payment is not received on time, a $30 late fee will charged.*
Please initial above
Check-In and Release:
I acknowledge that Shine Summer Day Camp will release my child(ren) to only those persons authorized on the Emergency Contact Card, or if a parent has sent a written, signed and dated note stating the emergency and who the child may be released to. I understand I must check-in and check-out my child each day at the Shine Summer Day Camp Desk.
Termination:
I acknowledge that Shine Summer Day Camp may terminate this agreement without notice if 1) my child’s continued participation in the program creates a direct threat to the safety of our child or other children, or Shine Summer Day Camp staff, or 2) tuition and/or other fees are not paid when due.

This contract constitutes the entire agreement among the parties to it and supersedes any prior understandings or agreements. Each party acknowledges and states that no representation, inducement, or condition not set forth in the contract has been made or relied upon by either party.

The laws of the State of Michigan shall govern this contract.
Lunch / Snacks
Each child will receive two snacks daily. The snack menus will be posted at the Shine Summer Day Camp desk. Please be sure to indicate any food allergies on your child’s health form.

Parents will provide lunches for their child Monday through Friday.

I will provide lunches for my child Monday through Friday.
Parent Signature*
Transportation:

I give permission to Shine Summer Day Camp for my child to be transported to and from scheduled field trips during the week(s) my child is enrolled.
Emergency Permissions:
Should a medical emergency arise, the leaders have my permission to obtain any necessary medical care for my child.
Photo Release:

I give permission to Shine Summer Day Camp to use my child’s photos on social media, their website, and in promotional materials.

I agree to defend and indemnify Ward Evangelical Presbyterian Church, its employees and volunteers against any claim or action that might arise on behalf of myself or my child, other than for the willful, wanton or reckless misconduct of Ward Evangelical Presbyterian Church, its employees or volunteers.
Parent Signature*
Shine Summer Day Camp as a licensed child care facility, will provide the following provisions of the Michigan Administrative Code as required by R 400.8146
A center’s licensing notebook will be available for parent’s review. It includes

i) all the licensing inspection and special investigation reports and related corrective action plans since May 28, 2010

ii) the licensing notebook is available to parents during regular business hours

iii) licensing inspection and special investigation reports from at least the past 2 years are available on the child care licensing website at www.michigan.gov/michildcare.

R400.8125 (4)

(2) A licensee shall have the following administrative responsibilities regarding staff:

4) A criminal history check using the Michigan department of state police internet criminal history access tool (ICHAT), or equivalent, plus FBI fingerprints…shall be completed before making an offer of employment to that person. A copy of the ICHAT shall be kept on file at the center.
Upon signing this agreement, the parent, legal guardian or responsible adult and the child care facility agrees to abide by all of the provision contained in this contract.
Parent or Legal Guardian
Relationship to child
Parent or Legal Guardian Signature*
Digital Signature Acknowledgement*
- By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

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