Welcome To Our WLCA Family - 2019-2020 School Year - Word Of Life Christian Academy

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Welcome To Our WLCA Family - 2019-2020 School Year - Word Of Life Christian Academy
Welcome
To Our WLCA Family

      2019-2020
     School Year

 Academic Excellence in
 a Christian Environment
Welcome To Our WLCA Family - 2019-2020 School Year - Word Of Life Christian Academy
WORD OF LIFE CHRISTIAN ACADEMY

                                          Registration Check List

We are so blessed that you have chosen Word of Life Christian Academy Pre-School for your child(ren). We
offer a Pre-School class for children who are three years old, four years old, and for five year olds that miss the
October cutoff date for Kindergarten. Your child must be three years old or older on or before September 30th
and completely potty trained without accidents in order to participate in this classroom. If you have any
comments, questions or concerns during the enrollment process please feel free to call the school office. The
following items are included in this packet for your information:

_____ Registration Check List
_____ Mission, Purpose, and Vision
_____ Tuition Rate Sheet
_____ School Calendar
_____ Supply List
_____ Chapel Letter
_____ ABeka Book Information
_____ Peanut Letter
_____ Immunization Pamphlet

In order to secure a place for your child(ren) all of the following items must be completed, signed and submitted
at the time of registration:

_____ Registration form
_____ Yellow registration card (both sides)
_____ Emergency Notification Form
_____ Allergies Form
_____ Health Statement (filled out by a Physician or RN only)
_____ Financial Agreement (both sides)
_____ Automatic Payment Authorization
_____ Information Release form
_____ Photo Release form
_____ Biting Policy
_____ A non-refundable registration fee
_____ Official Birth Certificate
_____ An updated copy of the child’s shot records
_____ Copy of any legal documentation necessary for guardianship/custody
       (if applicable)
Welcome To Our WLCA Family - 2019-2020 School Year - Word Of Life Christian Academy
WORD OF LIFE CHRISTIAN ACADEMY

                               Mission Statement, Purpose and Vision

                                     We Teach Our Students To:
                           Dream Big, Study Diligently and Achieve the Impossible

Our Mission Statement:
Serving the Lord by impacting children’s lives through Christian education. Inspiring future Christian Leaders
who will impact the world.

Our Purpose:
Word of Life Christian Academy Pre-School is a ministry of Word of Life Christian Center whose purpose is to
teach children the truth of God’s Word, to help them develop a love for Jesus Christ, to prepare them
academically, and inspire positive future leaders.

Our vision for our school is to:
1. Teach each student about the love of Christ and the truth about God’s Word, and to prepare them
   academically by using and developing the best possible Christian curriculum.

2. Support each student and his/her family by providing a loving and supportive atmosphere throughout the
   entire school.

3. Employ a qualified Christian staff who are personally committed to Christ, who exhibit a deep love for
   children, and who are trained and are continuing to be trained to be the best teachers possible.

4. Be an extension of the ministry of Word of Life Christian Center by directing families towards the
   ministries of Word of Life that can best meet their needs.

5. Be accountable for fulfilling the purpose and vision of this ministry by coming under the oversight of the
   pastors of Word of Life Christian Center.

6. Be financially responsible by being both non-profit and self-supporting.

7. Develop future spiritual leaders that will impact the world for Jesus Christ.
Welcome To Our WLCA Family - 2019-2020 School Year - Word Of Life Christian Academy
WORD OF LIFE CHRISTIAN ACADEMY

                         2019-2020 Non-optional Fees and Tuition Rates

Registration
An annual non-refundable reservation deposit of $130.00 is due at the time of registration. This deposit holds
your child’s space until August 12th, 2019 and pays for all of your child’s curriculum cost. If you do not pay
tuition by August 16th, 2019, your space will be given to the next person on the waiting list.
.
Tuition
5 Full Days - $185.00 per week   Tither – $157.25    Multi Child - $166.50   Multi Tither - $141.53
5 Half Days - $160.00 per week   Tither - $136.00    Multi Child - $144.00   Multi Tither - $122.40
3 Full Days - $140.00 per week   Tither - $119.00    Multi Child - $126.50   Multi Tither - $107.53
2 Full Days - $115.00 per week   Tither - $97.75     Multi Child - $103.50   Multi Tither - $87.98

Tuition is paid weekly. The first payment is due August 12th, 2019. All weekly payments must be paid by your
first scheduled day of each week. There will be a $5.00 late fee added to your account for each business day
that tuition is not paid. If you have more than one child enrolled in the pre-school the oldest child will be full
price and the each additional child will be a 10% discount. Please note that the tither discount applies to Word
of Life Christian Center church members only.

Spirit Pack
$60 added to your account at the time of registration (due October 1st) and includes:
    2019-2020 School Spirit Shirt
    Yearbook
    Field Day Lunch

Graduation Fee
$40 added to your account at the time of registration (due December 1st) and includes:
    Keepsake cap-n-gown
    2020 tassel
    Graduation Diploma
    Cupcake reception for graduates, family and friends

Hours of Operation
Our hours of operation are Monday through Friday, from 6:30 am to 6:00 pm.
If your child is enrolled for a full day you may bring them to school anytime between the above hours. If your
child is enrolled for 5 half days, a half day is anytime between 6:30 am and 12 noon or 12 noon and 6:00 pm.
Half day children dropped off before 6:30am or 12noon will be charged $1.00 per minute per child. Children
picked up after 12noon or after 6:00 pm will be charged $1.00 per minute per child. Any parent that does not
sign their child in or out will be charged $5 each time, each child.

  *PLEASE NOTE THAT ALL TUITION PAYMENTS RECEIVED ARE NON-REFUNDABLE AND
          NON-TRANSFERABLE AND SUBJECT TO CHANGE WITHOUT NOTCIE*
                                                    Revised 3/26/19
Welcome To Our WLCA Family - 2019-2020 School Year - Word Of Life Christian Academy
WORD OF LIFE CHRISTIAN ACADEMY

                                    Supply List

Please provide one extra complete set of clothing for your child. One complete set
includes a shirt, pants, underwear and socks. All items must be able to fit into a
large zip lock bag, labeled with the student’s name and must be changed seasonally.

Also provide one small blanket and one small pillow to be used for naptime. These
items must also be labeled with the student’s name and able to fit into their
individual cubbie. Both items should be taken home weekly for cleaning.
Please no favorite, bed sized, pillows and blankets.

Most importantly please bring a sack lunch that does not require heating or
refrigeration as we do not have access to a microwave and our refrigerator is full of
daily snacks, milk and party items, No Room for Lunches! In addition keep in
mind that lunches should be balanced daily with health grains, proteins, fruits and
vegetables. Soda, candy, and an abundance of sugary snacks will be redirected
back into the lunch bags. And for everyone’s safety grass bottles and container are
prohibited.
Dear Parents,

What an honor it is to the Word of Life Christian Center Children’s Ministry Staff to minister to
your children during chapel. It is our sincere desire to support you in training your children in
the ways of God. We believe that God has a plan for every child’s life and a vital part of that
plan is getting to know him through His word.

As ministers, we will through the direction, guidance and empowerment of the Holy Spirit
present the Word of God to your children at their level. We believe in having fun and will
minister to your children using a variety of mediums (skits, music, illustrations, bible stories,
object lessons, etc.) to communicate fundamental truths from the Bible.

Parents, you are always welcome to attend our chapel services; please feel free to join us any
Thursday morning. We look forward to serving you and your children.

For the Children,

Linda Chisolm
Director of Children’s Ministry, WLCC
From your
                               Pre-School Director
Dear parents,

This school year we have two students with
sever peanut allergies. Because of this very
important safety issue we can not allow
peanuts, peanut butter, peanut butter cookies or any other peanut
products into the pre-school classroom. This may include items
with peanut oils in them and peanuts in the ingredients.

Please read the attached information regarding a peanut butter
substitute that is 100% acceptable for our school. Tried it out with
my grandson and he absolutely loved it. Read, research and try it
our for yourself.

I apologize for any inconvenience this may
cause, however, the safety of all of our children
is at the heart of what we do here at WLCA.

Thank you so much for understanding.

Jetaun Harris
Pre-School Director
WORD OF LIFE CHRISTIAN ACADEMY
                                                                             3520 N. Buffalo Drive
                                                                        Las Vegas, Nevada 89129
                                                                              Phone (702) 645-1180
                                                                                Fax (702) 396-0293
                                       Registration Form
Student Information (please print)
________________________________________________________________________________________
First                               Middle                            Last

________________________________________________________________________________________
Home Address                          City                State                Zip

_____________________________         __________________________         ________________________
Home Phone                                     Date of Birth                    Social Security #

_____________________________________         _____      _______   _____________________________
Place of Birth                                 Male       Female               Race
              Application is for the school year 2019-2020 for the days indicated below:
   Students Schedule: Please be aware, schedules can not be changed w/out speaking with the director.
                   Each family is only granted one schedule change per school year.
                                                         _____Monday
              _____5 Full days                           _____Tuesday
              _____5 Half days                           _____Wednesday
              _____3 Full days                           _____Thursday
              _____2 Full days                           _____Friday

                Father/Guardian                                   Mother/Guardian
Name _____________________________________            Name______________________________________

Address ___________________________________           Address____________________________________

City_____________________ St._____ Zip_______         City _____________________ St. _____ Zip ______

Home Phone # ______________________________           Home Phone # ______________________________

Cell Phone # _______________________________          Cell Phone # _______________________________

Social Security # ____________________________        Social Security # ____________________________

Employer ___________________________________          Employer __________________________________

Address ___________________________________           Address ___________________________________

Occupation/Title ____________________________         Occupation/Title _____________________________

Work Phone # ____________________ Ext. _____          Work Phone # ____________________ Ext. ______

Email _____________________________________           Email _____________________________________
Pre-School Last Attended

School Name _____________________________________________ Phone ________________________

Address _________________________________________________ Fax ___________________________

City ________________________________ State ______________ Zip _____________ Grade ________

Does this child have a learning disability or limitation that might require special professional assistance? _____

If yes, please describe _____________________________________________________________________

________________________________________________________________________________________

Reason for selecting this school? _____________________________________________________________

________________________________________________________________________________

How did you hear about Word of Life Christian Academy? __________________________________

Should you leave our school and you have a balance owing on your account, we will not forward your records.

                                              History Information

Is this child under regularly supervision of a physician?     _____ yes     _____ no

If so, please explain ________________________________________________________________

Does the child take prescription medicine regularly?        _____ yes     _____ no

If so, please list medication, frequency, and condition requiring it _____________________________

________________________________________________________________________________

Has the child been hospitalized within the past year?       _____ yes     _____no

If so, please give dates and reasons ___________________________________________________

________________________________________________________________________________

Has the child ever been treated for any nervous, mental, or emotional disorder?        ____ yes ____ no

If so, give the name of doctor or facility providing care and dates of care ______________________

________________________________________________________________________________

List the approximate dates your child has had the following illnesses:
Chicken Pox___________ Asthma____________ Mumps__________ Rheumatic Fever__________
3-Day Measles__________ Hay Fever_________ Whooping Cough_________ Epilepsy _________
List Allergies ______________________________________________________________________

Do you attend church regularly? _____        If so, give the name of church ______________________
                                             Custody Information
Parents are ____Married          ____Mother deceased         ____Mother remarried        ____Separated
            ____Divorced         ____Father deceased          ____Father remarried        ____Other

Who has legal physical custody of this child? ____________________________________________________

***What are the legal parameters for the non-custodial parent to see or pick up child? ____________________
________________________________________________________________________________________

            ***(A copy of the legal paperwork provided by the court must be given to the school.)***

If parents are divorced or separated to whom should school correspondence be sent?
___ Mother ___ Father ___ Both

Who is financially responsible for this child? _____________________________________________________

What days of the week are spent with Dad? _____________________________________________________

What days of the week are spent with Mom? ____________________________________________________

                               Authorized Escorts (someone other than parents)

Name ____________________________ Relationship ____________________ Phone # ______________

Name ____________________________ Relationship _____________________ Phone # _____________

Name ____________________________ Relationship ____________________ Phone # ______________

Statement of Cooperation
It is understood that my child’s attendance is a privilege and not a right; and that if at any time his/her conduct,
academic progress, or cooperation with the school’s authorities are not in compliance with the school’s
requirements, the school reserves the right to terminate, at its discretion, my child’s enrollment.

I give permission for my child to take part in all school activities including Christmas programs, awards
programs and graduation ceremonies. I absolve the school from all liability in the event my child is injured at
school or during any school activity. I agree with the school’s effort to train my child in the Bible and will
encourage my child in this and in all other phases of instruction.

I pledge not to interfere with the school in its efforts to administer discipline to my child in accordance with the
standards the school sets.

If my child is voluntarily withdrawn or is requested to withdraw by the school, it is understood and accepted that
no refund of registration fee or tuition will be made.

I give my permission for Word of Life Christian Academy to use my child’s picture, portrait, or photograph in
materials to be published by Word of Life Christian Academy. I grant Word of Life Christian Academy a non-
exclusive, royalty-free license to use the photographs in all forms and media, including composite or digitally
enhanced modifications, for the purpose of advertising, trade or any other lawful purposes. I waive the right to
inspect or approve the final product, and understand that no royalties or any other type of monetary
compensation will be awarded to any individuals involved.

Also, please be notified that Word of Life Christian Academy is exempt from the provisions of the Private
Elementary and Secondary Education Authorization Act.
                                                      ______________________________________________
                                                                   Signature of Parent/Legal Guardian
WORD OF LIFE CHRISTIAN ACADEMY

                                     Emergency Notification Form
                                             2019-2020
                                  Please list in order of preference to be called:
                         (please list someone other than parents)
Name ______________________________________________________________________________

Address _____________________________________________________________________________

Relationship __________________________________              Home Phone # _________________________

Work Phone # _________________________________                Cell Phone # __________________________

Name _______________________________________________________________________________

Address _____________________________________________________________________________

Relationship ___________________________________              Home Phone # _________________________

Work Phone # __________________________________                Cell Phone # __________________________

Name ________________________________________________________________________________

Address ______________________________________________________________________________

Relationship ___________________________________              Home Phone # _________________________

Work Phone # __________________________________                Cell Phone # __________________________

In the event of an accident or illness to the child, I hereby authorize the operator of Word of Life Christian
Academy to secure any necessary medical aid and/or treatment from:

Doctor ________________________________________________________________________________
             Name                         Address                       Phone

Hospital/Clinic __________________________________________________________________________
                      Name                   Address                       Phone

In the event I cannot be contacted immediately for notification or shall fail or refuse to remove the child affected
with a communicable disease or other valid reason after notification of illness and request for removal of the
child – I understand that the appropriate authorities may remove my child from the premises of Word of Life
Christian Academy. Furthermore, I agree to be directly responsible for all cost and expenses connected with
the examination, diagnosis, treatment and removal of my child.

Date ___________________ Signature of Parent/Legal Guardian ________________________________
WORD OF LIFE CHRISTIAN ACADEMY

                                 Allergies/Pesticides Form
                                         2019-2020

Pesticides are regularly used on the premises of Word of Life Christian Academy to help with
the control of insects. If your child has any abnormal health issues concerning their lungs, skin,
etc. or may be otherwise sensitive to chemicals that cause irritants please be sure this is
indicated below. In the event that someone is called to spray pesticides at our school you will
be notified in advance in a flyer or letter form. Plug-in and spray air fresheners as well as
disinfectants, in spray and wipe forms, are also used daily in our classroom, however, parents
will not be notified in advance for their usage.

Child’s Name: ____________________________________ Date: ________________________

Allergies: ______________________________________________________________________

Signs of a reaction: ______________________________________________________________

______________________________________________________________________________

What to do if child has a reaction: ___________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Cell Number: ___________________________________________________________________

Work Number: __________________________________________________________________

Home Number: __________________________________________________________________

Medical Contact Name & Number: ___________________________________________________

_______________________________________________________________________________
Parent/Guardian Signature                        Date
WORD OF LIFE CHRISTIAN ACADEMY

                                       Health Statement
                                          2019-2020

Child’s Name ___________________________________          Date of Birth _____________________

Address _______________________________________________________________________________
                   Street Address                P.O. Box

______________________________________________________________________________________
      City                                State             Zip

Mother’s Name _________________________________________________________________________

Father’s Name __________________________________________________________________________

  TO BE COMPLETED BY A PHYSICIAN OR RN and STAMPED BY THE OFFICE:

Status of Child’s Health:         ________ Satisfactory         ________ Other

_______________________________________________________________________________________

_______________________________________________________________________________________

Allergies _______________________________________________________________________________

List any known conditions under treatment:
_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________
Signature of Physician or RN                                Date

_______________________________________________________________________________________
Physician’s Address                                         Phone

Office Stamp
WORD OF LIFE CHRISTIAN ACADEMY

                                           Financial Agreement
                                                2019-2020

I, ________________________, do hereby contract with Word of Life Christian
Academy for my child(ren).
Child’s Name __________________                       Birth Date ______________

Child’s Name __________________                       Birth Date ______________

Child’s Name __________________                       Birth Date ______________

Total # of children enrolled _______________________

Child(ren) will begin on _____________

                                          Payment Schedule
Annual Registration $ ____130.00___________

Annual Spirit Pack Fee $ ___60.00___________ Due October 1st

Annual Graduation Fee $ ___40.00___________ Due December 1st

Total Weekly Tuition $ ____________________

I would like the following payment schedule:
       _____ 5 Full Days                _____ Monday
       _____ 5 Half Days                _____ Tuesday
       _____ 3 Full Days                _____ Wednesday
       _____ 2 Full Days                _____ Thursday
                                        _____ Friday
             (please initial at the beginning of each statement after you have read and understand them)

_____I agree that the fees for all services are due in advance, or on the day that service is provided,
and that the following policies are in effect at that time. This agreement is not an all-inclusive list of all
school policies, and I am responsible for reading and adhering to all polices outlined in the Word of
Life Christian Academy Pre-School Parent Handbook.
_____I agree that weekly tuition fees do include days when school is not in session with the
exception to the following weeks:
ACSI Teacher Convention and Thanksgiving Break, Christmas Break, and
Easter Break.
                                                    Over
_____I agree that an annual registration fee, which is NON-REFUNDABLE and NON-
TRANSFERABLE unless my child is refused enrollment by the administration is due at the time of
registration. The fee must be paid at the time of enrollment for the upcoming school term to assure
my child’s space in his/her class.
_____I agree that vacation credit (half tuition) will be applied to school tuition for two weeks a year
only and only for full-time enrolled students.
_____I agree that sick credit (half tuition) will be applied to school tuition for one week a year only and
only for full-time enrolled students.
_____I agree that tuition is paid on the FIRST school day of the week, to WLCA with no deductions
for absences and/or daily holidays and that a $5.00 per day late fee will be added to my account until
payment is made.
_____I agree that a $5.00 fee will be added to my account for every time my child is not signed in
and/or out for the day.
_____I agree that WLCA can and will legally refuse service on the first day of the third week that
tuition and late fees are not paid.
_____I agree that should a check be returned, a penalty of $25.00 per returned check will be added
to my account. After two checks have been returned due to non-sufficient funds, I will be required to
make all future payments, (tuition and otherwise) by money order or cashiers check only, for the rest
of my child’s tenure at WLCA.
_____I agree that WLCA does not accept cash payments over $100. If it is necessary for me to
make a large cash payment it will never be put in the tuition box nor handed to the receptionist. Only
the office manager and/or the account manager can receive large cash payments and a hand written
receipt must be given at the time of the money transfer. If this policy is not adhered to I will assume
responsibility for that misplaced cash payment.
_____I agree that the tuition rate is subject to increase at the beginning of each new school term.
_____I agree that if my child is withdrawn before the school term ends, there will be no transfer or
refund of tuition or registration fees.
_____I agree that if my child is at WLCA and is not picked up by 6:00p.m I will be charged $1.00 per
minute and if he/she is not picked up by 6:30p.m. Juvenile authorities will be contacted to care for my
child(ren).
_____I agree that if I currently have an account at WLCA, the account must be at a zero balance in
order to be considered for re-enrollment for the following school year.
_____I agree that if I currently have an account at WLCA, the account must be at a zero balance in
order to be given any federal tax information.
_____I agree that if I currently have an account at WLCA, the account must be at a zero balance in
order to participate in the end of year school programs and/or graduation program.
_____I agree that if I withdraw my child from WLCA, my balance must be paid in full or my child’s
records will not be released. In the event my account goes to a collection agency, I will be
responsible for all fees incurred, such as a 25% collection agency fee (this fee will be in addition to
my current balance), attorney’s fees, court costs, and any fees the collection agency charges.

1st Financially Responsible Parent/Legal Guardian Signature            Date          Social Security No.

2nd Financially Responsible Parent/Legal Guardian Signature            Date          Social Security No.
WORD OF LIFE CHRISTIAN ACADEMY

                              Automatic Payment Authorization (optional)
                                           2019-2020

Date:
Name:
Address:
City:                                           State:                 Zip Code:
Home Phone:                                              Cell Phone:

Student Name/s:         1)

                        2)

                        3)

                        4)

Please charge my        □ MasterCard □ VISA              □ Discover □ American Express
Card #:                 -               -                -                      CVV#

Expiration Date:                                Billing Zip Code:

Signature:
You must check one
_____ Weekly credit card/debit will take place on the 1st day of each week beginning            ___, 2019.
                                                         st
_____ Monthly credit card debit will take place on the 1 of each month beginning _____________, 2019.
_____Bi-Weekly credit/debit will take place beginning ________________________, 2019.

                   ==========================================================
                                        Terms and Conditions

I authorize weekly/monthly tuition payments only to be automatically debited, I understand I am responsible for
making other payment arrangements for any extended care charges and any other miscellaneous charges to my
school account. All transactions will take place on the first day of the week/month (or the next business day)
unless other arrangements have been made in writing with the Office Manager. Any transactions which cannot
be completed due to insufficient funds/credit amount will result in your account being charged a $25.00 NSF
fee along with all applicable late fees, as outlined in our handbook. All rules for non-payment of tuition will
apply, as outlined in our handbook. This authorization will be valid until you provide the WLCA school office
with written notification.

I have read, understand, and agree to the above terms and conditions.

Signature                                                                               Date
WORD OF LIFE CHRISTIAN ACADEMY

                                                  Information Release
                                                       2019-2020

I understand that the time my child, ________________________________________ is in the
facility, that the director may be asked for information regarding my child.

________ I hearby give permission to release information to official persons only, who identify
themselves, such as schools, health care personnel, welfare or other governmental officials.

________I do not give permission to release information about my child as set forth in the
aforementioned statement. I understand that the Bureau of Services for Child Care has access to my
child’s record as the licensing agent and may view the record upon BSCC facility inspection.

_______________________________________________________________________________
Signature of Parent/Guardian                          Date

                                                                 and------------------------------------------------------------
------------------------------------------------------------------

Parent/Guardian Notification of NRS.178:

I, _______________________________________________, (Parent/Guardian) am aware that I
have the right to request and review any complaints the facility has received within the last 12 months
of my child’s enrollment.

________________________________________________________________________________
Signature of Parent/Guardian                          Date
WORD OF LIFE CHRISTIAN ACADEMY

                                                  Photograph Release
                                                      2019-2020

I understand that during the time my child ______________________________________ is in care
at Word of Life Christian Academy, photographs may be taken and used for the promotion of the
school and/or pre-school classrooms.

I hereby give my permission to release photographs of my child to official persons employed by the
school/church only. I understand that these pictures may only be used for the positive promotion of
Word of Life Christian Academy and Pre-school.

_______________________________________________________________________________
Signature of Parent/Guardian                          Date

-------------------------------------------------------------------   or--------------------------------------------------------------

I DO NOT give permission to release photographs for the aforementioned statement to Word of Life
Christian Academy School and/or Church employees.

_______________________________________________________________________________
Signature of Parent/Guardian                          Date
WORD OF LIFE CHRISTIAN ACADEMY

                                             Biting Policy
                                              2019-2020

Biting is a natural action of toddlers. It is not pleasant for anyone involved in this situation. Toddlers
do not have the verbal skills to express themselves so sometimes they use their hands, feet and teeth
to communicate. This is not a normal behavior for Pre-School aged children and will not be tolerated
with this age group.

Please know it is our goal at Word of Life Christian Academy to have the safest facility possible. We
do our best by having low teacher to child ratios and an age appropriate environment. We don’t want
any child to get hurt in our care, but children do bite and it is possible that your child could get bit or
bite someone at school. The following steps are taken when biting occurs.

      An ice pack will be applied and a lot of love (TLC) is given.
      If the skin is broken, it will be cleaned with water and peroxide and parents of both children will
       be called. Some doctors like to see the child if the skin is broken.
      We will evaluate the situation to find out why this happened.
      The caregiver will stay close to the biting child because of the tendency to bite.
      If the biting occurs again the parent of the biting child will be called into a meeting with the
       director. We will try to find a solution or the child will have to leave our school for the safety of
       the whole group. It is our goal to do everything we can to solve the situation and not have the
       child leave our school.

_______________________________________________________________________________
Parent/Guardian Signature                             Date
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