PRIME TIME

1 PRIME time BEFORE AND AFTER SCHOOL CHILD CARE CUMBERLAND COUNTY SCHOOLS 1114 Gillespie Street Box 53686 Fayetteville, NC 28306 Fayetteville, NC 28305 (910) 678-2451 Minda Fleishman, Director School Year 2012-2013 Dear Parents, Enclosed you will find information concerning the PRIME time program. Our office hours are Monday through Friday, 8:00 until 6:00 unless otherwise posted. In your packet, you have the following information: REGISTRATION INFORMATION: * Registration Form * Emergency Contact/Pick-Up List * Confidential PRIME time Health Form * Discipline and Behavior Management Policy * PRIME time Permission Form * Parent Handbook Agreement * Photographic/Videotaping Parental Permission * Limits of Confidentiality Form *Immunization records are required for children entering into kindergarten* The above registration information needs to be returned to the PRIME time office before your child begins the program.

2 No child will be permitted to start the PRIME time program unless the registration information is complete. CALENDAR: Each parent/guardian will be given a calendar with payment coupons on the bottom of each month at the time of registration. Payment is due to the PRIME time office by Friday before the week of care. No child will be allowed to attend the program unless payment has been received at our office. Please feel free to drop your payment in the drop slot in the front of our building if you need to make payment after hours. Be sure to include your child s name and child s school with your payment.

3 Check writers should include their driver s license number and home phone number on their check. PRIME time will only furnish a receipt for payment if one is requested. If you would like a receipt, please indicate this on your payment. All participants will receive a tax statement regarding all payments received for 2012 mailed out by January 31, 2013 . As a reminder, only children that are registered for the All Day Care program must pay for all day care days. Children that are registered for the before and after school programs do not have to pay extra for these days.

4 PAYMENT INFORMATION: All programs run on a pre-payment basis. PRIME time is a continuous program. Once you have registered your child for the PRIME time program you must make payment for each week until you delete your child from the program. Payments received at the PRIME time office after Monday of the week of care are considered late and you will be charged a $ late fee. Your child will not be able to attend the program until payment has been received. Payments may be mailed, brought to the PRIME time office during business hours (Monday-Friday 8:00 ) or placed in the drop slot in the front of the building.

5 PRIME time accepts cash, checks, money orders, Visa or Mastercard. Payments can also be made by calling the PRIME time office with your Visa or Mastercard. There will be a $ handling and processing fee for each phone transaction. Phone payments are not accepted after 5:30 OBJECTIVE AND GOALS: PRIME time s objective is to provide a comprehensive before and after school care program for children. Our goals are as follows: To help children develop their fullest potential by focusing on: Physical and recreational skills. Self-awareness, confidence, and feelings of self-worth.

6 Promoting creativity and self-expression. Promoting independence and decision making. Interpersonal relationships. To provide a safe and healthy environment where children can have fun. To support and strengthen the family unit and school relationships by focusing on: Improving communications. Involvement through parents, clubs, and family programs. The PRIME time staff thanks you for allowing us to take care of your child for the school year. While this paperwork may seem excessive to complete for your child please understand that this paperwork ensures that your child will have a safe and enjoyable experience in PRIME time .

7 Please do not hesitate to contact our office if you need additional information. Our number is 678-2451. Sincerely, Minda Fleishman Director Drop forms off: PRIME time 1114 Gillespie Street Fayetteville NC 28306 Registration Form PLEASE PRINT NEATLY Child s Name_____Birthdate_____ Child s Social Security_____ Address _____ City/State/Zip _____ School Attending 12- 13_____Grade_____ Mother s Name_____ Mother s Work Number_____ DL#_____ State_____ Mother s Cell Number _____ Mother s e-mail _____ Father s Name _____ Father s Work Number_____ DL#_____ State_____ Father s Cell Number _____ Father s e-mail _____ Immunization records are required for kindergarten children There will be a $ non-refundable.

8 Non-transferable registration fee per child. Money will only be refunded if the minimum enrollment is not reached at the child s school. Please Choose A Program: ____ Before School Only (begins at 6:30 am) ____ Early After School (child picked up by 3:30 pm) ____ Partial After School (child picked up by 4:30 pm) ____ Regular After School (child picked up by 6:00 pm) ____ Before and Early ____ Before and Partial ____ Before and Regular ____ All Day Care Only/Intersession/Early Release (scheduled teacher workdays) In order for a program to operate, 10 students are needed for the morning or afternoon program.

9 Office Use Only Start Date _____ Teacher s Name _____ Limits of Confidentiality In most cases, your written and signed authorization is required before information concerning your child can be disclosed to individuals outside of Cumberland County Schools PRIME time Before and After School Care. Below are some of the cases in which the law dictates that your signed authorization may not be required in order for Cumberland County Schools PRIME time Before and After School Care to release information: If a Cumberland County Schools PRIME time staff believes that the student is likely to harm himself/herself and/or another person, the staff may take action necessary to protect the student or others by contacting the appropriate authorities or medical provider.

10 If a Cumberland County Schools PRIME time staff has cause to believe that the student has been or may be abused or neglected, the staff is required to make a report to the appropriate state agency. If your records are requested by a valid subpoena or court order, Cumberland County Schools PRIME time must respond. Student s Name _____ Parent/Guardian s Signature _____ Date _____ CONFIDENTIAL PRIME time HEALTH FORM (Please update as conditions change) Student s Name_____ Grade_____ Homeroom Teacher s Name_____ School_____ Address _____ City/State/Zip _____ Parent/Guardian Name (1)_____Home #_____ Cell #_____Work #_____Other #_____ Parent/Guardian Name (2)_____Home #_____ Cell #_____Work #_____Other #_____ Immunization records are required for kindergarten children Dear Parent, In order to best meet your child s needs please provide the following health information.