Brightside Academy Ohio - Enrollment Application

    GENERAL INFORMATION (This section to be completed by academy)
    PARENT’S INFORMATION
    May we contact you via email?
    CHILD INFORMATION
    Days (Please check)
    CHILD INFORMATION
    Days (Please check)
    CHILD INFORMATION
    Days (Please check)
    CHILD INFORMATION
    Days (Please check)
    PROGRAM/EMPLOYER INFORMATION
    TUITION AND FEE POLICY

    Fees and Co-payments: Private fees and co-payments are due each Monday of the week care is provided. Full weekly payment is due regardless of
    the number of days attended. Payment is not required for holidays and in-service days. There are no vacation days or weeks permitted.

    Non-payment Policy: If paying private, care will be terminated if the client has not paid for two weeks. Pay is based on enrollment not attendance.
    Subsidy client will be reported to their subsidy office for non-payment of weekly co-payments.

    Returned Check Fee: Checks returned for insufficient funds, closed accounts or stopped payments will result in a $35.00 returned check charge. All
    future payments (including the $35.00 charge) will then be required to be made by cash, money order, credit card or certified check.

    Late Fee: There is a $1.00 per minute late fee assessed after the designated closing time per child.

    TAP System: Families must enter their child in/out of the Time, Attendance, & Payment System (TAP) each day upon arrival and
    departure and accompany them to their classroom. Families must review and approve all pending authorizations daily.

    FUNDING INFORMATION
    Funding Type:


    Parent approved schedule:
    Funding Type:
    PRIVATE PAY CLIENTS
    Care Level:
    Child’s Schedule Effective Date:
    Two weeks advance notice needed for changes
    Full-time (FT)/Part-time (PT)
    Monday
    Tuesday
    Wednesday
    Thursday
    Friday
    Week 1: _____
    Week 2: _____
    Week 3: _____
    Week 4: _____

    FT = 5 or more hours a day PT = less than 5 hours a day
    Note: Payments are due each Monday, some months may have 5 weeks
    Average anticipated full-time weekly cost of care (based on four weeks shown above
    Average anticipated part-time weekly cost of care (based on four weeks shown above
    Average anticipated blended weekly cost of care (based on four weeks shown above
    Prepay discounts of 9% are offered for two-week advanced payment.
    ATTENDANCE POLICY

    Children benefit most from our educational programs if attendance is consistent. Their day at Brightside Academy should begin no later than 9:00
    a.m. – when we start the day’s learning plans. If arriving later than a regularly scheduled time, please contact the academy to ensure proper staff is
    kept on site to accommodate your arrival. Families with funded care should utilize the maximum number of hours/days allowed under their plan.

    Tardiness: Late arrivals are disruptive to the learning process. All instruction begins promptly at 9:00 a.m.

    Absences: Please call the academy one hour before your child(ren)’s scheduled arrival time or by 9:00 a.m. to notify the academy
    director/academy management on each day your child(ren) will be absent. Only 10 absent days are allowed per six months of
    attendance as stated by ODJFS. After 10 absent days, children will be dropped from the program. Brightside Academy reserves the right
    to suspend or terminate services for sporadic attendance incongruent with contracted days.

    Vacation: Brightside Academy requires that you notify your academy of vacation dates at least two weeks in advance. Any absence occurred during
    a “vacation” is reported to the funding agency as a non-attended day and will count against the allotted absent days governed by the state.

    Parent/Guardian Acknowledgment: I acknowledge that I understand and agree: 1) I received a copy of the attendance policy; 2) I have read,
    understand and agree to comply with said policy; 3) I understand that failure to do so may result in termination of my child’s eligibility/enrollment.

    All clients must give a 10-day advance notice of withdrawal of services or those days will be invoiced as attended.

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