Summer Camp — G.L.A.D HEARTS

PARENT/GUARDIAN

Thank you for selecting

G.L.A.D HEARTS

PLEASE READ, COMPLETE, AND SUMBIT ALL FORMS

PLEASE READ CAREFULLY!!

Pay tuition fees on Monday for the week, unless other arrangements have been made with Ms. Lisa. *NOTE: There will be a $5 late fee for EACH day that tuition is NOT paid.
Pay a late pickup fee of $3 the first minute and $3 every 15 minutes thereafter (this fee is paid because I’m still working with and responsible for your child.) This is to be paid at the time of pickup.
Provide a change of clothes to be left at the summer camp for emergency. (optional)
Allow yourself a few extra minutes upon arrival to inform staff of anything that we need to be aware of concerning your child. Examples: not feeling well, a restless night, a fall, etc.
Parents MUST sign attendance sheet on a daily basis
Parents are responsible for providing lunch each day.

Call if your child is NOT coming.
Call if you are planning to be late or if you are picking up early.
Inform Staff if someone other than designated persons will pick up your child. *NOTE: Your child will NOT be released to anyone who does NOT have proper identification or authorization. (no exceptions)
Provide 2 weeks written or verbal notice BEFORE termination of services.
Provide 2 weeks written or verbal notice when child will be out for family vacation.
Each family is ONLY allowed ONE holding fee for family vacation, etc.

PLEASE COMPLETE!!!

Parent/Guardian

First Name

Last Name

Parent/Guardian

First Name

Last Name

Date

YYYY

I/We have received and read the Rules, Regulations, and Guidelines for G.L.A.D. HEARTS Summer Camp.

I/We will adhere to all of the rules established in the guidelines

I/We understand that not following the guidelines will be valid grounds for dismissal and/or discontinuing services for a period of time.

Child Care Provider

As parents, you can expect:

A safe and nurturing environment which promotes the individual development of children.
Encourage children to become autonomous and enthusiastic learners, providing the, with choices and opportunities to be responsible for themselves, as independently appropriate for their level of development.
Use positive guidance techniques in response to inappropriate behavior facilitate self-control through positive modeling, encouragement, re-direction and setting clear limits

In addition, G.L.A.D HEARTS

Give written notice of termination of services, of all holidays, vacations, personal development days, and other closings at least 2 weeks prior. (This notice excludes sick days, in which parents will be notified as soon as possible)
G.L.A.D Hearts will provide breakfast and PM snack Breakfast 8:30 am - 9:00 am (no breakfast will be served after 9:15)
However, we are not responsible for a substitute provider when site is closed.
We can NOT administer medication if written permission is NOT signed.

PLEASE COMPLETE!!!

Parent/Guardian

First Name

Last Name

Date

YYYY

Have read and discussed all of the above

EMERGENCY CONTACT FORM

Click here for form

Email form to: gladhearts2002@gmail.com

Summer Swimming Activity

Child's Name

First Name

Last Name

Parent/Gaurdian

First Name

Last Name

Date

YYYY

I give permission for my child to swim at Durham Parks and Rec and other various locations

I DO NOT grant permission for my child to swim at Durham Parks and Rec and other various locations

This consent form is for the purpose of: Swimming - recreational

There will be Red Cross certified Life Guards and G.L.A.D. Hearts Staff present at all times. Please give us information regarding your child's water skills: No experience with water, Has been in water with no formal instruction, Has taken the following classes: **Please answer below

Does you child usually wear floatation devices while in water? (This would include water wings)

Any other information you would like to provide?