Enrollment Application

Welcome to A Joyful Noise Preschool!

Below are some important forms that need to be filled out in order to process enrollment. If you have any questions, please reach out to us. We look forward to getting to know you and your family.

Contact Us

Admissions Packet

Enrollment Application

Child's Information

Child's Name(Required)
Child's Date of Birth(Required)
MM slash DD slash YYYY
Which School Location Do You Prefer
Please choose which site you prefer, if you choose a specific site you will not be considered for the other site should your choice be full.
Days for Care(Required)
Child's Gender(Required)
Is your child a U.S. citizen?(Required)
MM slash DD slash YYYY

Family Information

Are there special custody provisions?(Required)
If so, then please provide additional documentation.
Mother's Name(Required)
Mother's Address(Required)
Father's Name(Required)
Father's Address(Required)

Behavioral Information

Is your child involved in any special programs or receiving any special services from the school district?
From a private source?
Special Programs/Services

Please complete the following questions using 1 for never and 6 for always.

Our child dresses himself or herself.
Our child uses the bathroom unassisted.
Our child articulates his/her needs.
Our child frequently has opportunity to play with other children.
Our child plays well alone.
Our child initiates and completes self-selected tasks.
Our child completes tasks as directed.

Student Health & Emergency Information

Please name two emergency contacts who will assume temporary care of your child if the primary guardian(s) cannot be reached.
Emergency Contact #1(Required)
Emergency Contact #1 Address(Required)
Emergency Contact #2
Emergency Contact #2 Address
Physician's Address
Dentist's Address
Pharmacy Address
Date of Last Physical

Financial Agreement

The following is a binding agreement between A Joyful Noise Preschool and Childcare Center and the above listed parent/guardian who has elected to enroll the above listed child in the A Joyful Noise Preschool and Childcare Center. First and Last month tuition is due the Friday before your child's first day at A Joyful Noise Preschool and Childcare Center and to save a spot for future start date. Automatic withdrawal from checking/savings account is required for ALL families.
MM slash DD slash YYYY
Non-payment of childcare program fees will result in termination of childcare services. First and last month tuition is due in order to hold/reserve a spot for child. I understand that my weekly payment amount must be made no later than the Friday previous to the week of services rendered.

Billing Information

Name(Required)
Billing Address(Required)
Fee for insufficient funds will be $50.

Your bank account information will be kept private by A Joyful Noise Preschool and will never be shared. This website uses a secure connection (SSL) to guarantee your security.

Late Pick Up Policy

Late pickups are emotionally difficult for children and staff. The time spent waiting to be picked up can seem like an eternity to a child who is wondering why her/his parent or caregiver hasn't arrived. Our dedicated staff may have family responsibilities or children of their own waiting for them, and thus by picking up your child late, you may be making another parent later for their child. Please call 985-4257 if you find yourself in a situation where you will be later. (See late fee pick up schedule).

Our later policy is as follows: AJNP and Childcare Center closes promptly at 5:30pm.

10-15 minutes late $10
15-30 minutes late $15
Anything over 30 minutes is $30

Late fees are payable to A Joyful Noise Preschool and Childcare Center. Payments must be given to a staff member on duty at the time of pickup or they will be automatically billed to your account. Payments must be paid within five business days in order for your child to continue the program.

Termination Notice

A 30 Day written notice must be given to Rachel Chaisson, Director of A Joyful Noise Preschool and Childcare Center. A withdrawal form will be provided and must be used to give such notice. Withdrawal with less than 30 days' notice will still require 4 paid weeks in full.

Deposit

The non-refundable deposit in the amount equal to the first and last months tuition is due with the application to reserve your child's spot. This is applied toward your tuition but is non-refundable.

Late Fee

We, at A Joyful Noise Preschool and Childcare Center, are honored to partner with you as a support in raising your children. A joint venture like ours is highly dependent on good communication and partnership.

We strive to make our services available to you at as low a cost as we possibly can and consequently, most of our expenses are related to staffing. Put simply, failure to pay your weekly invoice puts a tremendous strain on our ability to keep the promises we've made to the dedicated staff that support your children.

Any payment not received by the Friday before the week of service will be considered late and is subject to a late fee of $50. This late balance, in addition to the payment of the late fee, must be cleared up prior to your child returning to A Joyful Noise Preschool and Childcare Center. If your account is not in good standing by then, we will no longer be able to continue your partnership.

We understand that there are rare and unplanned circumstances that may cause temporary financial hardship. In these circumstances, we would encourage you to contact us. We'll work together to submit a written financial plan to the board that works for you and allows us to continue our partnership with your family and our staff.

Parent Agreement & Consent Signature

Parent Handbook Receipt

I have received a copy of the A Joyful Noise Preschool and Childcare Center Handbook. I understand I will be held accountable to these policies.

Waiver

I hereby authorize my child to participate in all of the prescribed activities provided by the A Joyful Noise Preschool and Childcare Center. By my signature and of my own free will, I do hereby agree to indemnify and save harmless A Joyful Noise Preschool and Childcare Center from any and all claims, costs or expenses arising out of any damage sustained to my child or any party I am responsible for.

Medical Emergencies

In an emergency, if the school is unable to reach me, I hereby give consent for medical (or dental) treatment to be given to my child. If the doctor named above cannot be reached, please take my child to the nearest hospital, by ambulance if necessary, for treatment.

Bank Debit Authorization

I authorize A Joyful Noise Preschool and Childcare Center to debit from my checking account, my weekly childcare fees as noted above. This authorization is for an indefinite period of time until changed or terminated in writing. I understand there will be a $50 fee for insufficient funds.

Consent

I give my consent to allow A Joyful Noise Preschool to use photography including my child's picture for publication (i.e. our website, our brochure, newspaper article). I give my consent to include my address, phone numbers and email address in a class list to be given to each family in my child's class. The information provided on this application is accurate and true. I have also read the Policy Manual for A Joyful Noise Preschool and agree to abide by its policies during the duration of my child's time as a student there.

Today's Date(Required)

Emergency Medical Treatment Authorization Form

This form grants temporary authority to a designated adult to provide and arrange for medical care for a minor in the event of an emergency, where the minor is not accompanied by either parents or legal guardians, and it may not be feasible or practical to contact them. This form should accompany the child in the event of off-site trips or emergency relocation of the program.
Minor's Full Legal Name(Required)
Address(Required)
Date of Birth(Required)
Gender
I do hereby state that I have legal custody of the aforementioned Minor. I grant my authorization and consent for A Joyful Noise Preschool and Childcare to administer general first aid treatment for any minor injuries or illnesses experienced by the Minor. If the injury or illness is life threatening or in need of emergency treatment, I authorize A Joyful Noise Preschool and Childcare to summon any and all professional emergency personnel to attend, transport, and treat the minor and to issue consent for any X-ray, anesthetic, blood transfusion, medication, or other medical diagnosis, treatment, or hospital care deemed advisable by, and to be rendered under the general supervision of, any licensed physician, surgeon, dentist, hospital, or other medical professional or institution duly licensed to practice in the state in which such treatment is to occur. I agree to assume financial responsibility for all expenses of such care. It is understood that this authorization is given in advance of any such medical treatment, but is given to provide authority and power on the part of A Joyful Noise Preschool and Childcare in the exercise of his or her best judgement upon the advice of any such medical or emergency personnel.
MM slash DD slash YYYY
This authorization is effective through
Printed Name:
Printed Name:

Permission Form

Child Care Parent/Guardian Permission Form
Section 1. Potentially Hazardous Activities
I hereby grant permission for my child,
Child's Name(Required)
Child's Date of Birth(Required)
to engage in the following potentially hazardous activities while in the care of A Joyful Noise Preschool & Childcare Center:
Walking tours off campus.(Required)
Walking around the nearby area around the campus.
This parental permission form must be updated, signed, and dated by the parent or legal guardian at least annually.
Name
MM slash DD slash YYYY
Section 2. Permission to Take/Use Photographs
Marketing materials, including brochures and online materials(Required)
Classroom and/or programs posting in the childcare program(Required)
Other:(Required)
I understand that my child may be photographed at normal daycare hours, field trips, or activities. I understand that these photographs may be used in promoting childcare services, either in print or on the internet. I agree that this form will remain in effect during the term of my child's enrollment. I UNDERSTAND THAT IT IS MY RESPONSIBILITY TO UPDATE THIS FORM IN THE EVENT THAT I NO LONGER WISH TO AUTHORIZE THE ABOVE USES. I understand that there will be no payment for me or my child' participation.
Name
MM slash DD slash YYYY
Section 3. Permission to Post Information
Allergies my child may have, the necessary precautions, and the necessary treatment in the event of exposure in the childcare program.
Name
MM slash DD slash YYYY