Common use of Department of Social Services Clause in Contracts

Department of Social Services. The Department of Social Services has the authority (at any time) to interview a Preschool/Pre-K student or staff member, to inspect the facility, to copy student files and/or audit a student’s records or Shalom School’s records, without prior consent. (Authorized by the State of California - California Code of Regulations - Title 22 - Social Services - Division 12 - Child Care Facility Licensing Regulations - Section 101200) Initials Parent Participation: Parent Participation is an important part of Shalom School. You agree to comply with the Parent Participation Program and to contribute at least twenty-five (25) Parent Participation hours (per family) during the school year. Parents who fail to complete their Parent Participation hours must pay Shalom School $15.00 per hour for each hour not volunteered prior to the end of the school year. Initials Authorizations: By initialing below, you grant the following authorizations regarding each student in your household who attends Shalom School: • for that student to participate in school activities both on school grounds and on Shalom School field trips, unless Shalom School is specifically notified in writing to the contrary before the field trip; parents/legal guardians further agree to indemnify and hold the School, its agents, representatives or employees harmless for any injuries or damages sustained by their children while under the care and supervision of the School unless the injuries and damages are the result of willful misconduct or gross negligence. Initials • for that student to be photographed or recorded for use in the Shalom School yearbook. Initials • for that student to be photographed and used in Shalom School recruitment or marketing materials including but not limited to the Shalom School website, social media, or in stories on Shalom School by newspapers, radio and TV stations. Initials Contributions: As in virtually all independent schools, tuition payments cover only about 80% of the actual costs. Shalom School’s Annual Campaign and other fundraising efforts help make up the difference. Therefore, all families at Shalom School are expected to make a meaningful contribution to the Annual Campaign -- meaningful within each family’s means. If you would like to make your commitment now, please inquire in the Shalom School office regarding a contribution form or donate online at xxx.xxxxxxxxxxxx.xxx. Annual Campaign contributions are, generally speaking, tax deductible, but you should consult your tax advisor to confirm that they are deductible for you. Initials Entire Agreement: This Enrollment Agreement supersedes all prior agreements between you and Shalom School regarding the subject matter of this Enrollment Agreement. No provision of this Enrollment Agreement may be modified or waived, except with the express written consent of an authorized representative of Shalom School. The enrollment of each student covered by this Enrollment Agreement is effective upon signature by you and by the authorized representatives of Shalom School. This is a binding agreement, including your obligation to pay Shalom School for tuition, fees, and other charges. In the event of a payment delinquency by you, Shalom School will be entitled to collect reasonable costs of collection, including attorney fees, from you. Initials STUDENT(S) INFORMATION: Name: Date of Birth: Gender: Program or Grade Level: Preschool Program Option: □ Half-day □ Full-day Name: Date of Birth: Gender: Program or Grade Level: Preschool Program Option: □ Half-day □ Full-day Name: Date of Birth: Gender: Program or Grade Level: Preschool Program Option: □ Half-day □ Full-day PARENT/GUARDIAN INFORMATION: Name: Name: Address: Address: City, State, Zip: City, State, Zip: Phone: Phone: Email: Email: PAYMENT OPTION: Please refer to the Program and Payment Option Schedule. All monthly tuition statements will be emailed. Hard copies may be provided by the Business Office upon request. □ □ □ Option 1 – Pay in full by physical check on or before June 1, 2024 – 3% discount applied Option 2 – Pay in full by debit/credit on or before June 1, 2024 – 2% discount applied Option 3 – Monthly installments paid by check or on Procare with debit/credit By signing this agreement, I/we attest that I/we have read, understand and agree to abide by the above terms and conditions, including the obligation to pay Shalom School all charges for tuition and fees, and in all events to be responsible for the financial obligations of my/our child(ren). Parent/Guardian 1 Signature: Date: Parent/Guardian 2 Signature: Date: ACCEPTED: Jilian Bar-or, Head of School

Department of Social Services. The Department of Social Services has the authority (at any time) to interview a Preschool/Pre-K student or staff member, to inspect the facility, to copy student files and/or audit a student’s records or Shalom School’s records, without prior consent. (Authorized by the State of California - California Code of Regulations - Title 22 - Social Services - Division 12 - Child Care Facility Licensing Regulations - Section 101200) Initials Initial(s) Parent Participation: Parent Participation is an important part of Shalom School. You agree to comply with the Parent Participation Program and to contribute at least twenty-five (25) Parent Participation hours (per family) during the school year. Parents who fail to complete their Parent Participation hours must pay Shalom School $15.00 per hour for each hour not volunteered prior to the end of the school year. Initials Initial(s) Authorizations: By initialing below, you grant the following authorizations regarding each student in your household who attends Shalom School: • for that student to participate in school activities both on school grounds and on Shalom School field trips, unless Shalom School is specifically notified in writing to the contrary before the field trip; parents/legal guardians further agree to indemnify and hold the School, its agents, representatives or employees harmless for any injuries or damages sustained by their children while under the care and supervision of the School unless the injuries and damages are the result of willful misconduct or gross negligence. Initials Initial(s) • for that student to be photographed or recorded for use in the Shalom School yearbook. Initials Initial(s) • for that student to be photographed and used in Shalom School recruitment or marketing materials including but not limited to the Shalom School website, social media, or in stories on Shalom School by newspapers, radio and TV stations. Initials Initial(s) Contributions: As in virtually all independent schools, tuition payments cover only about 80% of the actual costs. Shalom School’s Annual Campaign and other fundraising efforts help make up the difference. Therefore, all families at Shalom School are expected to make a meaningful contribution to the Annual Campaign -- meaningful within each family’s means. If you would like to make your commitment now, please inquire in the Shalom School office regarding a contribution form or donate online at xxx.xxxxxxxxxxxx.xxx. Annual Campaign contributions are, generally speaking, tax deductible, but you should consult your tax advisor to confirm that they are deductible for you. Initials Entire Agreement: This Enrollment Agreement supersedes all prior agreements between you and Shalom School regarding the subject matter of this Enrollment Agreement. No provision of this Enrollment Agreement may be modified or waived, except with the express written consent of an authorized representative of Shalom School. The enrollment of each student covered by this Enrollment Agreement is effective upon signature by you and by the authorized representatives of Shalom School. This is a binding agreement, including your obligation to pay Shalom School for tuition, fees, and other charges. In the event of a payment delinquency by you, Shalom School will be entitled to collect reasonable costs of collection, including attorney fees, from you. Initials STUDENT(S) INFORMATION: Name: Date of Birth: Gender: Program or Grade Level: Preschool Program Option: □ Half-day □ Full-day Name: Date of Birth: Gender: Program or Grade Level: Preschool Program Option: □ Half-day □ Full-day Name: Date of Birth: Gender: Program or Grade Level: Preschool Program Option: □ Half-day □ Full-day PARENT/GUARDIAN INFORMATION: Name: Name: Address: Address: City, State, Zip: City, State, Zip: Phone: Phone: Email: Email: PAYMENT OPTION: Please refer to the Program and Payment Option Schedule. All monthly tuition statements will be emailed. Hard copies may be provided by the Business Office upon request. □ □ □ Option 1 – Pay in full by physical check on or before June 1, 2024 – 3% discount applied Option 2 – Pay in full by debit/credit on or before June 1, 2024 – 2% discount applied Option 3 – Monthly installments paid by check or on Procare with debit/credit By signing this agreement, I/we attest that I/we have read, understand and agree to abide by the above terms and conditions, including the obligation to pay Shalom School all charges for tuition and fees, and in all events to be responsible for the financial obligations of my/our child(renInitial(s). Parent/Guardian 1 Signature: Date: Parent/Guardian 2 Signature: Date: ACCEPTED: Jilian Bar-or, Head of School

Department of Social Services. The Department of Social Services has the authority (at any time) to interview a Preschool/Pre-K student or staff member, to inspect the facility, to copy student files and/or audit a student’s records or Shalom School’s records, without prior consent. (Authorized by the State of California - California Code of Regulations - Title 22 - Social Services - Division 12 - Child Care Facility Licensing Regulations - Section 101200) Initials Parent Participation: Parent Participation is an important part of Shalom School. You agree to comply with the Parent Participation Program and to contribute at least twenty-five (25) Parent Participation hours (per family) during the school year. Parents who fail to complete their Parent Participation hours must pay Shalom School $15.00 per hour for each hour not volunteered prior to the end of the school year. Initials Authorizations: By initialing below, you grant the following authorizations regarding each student in your household who attends Shalom School: • for that student to participate in school activities both on school grounds and on Shalom School field trips, unless Shalom School is specifically notified in writing to the contrary before the field trip; parents/legal guardians further agree to indemnify and hold the School, its agents, representatives or employees harmless for any injuries or damages sustained by their children while under the care and supervision of the School unless the injuries and damages are the result of willful misconduct or gross negligence. Initials • for that student to be photographed or recorded for use in the Shalom School yearbook. Initials • for that student to be photographed and used in Shalom School recruitment or marketing materials including but not limited to the Shalom School website, social media, or in stories on Shalom School by newspapers, radio and TV stations. Initials Contributions: As in virtually all independent schools, tuition payments cover only about 80% of the actual costs. Shalom School’s Annual Campaign and other fundraising efforts help make up the difference. Therefore, all families at Shalom School are expected to make a meaningful contribution to the Annual Campaign -- meaningful within each family’s means. If you would like to make your commitment now, please inquire in the Shalom School office regarding a contribution form or donate online at xxx.xxxxxxxxxxxx.xxx. Annual Campaign contributions are, generally speaking, tax deductible, but you should consult your tax advisor to confirm that they are deductible for you. Initials Entire Agreement: This Enrollment Agreement supersedes all prior agreements between you and Shalom School regarding the subject matter of this Enrollment Agreement. No provision of this Enrollment Agreement may be modified or waived, except with the express written consent of an authorized representative of Shalom School. The enrollment of each student covered by this Enrollment Agreement is effective upon signature by you and by the authorized representatives of Shalom School. This is a binding agreement, including your obligation to pay Shalom School for tuition, fees, and other charges. In the event of a payment delinquency by you, Shalom School will be entitled to collect reasonable costs of collection, including attorney fees, from you. Initials STUDENT(S) INFORMATION: Name: Date of Birth: Gender: Program or Grade Level: Preschool Program Option: □ Half-day □ Full-day Name: Date of Birth: Gender: Program or Grade Level: Preschool Program Option: □ Half-day □ Full-day Name: Date of Birth: Gender: Program or Grade Level: Preschool Program Option: □ Half-day □ Full-day PARENT/GUARDIAN INFORMATION: Name: Name: Address: Address: City, State, Zip: City, State, Zip: Phone: Phone: Email: Email: PAYMENT OPTION: Please refer to the Program and Payment Option Schedule. All monthly tuition statements will be emailed. Hard copies may be provided by the Business Office upon request. □ □ □ Option 1 – Pay in full by physical check on or before June 1, 2024 – 3% discount applied □ Option 2 – Pay in full by debit/credit on or before June 1, 2024 – 2% discount applied □ Option 3 – Monthly installments paid by check or on Procare with debit/credit By signing this agreement, I/we attest that I/we have read, understand and agree to abide by the above terms and conditions, including the obligation to pay Shalom School all charges for tuition and fees, and in all events to be responsible for the financial obligations of my/our child(ren). Parent/Guardian 1 Signature: Date: Parent/Guardian 2 Signature: Date: ACCEPTED: Jilian Bar-or, Head of School

Department of Social Services. The Department of Social Services has the authority (at any time) to interview a Preschool/Pre-K student or staff member, to inspect the facility, to copy student files and/or audit a student’s records or Shalom School’s records, without prior consent. (Authorized by the State of California - California Code of Regulations - Title 22 - Social Services - Division 12 - Child Care Facility Licensing Regulations - Section 101200) Initials Parent Participation: Parent Participation is an important part of Shalom School. You agree to comply with the Parent Participation Program and to contribute at least twenty-five (25) Parent Participation hours (per family) during the school year. Parents who fail to complete their Parent Participation hours must pay Shalom School $15.00 per hour for each hour not volunteered prior to the end of the school year. Initials Authorizations: By initialing below, you grant the following authorizations regarding each student in your household who attends Shalom School: • for that student to participate in school activities both on school grounds and on Shalom School field trips, unless Shalom School is specifically notified in writing to the contrary before the field trip; parents/legal guardians further agree to indemnify and hold the School, its agents, representatives or employees harmless for any injuries or damages sustained by their children while under the care and supervision of the School unless the injuries and damages are the result of willful misconduct or gross negligence. Initials • for that student to be photographed or recorded for use in the Shalom School yearbook. Initials • for that student to be photographed and used in Shalom School recruitment or marketing materials including but not limited to the Shalom School website, social media, or in stories on Shalom School by newspapers, radio and TV stations. Initials Contributions: As in virtually all independent schools, tuition payments cover only about 80% of the actual costs. Shalom School’s Annual Campaign and other fundraising efforts help make up the difference. Therefore, all families at Shalom School are expected to make a meaningful contribution to the Annual Campaign -- meaningful within each family’s means. If you would like to make your commitment now, please inquire in the Shalom School office regarding a contribution form or donate online at xxx.xxxxxxxxxxxx.xxx. Annual Campaign contributions are, generally speaking, tax deductible, but you should consult your tax advisor to confirm that they are deductible for you. Initials Entire Agreement: This Enrollment Agreement supersedes all prior agreements between you and Shalom School regarding the subject matter of this Enrollment Agreement. No provision of this Enrollment Agreement may be modified or waived, except with the express written consent of an authorized representative of Shalom School. The enrollment of each student covered by this Enrollment Agreement is effective upon signature by you and by the authorized representatives of Shalom School. This is a binding agreement, including your obligation to pay Shalom School for tuition, fees, and other charges. In the event of a payment delinquency by you, Shalom School will be entitled to collect reasonable costs of collection, including attorney fees, from you. Initials STUDENT(S) INFORMATION: Name: Date of Birth: Gender: Program or Grade Level: Preschool Program Option: □ Half-day □ Full-day Name: Date of Birth: Gender: Program or Grade Level: Preschool Program Option: □ Half-day □ Full-day Name: Date of Birth: Gender: Program or Grade Level: Preschool Program Option: □ Half-day □ Full-day PARENT/GUARDIAN INFORMATION: Name: Name: Address: Address: City, State, Zip: City, State, Zip: Phone: Phone: Email: Email: PAYMENT OPTION: Please refer to the Program and Payment Option Schedule. All monthly tuition statements will be emailed. Hard copies may be provided by the Business Office upon request. □ □ □ □ Option 1 – Pay in full by physical check on or before June 130, 2024 2023 – 3% discount applied Option 2 – Pay in full by debit/credit on or before June 1, 2024 – 2% discount applied no fee charged Option 3 – Monthly installments paid by check or on Procare with debit/credit – will include a 3% fee Option 4 – Monthly installments by check By signing this agreement, I/we attest that I/we have read, understand and agree to abide by the above terms and conditions, including the obligation to pay Shalom School all charges for tuition and fees, and in all events to be responsible for the financial obligations of my/our child(ren). Parent/Guardian 1 Signature: Date: Parent/Guardian 2 Signature: Date: ACCEPTED: Jilian Bar-or, Head of School