PublicSchool Registration Form • November 5th, 2024
Contract Type FiledNovember 5th, 2024
Jack and Jill School Registration FormSchool Registration Form • January 20th, 2021
Contract Type FiledJanuary 20th, 2021I/We hereby grant permission for the above-named child, for whom I/We have legal responsibility, to attend the Jack and Jill School Program. I/We give my/our approval for him/her to participate in all Jack and Jill programs and activities. I/We agree to hold harmless, the Jack and Jill School, its employees, volunteers and all others associated with this program for any mishaps/accidents or other incidents resulting from the above child's participation in School. Further, I/We hereby give permission for the Jack and Jill School staff to give my/our child simple first aid when necessary or in the event of a more serious accident, for my/our child to be transported by ambulance to the Frisbie Memorial Hospital to receive emergency medical treatment. I /We also authorize emergency personnel to administer such treatment as is medically necessary and I/we authorize hospital staff to undertake examination and emergency treatment, as warranted, on behalf of my/our child.
Jack and Jill School Registration FormSchool Registration Form • January 25th, 2022
Contract Type FiledJanuary 25th, 2022I/We hereby grant permission for the above-named child, for whom I/We have legal responsibility, to attend the Jack and Jill School Program. I/We give my/our approval for him/her to participate in all Jack and Jill programs and activities. I/We agree to hold harmless, the Jack and Jill School, its employees, volunteers and all others associated with this program for any mishaps/accidents or other incidents resulting from the above child's participation in School. Further, I/We hereby give permission for the Jack and Jill School staff to give my/our child simple first aid when necessary or in the event of a more serious accident, for my/our child to be transported by ambulance to the Frisbie Memorial Hospital to receive emergency medical treatment. I /We also authorize emergency personnel to administer such treatment as is medically necessary and I/we authorize hospital staff to undertake examination and emergency treatment, as warranted, on behalf of my/our child.
Jack and Jill School Registration FormSchool Registration Form • January 25th, 2022
Contract Type FiledJanuary 25th, 2022I/We hereby grant permission for the above-named child, for whom I/We have legal responsibility, to attend the Jack and Jill School Program. I/We give my/our approval for him/her to participate in all Jack and Jill programs and activities. I/We agree to hold harmless, the Jack and Jill School, its employees, volunteers and all others associated with this program for any mishaps/accidents or other incidents resulting from the above child's participation in School. Further, I/We hereby give permission for the Jack and Jill School staff to give my/our child simple first aid when necessary or in the event of a more serious accident, for my/our child to be transported by ambulance to the Frisbie Memorial Hospital to receive emergency medical treatment. I /We also authorize emergency personnel to administer such treatment as is medically necessary and I/we authorize hospital staff to undertake examination and emergency treatment, as warranted, on behalf of my/our child.
Jack and Jill School Registration FormSchool Registration Form • January 25th, 2022
Contract Type FiledJanuary 25th, 2022I/We hereby grant permission for the above-named child, for whom I/We have legal responsibility, to attend the Jack and Jill School Program. I/We give my/our approval for him/her to participate in all Jack and Jill programs and activities. I/We agree to hold harmless, the Jack and Jill School, its employees, volunteers and all others associated with this program for any mishaps/accidents or other incidents resulting from the above child's participation in School. Further, I/We hereby give permission for the Jack and Jill School staff to give my/our child simple first aid when necessary or in the event of a more serious accident, for my/our child to be transported by ambulance to the Frisbie Memorial Hospital to receive emergency medical treatment. I /We also authorize emergency personnel to administer such treatment as is medically necessary and I/we authorize hospital staff to undertake examination and emergency treatment, as warranted, on behalf of my/our child.
Jack and Jill School Registration FormSchool Registration Form • February 7th, 2023
Contract Type FiledFebruary 7th, 2023Sex: M F Name of School/Center Previously Attended: Parent/Guardian's Name: Telephone: Parent/Guardian’s Name: Telephone: Emergency Contact: Emergency Telephone: Child's Physical Limitations:
DEMOGRAPHICSSchool Registration Form • February 26th, 2008
Contract Type FiledFebruary 26th, 2008
Jack and Jill School Registration FormSchool Registration Form • January 20th, 2021
Contract Type FiledJanuary 20th, 2021I/We hereby grant permission for the above-named child, for whom I/We have legal responsibility, to attend the Jack and Jill School Program. I/We give my/our approval for him/her to participate in all Jack and Jill programs and activities. I/We agree to hold harmless, the Jack and Jill School, its employees, volunteers and all others associated with this program for any mishaps/accidents or other incidents resulting from the above child's participation in School. Further, I/We hereby give permission for the Jack and Jill School staff to give my/our child simple first aid when necessary or in the event of a more serious accident, for my/our child to be transported by ambulance to the Frisbie Memorial Hospital to receive emergency medical treatment. I /We also authorize emergency personnel to administer such treatment as is medically necessary and I/we authorize hospital staff to undertake examination and emergency treatment, as warranted, on behalf of my/our child.
Jack and Jill School Registration FormSchool Registration Form • January 20th, 2021
Contract Type FiledJanuary 20th, 2021I/We hereby grant permission for the above-named child, for whom I/We have legal responsibility, to attend the Jack and Jill School Program. I/We give my/our approval for him/her to participate in all Jack and Jill programs and activities. I/We agree to hold harmless, the Jack and Jill School, its employees, volunteers and all others associated with this program for any mishaps/accidents or other incidents resulting from the above child's participation in School. Further, I/We hereby give permission for the Jack and Jill School staff to give my/our child simple first aid when necessary or in the event of a more serious accident, for my/our child to be transported by ambulance to the Frisbie Memorial Hospital to receive emergency medical treatment. I /We also authorize emergency personnel to administer such treatment as is medically necessary and I/we authorize hospital staff to undertake examination and emergency treatment, as warranted, on behalf of my/our child.
DEMOGRAPHICSSchool Registration Form • February 26th, 2008
Contract Type FiledFebruary 26th, 2008
St. Michael School Registration FormSchool Registration Form • September 30th, 2021
Contract Type FiledSeptember 30th, 2021The attendance agreement form on the reverse side of this form lists the options for attending St. Michael Childcare Center. Please review the table on the reverse side of this page for your selections. Once your plan is chosen and you have signed your agreement, you will be responsible to pay the weekly childcare fees associated with the selections you have indicated. If your child is absent one or more days in any given week due to appointment, illness, or other various reasons, your weekly childcare payment will remain the same. Please give the childcare director 2 weeks notice of any attendance agreement changes. Changes to your agreement will require a new attendance agreement form. Parents must complete a “Change of Attendance Agreement” form before your child’s attendance status will be updated. It may take up to two weeks for all changes to be applied.
Jack and Jill School Registration FormSchool Registration Form • February 7th, 2023
Contract Type FiledFebruary 7th, 2023Sex: M F Name of School/Center Previously Attended: Parent/Guardian's Name: Telephone: Parent/Guardian’s Name: Telephone: Emergency Contact: Emergency Telephone: Child's Physical Limitations:
Jack and Jill School Registration FormSchool Registration Form • April 11th, 2018
Contract Type FiledApril 11th, 2018I/We hereby grant permission for the above-named child, for whom I/We have legal responsibility, to attend the Jack and Jill School Program. I/We give my/our approval for him/her to participate in all Jack and Jill programs and activities. I/We agree to hold harmless, the Jack and Jill School, its employees, volunteers and all others associated with this program for any mishaps/accidents or other incidents resulting from the above child's participation in School. Further, I/We hereby give permission for the Jack and Jill School staff to give my/our child simple first aid when necessary or in the event of a more serious accident, for my/our child to be transported by ambulance to the Frisbie Memorial Hospital to receive emergency medical treatment. I /We also authorize emergency personnel to administer such treatment as is medically necessary and I/we authorize hospital staff to undertake examination and emergency treatment, as warranted, on behalf of my/our child.
School Year: 20 - 20School Registration Form • February 16th, 2023
Contract Type FiledFebruary 16th, 2023
Jack and Jill School Registration FormSchool Registration Form • February 7th, 2023
Contract Type FiledFebruary 7th, 2023Sex: M F Name of School/Center Previously Attended: Parent/Guardian's Name: Telephone: Parent/Guardian’s Name: Telephone: Emergency Contact: Emergency Telephone: Child's Physical Limitations:
Jack and Jill School Registration FormSchool Registration Form • February 6th, 2020
Contract Type FiledFebruary 6th, 2020I/We hereby grant permission for the above-named child, for whom I/We have legal responsibility, to attend the Jack and Jill School Program. I/We give my/our approval for him/her to participate in all Jack and Jill programs and activities. I/We agree to hold harmless, the Jack and Jill School, its employees, volunteers and all others associated with this program for any mishaps/accidents or other incidents resulting from the above child's participation in School. Further, I/We hereby give permission for the Jack and Jill School staff to give my/our child simple first aid when necessary or in the event of a more serious accident, for my/our child to be transported by ambulance to the Frisbie Memorial Hospital to receive emergency medical treatment. I /We also authorize emergency personnel to administer such treatment as is medically necessary and I/we authorize hospital staff to undertake examination and emergency treatment, as warranted, on behalf of my/our child.
Jack and Jill School Registration FormSchool Registration Form • February 6th, 2020
Contract Type FiledFebruary 6th, 2020I/We hereby grant permission for the above-named child, for whom I/We have legal responsibility, to attend the Jack and Jill School Program. I/We give my/our approval for him/her to participate in all Jack and Jill programs and activities. I/We agree to hold harmless, the Jack and Jill School, its employees, volunteers and all others associated with this program for any mishaps/accidents or other incidents resulting from the above child's participation in School. Further, I/We hereby give permission for the Jack and Jill School staff to give my/our child simple first aid when necessary or in the event of a more serious accident, for my/our child to be transported by ambulance to the Frisbie Memorial Hospital to receive emergency medical treatment. I /We also authorize emergency personnel to administer such treatment as is medically necessary and I/we authorize hospital staff to undertake examination and emergency treatment, as warranted, on behalf of my/our child.