*Uploaded photographs must be less than 10 MB.
** Required fields are marked with an (*).
**If you marked “None of the above” on the previous question, please skip the next two questions and sign below. If you marked any other answer on the question above, please answer the remaining questions and sign below.
Is there any person NOT allowed to pick up your child?
In case of emergency, Excel Kids Academy staff will call 911 and contact the parent/legal guardian and/or emergency contacts listed with Excel Kids Academy.
Please provide Excel Kids Academy with medical personnel contact information to obtain emergency medical care if warranted.
PERMISSION TO EVALUATE PROGRAMS AND TRACK STUDENT PROGRESS
FLORIDA CHILD CARE STANDARDS AND STATUTES
Please read and check each program expectation, and initial each section. By initialing and signing at the bottom, you agree to comply with each requirement.
Your signature below indicates that you have received the items on the Florida Child Care Standards & Statutes, all of the program expectations and that the information on this enrollment form is complete and accurate.
If you are interested in other services funded by The Children’s Trust, please call 211 or visit www.thechildrenstrust.org. For special needs resources for your child, visit www.advocacynetwork.org or www.thechildrenstrust.org/cwd
I give my permission for this information to be submitted to The Children's Trust or 21st Century CCLC for program quality and evaluation purposes. The Children’s Trust and 21st Century provides funding for the program.