2017-18 Forza Gulf Coast Child Development Center App

2017-18 Forza Gulf Coast Child Development Center App

GCCAS Form Preview
FORZA Gulf Coast Child Development Center 215 Airport-Pulling Road N. Naples, FL 34104 Three and...
  • CHILD INFORMATION:
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  • Child's Name:
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  • Primary Hours of Care:
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  • FAMILY INFORMATION:

  • MOTHER'S INFORMATION:
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  • FATHER'S INFORMATION:
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  • Your child will only be released to the custodial parent(s) or legal guardians listed below:
  • Others that are authorized to pick up your child:   #1
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  • #2
  • #3
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  • EMERGENCY/MEDICAL INFORMATION & CONTACTS:
  • The following family and/or friends may be contacted in the event of an emergency. Said individuals are permitted to remove the child from the facility in case of illness, accident, or emergency, if for some reason the custodial parent or legal guardian cannot be reached.
  • #1
  • #2
  • #3
  • I hereby grant permission for the staff of this facility to contact the following medical personnel to obtain emergency medical care if warranted:
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  • OTHER AGREEMENTS AND RELEASES:
  • Agreement Upon Termination:
  • I hereby understand that I am required to give written notice of termination. Said notification must be dated and signed the day it is submitted. Without said notification, I realize that I will be responsible for two weeks of payment. An individual notification is required for each sibling that attends the FORZA Gulf Coast Child Development Center (FGCCDC).
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  • Media Release:
  • Taking photographs and videos is a part of our daily routine at FORZA Gulf Coast Child Development Center (FGCCDC). Said media promotes a better understanding of you child's activities and elevates the esprit de corps of all stakeholders. By signing below, you are giving permission to FGCCDC to photograph and video your child. Pictures or recordings may be used FGCCDC, on the web site, and for the purpose of advertising. Please advise us if you are not in agreement with this media release. There is no fee paid to any parent(s) for the use of said photos or recordings.
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  • Medical Care:
  • I authorize FORZA Gulf Coast Child Development Center (FGCCDC) to give consent for any and all of my child's emergency medical care, including CPR and Heimlich maneuver while under the supervision of FGCCDC.
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  • Sunscreen/Insect Repellent:
  • I authorize FORZA Gulf Coast Child Development Center (FGCCDC) to apply sunscreen and insect repellent to my child as needed. I will supply both the sunscreen and insect repellent for my child's use. Said lotions and/or sprays will be labeled and maintained at the school, and utilized when warranted at the discretion of FGCCDC.
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  • Authorization to Administer Syrup of lpecac:
  • FORZA Gulf Coast Child Development Center (FGCCDC) is authorized to administer syrup of lpecac to my child if directed by the Poison Control Center.
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  • Emergency Transportation:
  • I authorize any emergency transportation to transport my child from the center to to nearby hospitals if such a situation would occur.
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  • Ointment & Lotion:
  • By signing below, you are agreeing to supply FORZA Gulf Coast Child Development Center with diaper ointment, hand lotions, and lip ointments. I am also giving the center permission to use these products on my child. We require you to have used these products 24 hours before bringing them to school.
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  • Curriculum & Screening Your Child:
  • FORZA GCCDC has adopted the ELLM/Plus curriculum that is recommended by the State of Florida.  FORZA GCCDC also utilizes supplemental curriculum such as: Beyond Centers & Circle Time Curriculum Series, Creative Curriculum, and the Creative Curriculum. Our VPK curriculum is developmentally appropriate, designed to prepare your child for early literacy, enhance the age-appropriate progress of your child in attaining the state-adopted performance standards, and prepare them for kindergarten based on the statewide kindergarten screening. (Section 1002.67(2)(b), Florida Statutes) Moreover, we will be screening your child via the Teaching Strategies Gold and/or Ages and Stages Program, which was recommended by Dr. Reynolds, who is one of the top Early Childhood Professors in the State. Subsequent to the screening, you will receive the results of said instrument. By signing below you are giving both the GGCCDC staff and director permission to screen your child using the Teaching Strategies Gold and/or Ages & Stages Program.
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  • Thank your for completing our form to enroll your child at FORZA Gulf Coast Child Development Center!   Please click the submit button only once.   You will receive an email confirmation that your form was submitted successfully. Please find additional information online at www.gccas.org    
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