2020/2021 Enrollment Application
CHILD'S INFORMATION
Select an option
FATHER'S INFORMATION
Father's Name
Father's Home Address
MOTHER'S INFORMATION
Mother's Name
Mother's Home Address
CHILD'S HEALTH INFORMATION
Please choose all that apply
Please list any susceptibility your child has to illness
Allergies to:
If medical treatment is necessary, please specify
Special health requirements or considerations
FAMILY INFORMATION
Tell us about all the special things your child likes to do with friends and family. In addition, let us know what you see are his or her special interests or giftedness.
Tell us about your family—favorite fun activities or outings, what talents or hobbies, cultural celebrations or events, perspective on parenting—and anything you can think of that would help us get to know you!
Where does your family worship?
Are you a member of a church?
Do you attend regularly or occasionally?
Does child attend regularly?
Please list siblings of child
2020-2021 TUITION AND FEES
Want an earlier start to the year... sign up for JUMP START! August 17 - 28, 8am - 4pm
2 days   $225/both weeks
3 days   $300/both weeks
4 days   $385/both weeks
5 days   $450/both weeks
Regular School Begins August 31
Tuition for Core Day Program
Tuition for Extended Day School Program
Preschool Core Program 9 am - 12 pm
2 days   $2,610/yr. ($290/mo.)
3 days   $3,240/yr. ($360/mo.)
4 days   $3,510/yr. ($390/mo.)
5 days   $3,960/yr. ($440/mo.)
Preschool  12 pm - 4 pm                     OR
Kindergarten 1:30 pm - 4 pm
2 days   $2,610/yr. ($290/mo.)
3 days   $3,240/yr. ($360/mo.)
4 days   $3,510/yr. ($390/mo.)
5 days   $3,960/yr. ($440/mo.)
2 days/wk.   $90 add'l/mo.
3 days/wk.   $150 add'l/mo.
4 days/wk.   $205 add'l/mo.
5 days/wk.   $285 add'l/mo.
Kindergarten Core Program 9 am - 1:30 pm
5 days   $4,950/yr. ($550/mo.)
Schedule varies by classroom
Early Arrival: 8 am - 9 am   $6/day
Lunch Bunch: 12 pm - 4 pm   $6/hour or any portion of an hour. Lunch from home.
Schedule:
12-12:30  Kids BEneFIT
12-1:15 Lunch from home and Library
1:15-2:30 Art Masterpiece, LEGO club or Language & Literacy (Sept-Dec)
STEM, Music and Movement or Language & Literacy (Jan-May)
2:30-4:00 Free Choice Centers
Classes are based on age as of September 1, 2020
TWO-YEARS OLD
Butterflies   2 yrs. 4 mos. - 2 yrs. 11 mos.
Meets 2-3 days
Select Preferred Days
THREE-YEARS OLD
Busy Bees   3 yrs.  - 3 yrs. 8 mos.
Meets 2-5 days
Select Preferred Days
YOUNG PRE-K
Fireflies   3 yrs. 9 mos. - 4 yrs. 4 mos.
Meets 2-5 days
Select Preferred Days
OLDER PRE-K
Inchworms   4 yrs. 5 mos. - 5 yrs. +
Meets 2-5 days
Select Preferred Days
KINDERGARTEN
5 yrs. +   Meets 5 days
CCS Kindergarten complies with AZ Dept. of Education standards for 1st grade entrance and the
AZ Dept. of Revenue for State Tuition Tax Credit.
Registration Fee:   Returning Family - $150, 2nd child $125          New Family - $175, 2nd child $150 
Family Events:          $125/family - Covers the cost of on-site events and field trips for child and family
Missed Snack:           $10
Forgotten Lunch:    $5
Returned Check:     $35
Late Tuition:               $25
 
A registration fee must accompany the Enrollment Application. Applications received through e-mail will not be processed for enrollment until payment is received. The registration fee is non-refundable except as noted in the Refund/Proration Policy. 
When the completed Enrollment Application including immunization record and registration fee is reviewed by CCS, the child will be assigned to a classroom according to their age as of September 1, 2020 on a first-come, first-served basis. Please understand we cannot make classroom assignments exceptions. Once the class is filled, all additional applicants will be placed on a waiting list in the order received. Children not toilet trained by the start of school will be put on a wait list behind those who are already trained or the registration will be refunded according to the following policy:
Refund/Proration Policy
Registration fee will be refunded under the following circumstances:
     •If child is not toilet trained by the first day of school
     •If classroom space is not available by the end of September
     •Relocation
Tuition fees will be prorated under the following circumstances:
     •If child enrolls in school on or after the middle of the month
     •If child withdraws from school and has paid more than one month in advance
PLEASE NOTE: There is no proration of fees due to child's absence, holidays, school breaks or closures. 
Payment: Tuition and fees are due on the first day of each month and considered late after the fifth. Should the fifth fall on a Saturday, Sunday or a holiday, a tuition grace period will be extended to the next school day. A late fee of $25.00 will be assessed if paid after that day.  Please understand that as a non-profit school, we rely on prompt payment to operate. Tuition is considered late if paid after the 5th of the month. Your account will be charged a late payment fee of $25.00. If the account is not paid in full within  30 days of the due date, the family will be notified  that the child cannot attend school until the Director and family establish a payment plan as follows:
     a. Biweekly payments  of the past due amount (dates to be determined) must be made with the balance being paid in full within 30 days. These payments ARE IN ADDITION TO the regular MONTHLY tuition due the 1st of each month. 
     b. If a payment is missed as in (a) above or if the check is returned NSF, the school will notify the family that the child will be dis-enrolled and the account will be sent to collections.
Checks should be made payable to Camelback Christian School. Please leave your payments in the school office or mail them to arrive before the end of the period due. We cannot accept cash payments. Returned (NSF) checks will be charged $35.00 processing fee. Please see the school Director if a financial difficulty occurs. If a child is withdrawn from the school, no proration of the tuition or other fees will be made for any unattended portion of the month. 
Important Notes for Families
• All ages are as of September 1, 2020 to maintain the age groupings as noted
• Additional days may be added during the school year if there is a space in the classroom
• If your child misses a normally scheduled day, we are not able to do makeup days
• Curriculum is developed  and planned specifically for each age group and each child as is needed
• Per state licensing, all children attending CCS must be fully toilet trained and in underpants at the beginning of the school year. Pull ups ar enot allowed 
• Children with special needs will be considered for enrollment on an individual basis
• Because the best care for your child is important to you and us, we'll discuss what accommodations are needed and if we are able to meet those
2020 - 2021 Financial Agreement
If you will be paying by automatic payments through your financial institution, please make sure it is set up so CCS receives payment on or before the dates as noted above.
NOTE: Tution and fees are paid from September 1, through the end of the school year in May. You will receive an invoice around the 20th of each month. It will include any outstanding balance, tuition for the upcoming month and any fees from the previous month. Contact the director in the event of any circumstance that may make payment difficult.
We jointly agree to the Tution and Fees and Refund Policy. We understand the CCS payment policy. Further , we agree to pay Camelback Christian School all monies according to the Tuition and Fee Schedule listed herein and any and all costs of collection. We understand that total tuition and or fees are payable monthly on the first day of each month, beginning September 1, 2020 continuing through May 2021, and that there are no proration of fees except as noted.

Parent or Guardian Signature

Date

Parent or Guardian Signature

Date
2020 - 2021 Parental Permission Form
I AGREE AND GIVE PERMISSION TO the following:
Directory: I/We give permission to CCS to have our name, our child's name, address, home phone, and e-mail address printed in the school directory. This directory is solely for the use of student and staff and is not sold or distributed to others or to any group. If you do not wish to have your information included in the CCS directory do not sign signature box below.
 
 
 
 
 
Field Trip: I/We give permission to CCS for my child to participate in activities that are held on the school/church grounds but are outside the confines of the school's licensed classrooms and playground. This could include the Camelback Bible Church (CBC) Sanctuary building, CBC playfields and courts, other CBC classrooms or walking trips around the CBC grounds. I understand that school will notify me of each occurrence and CCS school staff will accompany my child or the group and will be in state ratios. If you do not wish to have your child participate in these activities, do not sign signature box below.
Photography: I/We give permission to CCS and its representatives and employees the right to use photographs of my child taken at school or during school-related events for use on the CCS preschool website or CCS Facebook page, and I understand that such photos do not have any monetary compensation. Further, these photos are only for lawful purpose such as publicity, illustration, advertising and web content. CCS agrees to not use the name, date of birth, or address of your child or your family. We ask our school families to please be considerate of the privacy of others when taking or posting photos or videos that contain children other than your own. Ask before you post. If you do not wish to have your child photographed, do not sign signature box below.

Your Signature

Your Signature

Your Signature

2020 / 2021 Important Parent Information
Camelback Christian School (CCS) is a ministry of Camelback Bible Church, an Arizona not-for-profit corporation, and is located on the church campus.
Camelback Christian School does not discriminate on the basis of race, color, sex, creed or national origin. 
Children with special needs will be considered on an individual case-by-case basis. Please make an appointment with the Director to discuss your child's needs.
Our state licensing does not allow diaper changing and therefore requires all children attending this school be fully toilet trained, wearing underpants and able to care for his/her own toilet need.s. In addition, state licensing does not allow PULL-UPS during any part of the school day.
August 17 - August 28
 
 
August 27 - Thursday
 
August 28 - Friday
 
 
August 31 - Monday
 
September 26 & 27
Thursday and Friday
JUMP START! 8am - 4pm
Our prequel to preschool
 
Parent Night - 6:45pm - MANDATORY
All Classrooms Open House 9am - 11am
Parent and child
 
Children will begin normal class schedule
MILESTONES Conference
This is another way the school and family connect.
2020 / 2021 ADHS Emergency, Information and Immunization Form
Arizona Department of Health Services
Bureau of Child Care Licensing
Emergency, Information and Immunization Record Card
CDC/SGH# or name:  1536
Sex:
I authorize the following individuals to collect my child from the facility in case of emergency or if I cannot be contacted:
(Pursuant to R9-5-304.B, at least two contact persons are required.)
If Medical care is necessary, call:
Health Care
Provider*
*A Health Care Provider is a physician, physician assistant or registered nurse practitioner.
I hereby give authority to any hospital or doctor to render immediate aid as might be required at the time for his/her health and safety.
In case of injury or sudden illness,
I request that this individual be called first:
The following individual(s) may NOT remove my child from the facility:
Custody papers have been provided and are on file at the facility.
Telephone Authorization Code (optional):
Immunization Information
(a licensee shall attach an enrolled child's written immunization record or exemption affidavit to the enrolled child's Emergency, Information and Immunization Record card.)
For information regarding current immunization requirements go to:
www.azdhs.gov/phs/immun/index.htm or contact the Arizona Immunization Program Office at (602)364-3630.
One of these items must accompany the EIIR card at all times:
Notification of immunizations needed sent to Parent(s) or Guardian(s):
Updated immunizations received and attached:
Medical Information
Is child allergic to food or other substance?
If yes, describe symptoms, name foods or substances to be avoided, and the procedure to follow if reaction occurs:
Is child usually susceptible to infections and if so, what precautions need to be taken?
If yes, list precautions:
Is child subject to convulsions and what should be our procedure if one occurs?
If yes, specify procedure:
Is there any physical condition that we should be aware of and what precautions should
be taken (heart trouble, foot problem, hearing impairment, hernia, etc.)?
If yes, list precautions:
Additional comments:
Other special instructions:
This Emergency Information and Immunization Record Card is accurate and complete, front and back, and was provided by:

Your Signature

G:\Forms\Emergency Information and Immunization Record Card    (9/18)
We're happy to answer any questions you may have about registration and enrollment. Please contact the school office at 602.957.0215

For more information call us: 602.957.0215

We are located in Paradise Valley, AZ

Camelback Christian School