1. No category

OF WESTON
2550 Glades Circle, Weston, FL 33327
PRE-KINDERGARTEN APPLICATION 2015-2016
TODAY’S DATE:__________________
DATE TO START SCHOOL:__________________
CHILD’S NAME:________________________________ DATE OF BIRTH:__________________
PARENT’S NAME(S):____________________________________________________________
ADDRESS:____________________________________________________________________
TELEPHONE NUMBER:______________________E-MAIL:______________________________
School year begins August 24, 2015 and ends June 9, 2016.
(dates subject to change based on County schedule)
Winter Break, Spring Break and Summer Camp are separate programs
not included in the school year fees.
Full School year tuition can be paid in full at the start of the school year and a discount will
be applied. School year tuition can be paid divided into payments based on start dates,
payable on the 2nd day of each month, following the initial first payment.
Details are provided in the Payment Agreement.
There is an annual, non-refundable, non-transferable registration fee;
$220.00 for the Pre-Kindergarten Program
Check your choice of program (s) below
Pre-Kindergarten 4 years old by Sept 1, 2015
___Cambridge Schools Program
___Cambridge Schools Program Bilingual
___Pre-K full day without VPK Certificate
Program Hours
(8:30 – 12:00)
(8:30 – 12:00)
(8:30 – 3:00)
___VPK 3-Hour Program 2015-2016 SCHOOL YEAR
(12:00 – 3:00)
BEFORE AND AFTER SCHOOL PROGRAMS
___ Before School Monday – Friday
___ After School Monday – Friday
(7:00 - 8:30)
(3:00 – 6:00)
I agree to enroll my child in the program(s) checked above _______________________________
Parent Signature
OF WESTON
PRE-SCHOOL APPLICATION 2015-2016
TODAY’S DATE:__________________
DATE TO START SCHOOL:__________________
CHILD’S NAME:________________________________ DATE OF BIRTH:__________________
PARENT’S NAME(S):____________________________________________________________
ADDRESS:____________________________________________________________________
TELEPHONE NUMBER:__________________E-MAIL:__________________________________
School year begins August 24, 2015 and ends June 9, 2016.
(dates subject to change based on County schedule)
Winter Break, Spring Break and Summer Camp are separate programs not included in the
school year fees.
Full School year tuition can be paid in full at the start of the school year and a discount will be applied.
School year tuition can be paid divided into payments based on start dates, payable on the
2nd day of each month, following the initial first payment.
Details are provided in the Payment Agreement.
There is an annual, non-refundable, non transferable registration fee;
$120.00 for the Toddler, Two and Three year old Programs.
TODDLERS 18 Months by Sept 1, 2015
____Monday – Friday
____Monday-Friday
Program Hours
(8:30 – 3:00)
(8:30 – 12:00)
TWOS 2 years old by Sept 1, 2015
____Monday – Friday
____Monday – Friday BILINGUAL
____Monday – Friday
Program Hours
(8:30 – 3:00)
(8:30 – 3:00)
(8:30 – 12:00)
THREES 3 years old by Sept 1, 2015
____Monday – Friday
____Monday – Friday BILINGUAL
____Monday – Friday
Program Hours
(8:30 – 3:00)
(8:30 – 3:00)
(8:30 – 12:30)
*Program offerings are subject to change based on enrollment.
BEFORE AND AFTER SCHOOL PROGRAMS
Before School – 7:00 a.m. – 8:30 a.m.
___ Monday – Friday
After School – 3:00 p.m. – 6:00 p.m.
____Monday – Friday
I agree to enroll my child in the program(s) checked above______________________________
Parent Signature
Board of County Commissioners, Broward County, Florida
HUMAN SERVICES DEPARTMENT
Community Partnerships Division
Child Care Licensing and Enforcement Section
1
CHILD ENROLLMENT INFORMATION
PASSWORD
Name of Child:
First Date of Attendance:
Address:
Sex:
Birth Date:
Preferred Name:
List of Known Allergies:
Special Needs:
Mother
Name:
E-mail:
Home Address:
Phone:
Place of Employment
Name:
Phone:
Address:
Email:
Father
Name:
E-mail:
Home Address:
Phone:
Place of Employment
Name:
Phone:
Address:
Email:
Guardian
Name:
E-mail:
Home Address:
Phone:
Place of Employment
Name:
Phone:
Address:
Email:
Child’s Physician
Office Name:
Email:
Address:
Phone:
May facility consult the above physician if parent/guardian cannot be reached?
1
Yes ☐
No ☐
Revised 11/1/2014
Other persons to be notified in case of illness or accident
Name:
E-mail:
Home Address:
Phone:
Name:
E-mail:
Home Address:
Phone:
Name:
E-mail:
Home Address:
Person(s) permitted to remove child:
Phone:
Mother
Yes ☐
No ☐
Father
Name:
Address:
Relationship:
Phone:
Name:
Address:
Relationship:
Phone:
Name:
Address:
Relationship:
Phone:
Name of Person Enrolling Child (Print)
Yes ☐
No ☐
Signature of Person Enrolling Child
Date of Enrollment
2
Revised 11/1/2014
Cambridge Schools 2015-2016 Parent/Guardian Payment and Policy Agreement and Consent
Child Name:__________________________________________________________________________
Primary Parent/Legal Guardian Name:______________________________________________________
Other Parent/Legal Guardian Name:________________________________________________________
Home Address:________________________________________________________________________
Home Phone:_______________Cell phone #1___________________ Cell phone #2_________________
I/we,____________________________________parent(s) or guardian(s) of _____________________________
do hereby enroll my/our child in the Cambridge School.
This payment and policy agreement and consent form will remain in effect for any time my/our child is enrolled
during Summer Camp 2015, School Year 2015-2016 and/or Summer Camp 2016.
____Registration
Initial
I/We agree to pay Cambridge Schools the non-refundable, non-transferable registration fee of $120.00 for
enrollment in the toddler through the 3 year old program or $220.00 for enrollment in the Pre-Kindergarten program.
This is an annual registration fee and is due at the time of registration. Any circumstances that may lead to reenrolling a child during the same school year will require a new registration form and full registration fee.
____Tuition
Initial
I/We understand that I/we are enrolling our child in an ongoing school year program and tuition fees are payable
either in full. prior to the 1st day of school or can be paid in scheduled payments by the first day of attendance and
following with payments due on the 2nd of each month. Winter, Spring and Summer Camps are separate programs
that require separate registrations and fees. The school year payments remain the same for the months that Winter,
Spring and Summer Camps occur. There is no proration of school year tuition during those months, as the tuition
fee is part of the full school year program.
I/We have received, read and understand the Tuition Fee Schedule.
Payment can be made by check, credit card, debit card, cashier’s check or money order. American Express is not
accepted. When paying by check, please note your child’s name in the memo section. If I/we are enrolling our child
in only the Summer Camp program, Winter Break or Spring Break camps, I/we agree to follow the payment
requirements and due dates described in the camp registration forms.
No refunds or credits are given for any absences due to illness, family vacations, moving or any other
interruptions in attendance.
____Discounts
Initial
 Multiple Child Discount: If two or more siblings attend full time (8:30 – 3:00), the child with the greater
tuition will pay the full amount and a 10% discount will be applied to the lesser tuition of the siblings (not
applicable to Summer Camp, Winter Break, Spring Break or registration fees).
 School Year Paid in Full: If the entire school year tuition is paid in full by the first day of the school year
calendar in August, a 2% discount will be given if payment is made by check or credit card.
 Camp Cambridge Discount: If all weeks of the entire summer camp program are reserved for full time
and paid for in full prior to the first day of camp, a 10% discount will be applied to the tuition fee.
 Discounts do not apply to fees for before school, after school, before camp, after camp, Winter Break,
Spring Break, or any fees other than preschool or summer camp tuition.
Payment and Policy Agreement and Consent
Page 1
___Camp Cambridge®
Initial
Cambridge Schools are closed during County Winter and Spring Breaks. Camp Cambridge is a separate program
offered to preschool and elementary school children during these breaks. Reservation must be made in advance to
attend any of these days.
 There is a $45.00 per day charge for each child to attend these programs
 The hours are 8:30 a.m. to 3:00 p.m. Before and after camp hours will be available for an additional fee.
___Other Fees
Initial
a) Uniforms - I/We acknowledge that Cambridge Schools have a uniform policy. Children must wear a
Cambridge shirt or dress of their choice each day available for sale in our on-site school store. The only
exceptions will be on special dress up days for which parents will be notified in advance, such as Friday
color days, photo days and Halloween.
b) Lunches – Lunch may be brought from home or preordered from our catered lunch service at a cost of
$4.00 per day. Lunch must be ordered and paid for at least by Wednesday in advance of the week needed.
There are no refunds given for absences or cancellations after this time.
___Penalty Fees
Initial
I/We acknowledge that the following penalties shall apply for late payment, late pick up and/or returned checks.
a) $25.00 late payment – any payment made after the 9:00 a.m. on the third business day following
the due date of the tuition payment.
b) $3.00 per minute late pick up after scheduled enrollment hours or closing hours of the school if enrolled
in the after school program.
c) Return check fees: fees shall incur as set forth in Florida Statute 68.064 as amended. Replacement
payment for all returned checks must be made by certified check, or cashier’s check. If two returned
checks are received, all future payments must be made by credit card, certified check or cashier’s check.
____Disenrollment policies.
Initial
I/We understand that if a child is in attendance on the 1st of a month, payment for that month will be due in full.
Tuition payments are due no later than the 8th of each month during the school year or attendance will discontinue
until payment is made and child may be disenrolled from the school. Summer camp fees must be paid in
full according to the payment schedules. If not received by these dates, it will be grounds for disenrollment from
the program. I/We understand that all fees not paid in full shall be subject to collection. I/We understand that there
will be NO refund of registration fees. A child may be disenrolled by Cambridge Schools without prior notice if, in
the sole opinion of Cambridge Schools, it is in the best interest of the child or Cambridge Schools.
____Withdrawal policies
Initial
If a child is in attendance on the 1st of a month, payment for that month will be due in full.
I/We agree to notify the school in writing submitted to the office a minimum of 15 days prior to the first of the
month during the school year and a minimum of 1 week prior to the start of any summer camp reserved week.
Summer camp will require a $30.00 fee to be paid per week for any cancellations made regardless of advanced
notification. I/We understand that there will be NO refund of registration fees.
If a child withdraws and returns to Cambridge Schools during the same school year, payment will be due for the
time missed and a new registration fee must be paid.
Payment and Policy Agreement and Consent
Page 2
____Illnesses or Accidents
Initial
I/we understand that should my child ______________________________become ill or suffer an accident while
she/he is in the care of Cambridge Schools, school staff will first attend to the child’s immediate needs and then will
make reasonable efforts to contact me/us immediately. If the school staff deems it necessary, they are authorized to
seek and obtain medical attention, treatment and service for my/our child through medical services (911).
____Emergency Care
Initial
I/we understand that Cambridge Schools does not provide on-site nurses or medical professionals, nor are there other
emergency medical services available at the school. Only CPR and basic first aid are available until emergency
medical services arrive. Cambridge Schools staff are not trained to provide medical care. I/we will notify the school
in writing of any medical condition, illness, allergies, or other special need that my/our child has. I/we understand that
Cambridge Schools has the right to deny admission, or discontinue attendance if they feel they are not able to safely
care for the child. Cambridge Schools does not discriminate on the basis of disability or any other protected status.
____Severe Weather closing
Initial
I/we understand that in most circumstances, if County Schools close for severe storm warnings or any emergency
situation, Cambridge Schools will also close. At this time, I/we must contact the school and immediately pick up
my/our child, if required. In some circumstances, Cambridge Schools will be open on County School Emergency
Days. It is my/our responsibility to contact the school to verify whether Cambridge Schools will be open. Tuition
refunds will not be given for the days in which the school is closed.
____Family Handbook and “Know Your Child Care Facility Brochure”.
Initial
I/we will receive the Family Handbook prior to my child’s first day of school and sign an acknowledgement stating
I/we have read all policies. I/We have received and read a copy of the “Know Your Child Care Facility Brochure”.
____Behavior Management
Initial
I/we have been advised that Cambridge Schools follow a child-oriented approach to behavior management. This
includes, but is not limited to, such techniques as gentle reminders, ignoring negative attention seeking behavior and
reinforcing the positive with praise and love. Food and fun are not withheld from the children. At no time is corporal
punishment tolerated at Cambridge Schools.
___Mediation
Initial
I/we have been advised and agree that any dispute or claim arising out of or relating to the services provided by
Cambridge Schools shall be submitted to nonbinding mediation prior to the commencement of arbitration, litigation, or
any other proceeding before a trier of fact. The parties agree to act in good faith to participate in mediation and to
identify a mutually acceptable mediator. If a mediator cannot be agreed upon by the parties, each party shall designate
a mediator, and those mediators shall select a third mediator who shall act as the neutral mediator to assist the parties
in attempting to reach a resolution. All parties to the mediation shall share equally in its costs.
____Health Regulations
Initial
I/we understand that the laws and regulations of the State of Florida require all students to have on file before
attending the first day of class, specific records (health, immunization and physical) and required enrollment forms.
Payment and Policy Agreement and Consent
Page 3
____Babysitting Policy
Initial
I/we understand that in an effort to maintain the professional status of Cambridge Schools staff and prevent any
potential conflict of interest, babysitting by center staff members is discouraged. However, should I/we hire any school
staff members for any off-site purposes, including, but not limited to: transportation, private tutoring, instruction,
coaching, swimming lessons, or babysitting care, it must be outside the school premises and with the understanding
that such arrangements and payment for services are solely between me and the school staff member. Cambridge
Schools does not sanction the arrangements, and I/we agree to hold Cambridge Schools harmless from any such
arrangement.
____Photographs/Video Permission
Initial
I/we give permission for my/our child to be photographed and videotaped in the school and during program
functions and field trips. I/we understand that photographs/videos may be taken by school staff or by other
parents/guardians. I/we will be notified if any photos/videos taken by school staff are to be used for public relations
purposes and understand I/we have the right to refuse permission for such use.
___Children’s Confidential File
Initial
I/we understand that information about children is gathered routinely and confidentiality is maintained. Files are
accessible to the Director, Assistant Director, other administration, teachers, social service agencies, legal and
regulatory authorities and other appropriate school personnel as reasonably necessary. I/we also understand that all
necessary forms must be in my child’s folder for him/her to attend school and any changes in the pertinent
information in my/our child’s records must be provided within 5 days of the changes.
____Merger and Amendment
Initial
This Agreement embodies the entire representation, warranties, agreements and conditions in relation to the subject
matter hereof, and no representation, warranties, understandings or agreements, oral or otherwise, in relation thereto,
exist between the parties except as herein expressly set forth. This Agreement may not be amended or terminated
orally, but only as expressly provided herein or by instrument in writing, duly executed by the parties hereto.
I/we have read, understand and agree to the policies stated in this document.
Date: _____________
Child’s Name: ___________________________________________
Signature of Parent/Legal Guardian: _____________________________________________
Print Name: _______________________________________________________________
Relationship to child: ________________________________________________________
Signature of Parent/ Legal Guardian: ____________________________________________
Print Name: _______________________________________________________________
Relationship to child: ________________________________________________________
Payment and Policy Agreement and Consent
Page 4
Child’s Profile 2015-2016
Date: _______________
Child’s Name: _____________________ Date of Birth:_____________
Medical History
Type of Birth: ___Normal ___Premature
____Complications Please explain:_______________________________
_________________________________________________________
Please list any conditions, illnesses, allergies, or special needs that we should
be aware of:
_________________________________________________________
_________________________________________________________
_________________________________________________________
Please list any medications that your child takes on a regular basis:
_________________________________________________________
_________________________________________________________
Please list any special eating habits your child may have._______________
_________________________________________________________
Developmental History
At what age did your child begin to walk?__________________________
How do you comfort your child?_________________________________
What are your child’s favorite activities?__________________________
_________________________________________________________
What language(s) is spoken in your home?__________________________
Do you have any concerns regarding your child’s speech or hearing?_______
If yes, please explain:_________________________________________
_________________________________________________________
Toilet Training
Can your child be relied upon to indicate his/her bathroom wishes?_______
What words does your child use?________________________________
Are there any concerns you have about your child’s toileting?____________
_________________________________________________________
CONTINUE TO COMPLETE THE INFORMATION ON
THE REVERSE SIDE OF THIS FORM
Sleeping
Do you have any specific ways of helping your child go to sleep?__________
_________________________________________________________
What is your child’s current sleeping schedule?______________________
_______________________________________________________
Social Experiences
If there are other children living in your household, please complete the
following:
Name
Age
Gender
Relationship to the Child
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
Please list the names of the adults living in your household
Name
Relationship to the child
_________________________________________________________
_________________________________________________________
_________________________________________________________
What past experiences has your child had playing with other children?
_________________________________________________________
_________________________________________________________
___I do not need to meet with an Administrator to further discuss my
child’s specific needs.
___I do need to meet with an Administrator to further discuss my child’s
specific needs.
Please list any other information, medically or socially about your child that
we should know.
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
__________________________
Parent/Legal Guardian Signature
__________________________
Print Name
Special Snack/Cooking Activity
Permission Slip (2015-2016)
Dear Parents,
At Cambridge Schools as a part of our curriculum and learning activities we have a planned cooking
activity/special snack planned each week. If the classrooms are eating/preparing something other than
what is listed on our snack menu there will be a Home School Connection notice posted for your child’s
classroom. This is an opportunity for families to contribute an ingredient for the activity and/or to let the
teachers know that your child can NOT have something that is listed. The snacks are varied throughout
the school year depending on the curriculum. Here is a list of some of the common ingredients that are
used. This is not a complete list, so it is important that you look at the Home/School Connection that is
listed each week to ensure that your child can participate.
Common ingredients: celery, carrots, broccoli slaw, apples, bananas, strawberries, grapes, cream cheese,
hummus, raisins, crackers, rice cakes, tortilla chips, cheddar cheese, tomatoes, butter, ice cream, yogurt,
blueberries, raspberries, peas, salsa, ketchup, granola, eggs, milk, etc.
In addition there will be some special events during the school year where other food may be served.
I give my child, ________________________________________________, permission to participate in
Special Snack/Cooking Activities and Special Events where food might be served at Cambridge Schools
My child has the following allergies/dietary preferences so they may NOT have the following:
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
Parent’s Signature
Date
Family Insurance Information 2015-2016
Child’s Name: __________________________________
Date of Birth: ____________
Home Phone Number: ______________________
Primary Parent/Guardian’s name: ________________________________
Cell Phone Number: ______________ Work Phone Number: _________________
Other Parent/Guardian’s name: _________________________________
Cell Phone Number: ______________ Work Phone Number: _________________
I/we, the undersigned, have registered my/our child
______________________________________________________________
(Name of child)
To attend Cambridge Schools
(Operated by Knowledge Universe).
____My child will be covered by a Supplemental Student Accident Program (“SAP”)
to reimburse out-of-pocket expenses not otherwise covered by my medical, dental,
or accident insurance. Questions should be directed to the Cambridge Schools
Student Accident Administrator at 1-800-352-4466, prompt 2.
____I’ve/we’ve attached a photocopy of my family insurance identification card.
This policy will cover my/our child in the event of expense being incurred while
participating in any school activities. I/we understand that I/we are responsible for
any and all expenses not reimbursed by the Cambridge SAP for emergency and
medical care of my/our child.
I/we are also aware of day to day risks involved in school activities and will not hold
Cambridge Schools or employees of Cambridge Schools responsible for any injuries
that may be sustained during participation of activities at Cambridge Schools.
I/we have read, signed and understand the Family Statement of Understanding.
________
Date
___________________________
Signature of Primary Parent/Guardian
________
Date
___________________________
Signature of Other Parent/Guardian
___________________
Print Name
___________________
Print Name
Photograph/Video/Film
Permission Form
CENTER NUMBER
085007
EVENT DATE
2015-2016
I give my permission to Knowledge Universe Education LLC, its subsidiaries and affiliates and their
representatives, permittees, contractors and assigns (collectively, and as used in this form,
“Knowledge Universe”) for myself and my child/children to be photographed, videotaped or filmed at
the below-described event. I consent to Knowledge Universe’s use of my or my child’s/children’s
likeness in those media in Knowledge Universe’s publications, promotional and advertising materials
(including third party media outlets) and on any website (whether in their original or an altered form)
for any lawful purpose and acknowledge that those media are the sole property of Knowledge
Universe. I understand and agree that this consent extends to third party media representatives,
permittees, and contractors who photograph, videotape or film at the event.
I waive any right to originals or copies of those media and to inspect or approve the media and their
use by Knowledge Universe. I also, in consideration of my child’s/children’s participating in the event,
(1) waive any claim I or my child/children may have, whether now or in the future, against Knowledge
Universe or any third party relating to their use of the media, including any right to payment, royalty or
any other compensation and (2) release and forever discharge Knowledge Universe from all claims,
demands, and causes of action that I and/or my child/children, our heirs, representatives, executors,
administrators, or any person acting on our behalf or on behalf of our estates have or may have by
reason of this form.
Event: All school related events and activities
Names of Children:
Please check:
____ Yes
____ No
____ In-House Only
Parent/Guardian:
By signing below, I represent that I am at least 18 years old and that I have read this form
and fully understand its contents, meaning and impact.
NAME (PLEASE PRINT)
SIGNATURE
103552-OPS-GEN 5/11 © 2011 Knowledge Universe Education LLC. All rights reserved.
DATE
ORIGINAL – Center
COPY – Parent / Guardian / Employee
SWIM CENTRAL WATER SAFETY EDUCATION
QUESTIONNAIRE
Child Care Program: Cambridge School 2550 Glades Circle, Weston, Fl.
33327
Child’s Name:
Date:
Age:
Parents Address:
Yes
1.
Has your child ever taken swim lessons?
2.
Can your child roll over and float on his/her back?
3.
Can your child swim to the side of the pool?
4.
Have you taken a Community Water Safety Course?
5.
Is anyone in your household certified in CPR?
No
Additional Comments:
Please mail or fax this form to:
SWIM Central
3700 NW 11 Place
Lauderhill, FL 33311
Fax: 954-357-8077
Phone: 954-357-SWIM (7946)
PROVIDERS: You must have documentation that this form has been submitted.
If you faxed this form, write the date you faxed it here:
If you mailed the original form, this one should be a COPY. Write date mailed here:
Revised 11/1/2014
***Health Form Reminder ***
Attendance will not be allowed at any
Cambridge Schools Without The Following
Up To Date Health Forms
ORIGINALS REQUIRED FOR CAMBRIDGE SCHOOLS PRESCHOOL STUDENTS
COPIES ACCEPTED FOR ELEMENTARY STUDENTS
VACCINATION RECORD (FORM DH-680)
THIS FORM MUST NOT BE EXPIRED
AND MUST INCLUDE ALL REQUIRED SHOTS FOR CHILD’S AGE
AND MUST INCLUDE HEPATITIS B SHOTS,
PNEUMOCONJU SHOTS
AND VARICELLA OR VARIVAX VACCINE (CHICKEN POX)
OR DATE OF CHICKEN POX DISEASE
AND
GOOD HEALTH CERTIFICATE (FORM DH 3040)
THIS FORM IS VALID FOR 2 YEARS FROM THE DATE OF
THE LAST PHYSICAL.
THESE FORMS ARE AVAILABLE FROM
A FLORIDA PEDIATRICIAN or www.flshots.com
OUT OF STATE OR COUNTRY FORMS ARE NOT ACCEPTED.
NO CREDITS WILL BE GIVEN TO YOUR ACCOUNT FOR
MISSED DAYS IF YOUR FORMS HAVE NOT BEEN
SUBMITTED TO OUR SCHOOL OR HAVE EXPIRED.
Cambridge School at Weston
SCHOOL TUITION MONTHLY PAYMENT SCHEDULE 2015-2016
TODDLERS
M-F
M-F
Start date
End date
8/24/2015
Sept - May 6/9/2016
Annual tuition August pmt Monthly pmt June pmt
Full day 8:30 a.m. - 3:00 p.m.
1/2 day 8:30 a.m. - 12:00 p.m.
$10,380.00
$9,220.00
$280.29
$248.94
$1,085.99
$964.63
$325.80
$289.39
TWOS
M-F
Full day 8:30 a.m. - 3:00 p.m.
M-F Bilingual F.T. 8:30 a.m. - 3:00 p.m.
M-F
1/2 day 8:30 a.m. - 12:00 p.m.
$10,265.00
$10,600.00
$9,105.00
$277.17
$286.39
$245.82
$1,073.96
$1,108.96
$952.60
$322.19
$332.97
$285.78
THREES
M-F
Full day 8:30 a.m. - 3:00 p.m.
M-F Bilingual F.T. 8:30 a.m. - 3:00 p.m.
M-F
1/2 day 8:30 a.m. - 12:30 p.m.
$10,075.00
$10,430.00
$9,250.00
$272.05
$281.56
$249.74
$1,054.08
$1,091.23
$967.77
$316.23
$327.37
$290.33
PRE-KINDERGARTEN
PreK with VPK
8:30 a.m. - 12:00 p.m.
PreK Bilingual
8:30 a.m. - 12:00 p.m.
PreK without VPK 8:30 a.m. - 3:00 p.m.
$7,890.00
$8,240.00
$10,910.00
$213.04
$222.47
$294.61
$825.48
$862.10
$1,141.44
$247.64
$258.63
$342.43
BEFORE AND AFTER CARE PROGRAMS
Before Care 7:00 - 8:30 a.m.
Monday through Friday
Start date
End date
8/24/2015
Sept - May 6/9/2016
Annual tuition August pmt Monthly pmt June pmt
$300.00
$8.07
$31.39
$9.42
After Care 3:00 p.m. to 6:00 p.m.
Monday through Friday
$1,200.00
$32.39
$125.55
$37.66
Note: Winter Break, Spring Break and Summer Camp are optional programs
that require separate registration and fees. They are not included in the school year fees.
2550 Glades Circle, Weston, FL 33327
ENROLLMENT FORM
VPK 3-HOUR PROGRAM
2015-2016 SCHOOL YEAR
(4 YEARS OF AGE BY SEPTEMBER 1, 2015)
MONDAY – FRIDAY – 3 hours per day
TODAY’S DATE:__________________
DATE TO START SCHOOL:_______________________
CHILD’S NAME:_____________________________________ DATE OF BIRTH:__________________
PARENT’S NAME(S):_________________________________________________________________
ADDRESS:_________________________________________________________________________
HOME PHONE NUMBER:_____________________ WORK PHONE NUMBER:______________________
CELL PHONE NUMBER:______________________ EMAIL:__________________________________
I/we agree to enroll my/our child in the VPK Program for the 2015-2016 school year.
I/we understand that the State VPK Child Eligibility and Enrollment Certificate must be
submitted along with all other Cambridge Schools VPK participation forms, enrollment forms and
medical forms required to attend the school.
AFTER SCHOOL PROGRAM AVAILABLE UNTIL 6:00 P.M.
Check to enroll
___ Monday – Friday
Full School Year Fee Aug pmt.
Sept-May pmts.
$1194.73
$32.39
$125.55
nd
All payments due on the 2 of each month.
June pmt.
$32.39
____________________________
Primary Parent/Legal Guardian Signature
________________________________
Other Parent/Legal Guardian Signature
____________________________
Print Name
________________________________
Print Name
*** Voluntary PreKindergarten ***
Policies for Families Enrolled in the VPK Program
2550 Glades Circle, Weston Fl. 33327 954-217-8566
2015-2016
Child’s Name:______________________________ Parent’s Name:______________________________
These policies are in addition to the Cambridge Schools Family Statement of Understanding and are specific to the State Sponsored VPK
Program.
All parents whose children are participating in VPK at Cambridge Schools must sign an agreement to ensure all policies are understood.
Please read carefully, initial each section and sign.
Families who are participating in the VPK program.

Must be present during the scheduled hours of the program each day to be eligible for the VPK program.

Students will follow the Cambridge Schools VPK calendar and will participate in all VPK activities.
____ Sign In/Out Procedure
Initial
I/we understand that it is State mandated for all families participating in the VPK program to keep accurate attendance records.
Parents and guardians must sign children in and out everyday with their full signature. Payment from the state is based on attendance
records. Appropriate payment is not possible if attendance is not accurately documented. Parents and guardians must sign their first
and last name. No initials are accepted. Signatures must be legible.
PARENTS AND GUARDIANS MUST SIGN IN AND OUT EACH DAY, AT ARRIVAL AND DISMISSAL TIME.
Signing in or out cannot be done in advance of the actual time.
____ Monthly Attendance Verification for Parents
Initial
I/we understand that the State requires Cambridge Schools to document each child’s attendance on a monthly basis. Parents and
guardians will be responsible for signing an Attendance Verification Form at the end of each month. The forms will be available at the
front desk, ready to be signed on the last school day of each month. THIS FORM MUST BE COMPLETED EACH MONTH. Parents and
guardians must sign with their first and last name. No initials are accepted. All signatures must be legible.
____ Attendance Policy
Initial
I/we understand that if a child does not begin attendance on the first day of the school year, parents or guardians must complete a
Delayed Enrollment Form. Students will not be eligible for the full VPK 540 hours.
____ Absence Policy
Initial
I/we understand that students are expected to attend at least 80% of the VPK Program and are ONLY allowed absences less than or
equal to 20% of the scheduled VPK class time per month. Exceeding the number of days allowed for VPK absences could lead to
withdrawal from the program.
____ Uniform Policy
Initial
I/we understand that Cambridge Schools is a uniform school. A Cambridge Schools shirt or dress is required to be worn every day. Each
school has a clothing store in which you can purchase uniforms. Any shorts or pants are acceptable. Closed toed shoes or sneakers are
required. Sandals, Crocs® and other open toe shoes are not allowed. If a child arrives without the approved uniform, the parent will be
called to deliver the necessary clothing or authorize a purchase for the needed item(s).
____ Late Pick-Ups
Initial
I/we understand that our child must be picked up by the end of his/her scheduled hours or school closing hours for those enrolled in
optional after school or a late pick up fee of $3.00 per minute will be charged.
____Optional Fees
Initial
I/we understand that Parents or guardians are responsible for payment of all optional fees not covered by the VPK Program. This may
include but is not limited to lunches, uniforms, after school and enrichment programs. If payments are not received by due dates, the
provider may discontinue enrollment in the VPK program.
____ Returned Check fees
Initial
I/we understand that all returned checks shall incur a charge as set forth in Florida Statute 68.064 as amended. If two returned
checks are received, all future payments must be made by credit card, certified check or cashier’s check.
____ Behavior Management
Initial
I/we understand that Cambridge Schools follow a child-oriented approach to behavior management. This includes, but is not limited to
techniques such as gentle reminders, ignoring negative attention seeking behavior, redirection, and reinforcing the positive with praise
and love. Food and fun are never withheld from children. At no time is corporal punishment tolerated at Cambridge Schools.
____ Behavior Policies
Initial
I/we understand that children and families are expected to respect all staff, children and materials. If there is a concern about a
child’s behavior, parents will be called and will meet with the Director to plan a course of action. We reserve the right to withdraw a
child when we determine that the program is not appropriate for the child or the family. If a VPK family has a concern, the Director’s
door is always open to resolve all concerns. Each case is handled individually.
____ Additional Programs Offered
Initial
I/we understand that Winter Break, Spring Break and Summer Camp Programs are separate from VPK Programs and are available for an
additional fee to all students.
____ Withdrawal and Disenrollment Policies
Initial
I/we understand that if a child is absent from VPK for five consecutive days, without an excused absence, the child will be automatically
withdrawn from the program. A parent or legal guardian may withdraw a child with or without reason at anytime. A child may be
dismissed by the school at anytime if the family does not comply with the Policies for Families Enrolled in the VPK Program.
I/we have read, understand and agree to the policies of VPK and Cambridge Schools described above and agree to abide by this
agreement.
Date:____________
Child’s Name:_______________________________________
__________________________________
Primary Parent/Legal Guardian (Print Name)
_________________________________
Primary Parent/Legal Guardian Signature
Relationship to child:____________________________________________________________
______________________________________
Other Parent/Legal Guardian (Print Name)
_________________________________
Other Parent/Legal Guardian Signature
Relationship to child: _____________________________________________________________
These policies are subject to change without notice.