Application for the 2021-2022 SPANISH Afternoon Club

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For children 5 to 9 years old only.

Email *

What is your child's full name? *

What is your child's gender? *

Female

Male

Child's date of birth: *

Home Address: *

Full name of applicant's father, mother, and/or guardian(s): *

Relationship to child: *

Mother's, father's, and/or guardian's mobile telephone #(s): *

Mother's, father's, and/or guardian's email address(es): *

Does your child have any known allergies? *

Yes - Please inform the school the details.

Name(s) of persons to whom the child can be released and their relationship to the child: *

Name(s) and phone(s) of person(s) to call if parent(s)/guardian(s) can not be contacted: *

No enrollment fee - No contract

September to December Session: $600 January to May Session: $750
For the first class in August parents should turn in tuition covering the Sept to Dec Session. Checks should be made payable to Maracas Montessori and be hand delivered or sent by mail to the school: 12401 Strickland Rd., Raleigh, NC 27613.
If you already have a Tuition Express® account with Maracas you can also submit your payment online.

Emergency authorization

I agree that the childcare operator may authorize the physician of his/her choice to provide emergency care in the event that neither I nor the family physician can be contacted.

SCHOOL STATEMENT

I, as the operator (MARACAS), do agree to provide transportation to an appropriate medical resource in the event of emergency. In an emergency situation, other children in the facility will be supervised by a responsible adult. I will not administer any drug or any medication without specific instructions from the physician or the child’s parent, guardian, or full-time custodian. Provisions will be made for adequate and appropriate rest and outdoor play.
You as the PARENT or GUARDIAN will be required to sign an electronic COVID-19 ATTESTATION and HONOR CODE separately.
Thank you for your understanding.

Electronic signature of mother, father, and/or guardian(s). Please print full name. Your printed name will serve as your electronic signature: *

A copy of your responses will be emailed to the address you provided.

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