Foundations Kindergarten Bridge, 2022-2023 Application for Enrollment
Location:  Bellaire United Methodist Church, 4417 Bellaire Blvd.
Contact: Sarah Baker Suminski
School Year: September-May, 2022-2023
School Hours of Operation: M-F; 8:00-2:00
Contact: sarah@foundationsforlearningsuccess.com
713-392-2168
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电子邮件地址 *
Application for Enrollment
Student's Last Name *
Student's First Name *
Student's Birth Date *
Student's Age as of September 1, 2022 *
Current School of Enrollment *
Current Grade of Enrollment *
Parent/Guardian 1 Name *
Parent/Guardian 1 Contact Number *
Parent/Guardian 1 Email Address *
Parent/Guardian 2 Name
Parent/Guardian 2 Contact Number
Parent/Guardian 2 Email Address
Emergency Contact Name *
Emergency Contact Number *
Individuals authorized to pick up your child, in addition to named parents/guardians (TDL or other valid ID will be required at pick-up)
Physician's Name *
Physician's Contact Number *
Insurance Company *
Insurance Company Phone Number *
Insurance Policy Holder *
Insurance Policy Number *
Immunization Requirements: All incoming students MUST be up to date on their immunizations, as defined by the Texas Health Department.  Foundations Kindergarten Bridge School will not accept affidavits or exemptions.  A copy of your child's current immunization record will be required prior to the first day of school. *
必填
Consent for Medical Emergency Treatment
In the event I cannot be contacted during a medical emergency, I give permission for my child to be transported by ambulance to Texas Children's Hospital or other medical emergency center for treatment. I further consent to the disclosure of health information and to the medical, surgical and hospital care treatment and procedures (including, but not limited to, administration of necessary anesthetics, tests, x-ray examinations, transfusions, injections, drugs) to be performed for my child by a licensed physician or hospital when deemed immediately necessary or advisable by the physician to safeguard my child’s health.
*
Release from Liability:  Recognizing that staff will provide constant supervision and will do their best to ensure a safe experience, I understand that accidents may occur from my child’s participation in program activities. By checking this box, I agree to assume this risk and release staff from all liability. *
Photo Release: The applicant hereby gives permission for Foundations to use, without limitation or obligation, photographs or other media that may include the members’ image for training purposes, to promote educational programs, as well as on our private school sharesite for parents/families only. *
Registration:  A one time, non-refundable registration fee of $200 is due with your child's application.                                                                                                                                                                 Within 1 business day of submitting this registration form, you will receive an invoice for registration fee via Quickbooks.  Please note, your child's registration will not be complete until the registration fee has been received.   *
必填
Annual Tuition:  $11,115.00                                                                                                                                              Monthly Tuition Payments:  $1,235.00 (9 months)                                                                                                                          Terms of payment:                                                                                                                                                               -1st months tuition for the month of September will be required up front to confirm enrollment and is non-refundable.                                                                                                                                                                          -You will then be billed on the first of each month beginning September 1, 2022 through April 1, 2023.                                                                                                                                                                                            -Monthly tuition payments are based total annual tuition rate and will not be pro-rated.     *
必填
Foundations Kindergarten-Bridge School is an educational facility.   Hours of operation are 8:00am-2:00pm.  Before and after school care are not available through Foundations, as we are not a childcare facility and are not licensed by the state as such.  Foundations for Learning Success has been exempted from Child Care Licensing through an application process.  (Operation #1734352) *
必填
Once your application for enrollment and registration fee have been received, you will be contacted by administration to complete the enrollment process and confirm registration for the 2022-2023 school year.  Applications will be processed in the order that they are received.   *
必填
How did you hear about us?  Please check all that apply.  We would greatly appreciate your input!  Thank you! *
必填
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