NEW HORIZON’S CHILD DEVELOPMENT CENTER

Steps to Enrollment Process

1. Complete Application and Email to cathy.hoffman@keysschools.com or bring to the school in person.

2. Complete Parent Contract and Email to cathy.hoffman@keysschools.com or bring to the school in person.

3. Necessary Documents Include:

Completed Application

Completed Parent Contract

Immunization Record

School Health Physical

Birth Certificate

Social Security Card

Big Pine Academy

Enrollment Application

Student Information: Entering Grade: _____ Date of Enrollment:

Date of Birth: Sex:

SS#: ____________________________ Place of Birth:

City, State

Full Name:

Last First Middle Nickname

Child’s Address:

Family Information: Child Lives With:

Mother’s Name: Father’s Name:

Address: Address:

Home Phone: Home Phone:

Employer: Employer:

Address: Address:

Work Phone: Work Phone:

Cell#: Cell #:

E-mail address: E-mail address:

Family moved into Monroe County for first time: Month Year

Child first entered school in Monroe County: Month Year

School last attended: School address:

Medical Information:

I hereby grant permission for the staff of this facility to contact the following medical personnel to obtain emergency medical care if warranted for my child.

Doctor: Address: Phone:

Dentist: Address: Phone:

Hospital Preference:

Contacts: (Mandatory)

Child will only be released to the custodial parent or legal guardian and the persons listed below. The following people will also be contacted and are authorized 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:

Name Address Work# Home#

Custody: Mother: _______ Father: _______ Both: _______ Other: _______

Special Needs:

Special Notations:

Medical Conditions:

Student Disclosures: Under Florida Statutes 232.0205, and district procedures, parents/guardians are required to note a student’s previous school expulsions, arrests resulting in a charge, and juvenile justice actions against the student. Please explain any expulsions, arrests or juvenile actions:

By signing below, you verify that all information on this form is complete and accurate; also, you fully understand and acknowledge that should any of this information change, that it is your responsibility to immediately notify the school in writing of any and all updates.

Signature of Parent Date

BIG PINE ACADEMY PARENT CONTRACT

The parent(s)/guardian(s) of _________________________ have read and agree to abide by the following:

WHEREAS, the undersigned parent(s)/guardian(s) has made a personal decision to enroll my child(ren) at Big Pine Academy in order to provide my child with a unique educational opportunity;

WHEREAS, my desire and decision to enroll my child at Big Pine Academy is based upon my desire to become an active partner in the education of my child; and

WHEREAS, I recognize that Big Pine Academy is a public charter school of choice not entitlement;

NOW THEREFORE, in consideration of the foregoing;

As a parent of a student at Big Pine Academy, my commitment is to abide by the following rules and regulations adopted by the Board of Directors:

A. To recognize and embrace my role as having primary responsibility for the education of my child.

B. To supply all paperwork and documentation requested by Big Pine Academy.

C. To attend all conferences scheduled with any member of the Big Pine Academy staff.

D. To participate in the Parent Volunteer Program, including volunteering 20 hours for one child (10 hours per semester) and 30 hours for two or more children (15 hours per semester), at a capacity that is sensitive to the needs of the school. (See Addendum A)

E. To provide transportation to and from school for my child if he/she is not a bus rider. If I am late picking up my child, I understand that I will be charged for afterschool care at whatever rate is in existence at that time. If my child is continually tardy, I understand that for the benefit of my child’s education, he/she may be required to attend a school that is more accessible for my child.

F. To purchase uniforms for my child from the Big Pine Academy approved supplier and ensure my child abides by the Dress Code of Big Pine Academy. (See Student - Family Handbook)

G. To supply a healthy lunch and snack, either brown bagged or purchased from Big Pine Academy, each school day for my child.

H. To be responsible for timely payment of any fees accrued to my account at Big Pine Academy. Big Pine Academy can and will withhold fee-based services and goods in the event that your account is significantly delinquent.

I. To participate in Big Pine Academy Parent Teacher Organization (PTO) meetings which are scheduled monthly throughout the school year.

J. To ensure that my child abides by the Big Pine Academy Code of Conduct by words and deeds of my own life, regardless of the child’s educational status. (See Student - Family Handbook)

In order to enhance my child’s academic growth, I agree to do the following:

A. Adhere to the Big Pine Academy Attendance Policy and Procedures. (See Student – Family Handbook)

B. To read and use information sent home by the school to keep parents informed of the academic topics to be introduced and studied in the classroom.

C. To provide a suitable time and place within the home for homework.

D. To assist my child in obtaining and regularly using a library card at the Public Library and allow for at least 20 minutes of reading daily.

E. To limit television and video games during the week and allow more time for reading, studying, and family time.

F. To check my child’s homework folder nightly.

G. To ensure that my child researches his or her academic level with deep commitment and enthusiasm for learning.

Big Pine Academy Parent Volunteer Program

All families must participate in the BPA Parent Volunteer Program. This includes volunteering 20 hours for one child and 30 hours for two or more children. Each family must volunteer 10 hours (15 hours for two or more children) before the end of the first semester and again for the second semester. If a family does not complete this requirement they will be billed $10 for every hour not completed. A family may pay a buy-out fee of $200 ($300 for two or more children) at the beginning of the school year instead of completing the required volunteer hours.

Ways to earn volunteer hours include, but are not limited to the following:

*Attending PTO meetings

* Participating in PTO committees

*Assisting at school functions:

Winter Bazaar

Boondocks Fundraiser

Bake Sales

Picture Day

Scholastic Book Fair

Glee Fair, etc.

*Attending classroom celebrations

*Attending field trips or providing field trip supplies and/or transportation

*Volunteering in classrooms (limited opportunities at teacher’s discretion)

*Decorating and/or setting up materials for school functions

I (We) understand that by not fulfilling my contractual obligations to Big Pine Academy and to my child, this will result in my child being suspended or withdrawn and referred to a regular Public School or a private school of the parent’s choice as approved by the Big Pine Academy Board of Directors. I (We) agree to abide by all of the policies and procedures presented in this contract and the Student Family Handbook.

Signature of Parent/Guardian ______________________________ Date ________________

Signature of Parent/Guardian ______________________________Date _________________

Acknowledged by: _______________________________________Date ________________