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SONSHINESTATION
SUMMERCONTRACTAGREEMENT2015

BasicPolicies,Procedures,andSchedule:

PleasereviewtheinformationbelowregardingSonShineStationspoliciesandprocedures.

SonShineStationCommitment:
SonShineStationagreestoprovidethechildrenintheircarewitha
quality,ageappropriate,creativeandactivelearningenvironmentbasedonChristianvalues.

BeginningDate:
May2015
EndDate:
August2015

Hours:
6:45am5:30pm

Scheduling:
Inordertoplanforsufficientstaffing,allweeks
shouldbe
scheduledbyMay1,2015.
By
designating
Yes
ontheattendancecontract(page2)youareobligatedtopayforthatweek(s)
becauseofstaffingrequirements.

st
Registration/SupplyFee:
A$45registration/supplyfeeperchildisduebyMay1,2015,orbythe1

ofthemonththatthechildisregisteredforSummerCamp.Thiscoverscurriculumcosts,artsupplies,
and
much
more.

st
Deposit:
A$100depositisduebyMay1,2015,orbythe1
ofthemonththatthechildisregistered
forSummerCampunlesstheamountispaidinfull.Thisdepositwillbedeductedfromthefirst
monthssummertuitionbalance.

WeeklyCost:
Thecostofthesummerprogramis$100perweekperchild.Forotheroptions,please
contactKatieDavis.

WeeklyCostforhalfday:
Halfdayswillbeavailableatacostof$65perweek.

Individualdays:
Individualdayswillbeavailableatacostof$20.00perday
withoneweeknotice
,
$35.00perdaywithoutnotice

pendingspaceavailability.

Individualhalfdays:
Individualhalfdayswillbeavailableatacostof$15perday,
pendingspace
availability.

Refunds/Withdrawals:
Therewillbe
NOREFUNDS

formisseddaysorweeks.Allwithdrawalsfrom
theprogrammustbesubmittedinwritinginordertobereleasedfromtheobligationoftuition,
otherwiseyouwillbeheldresponsibleforthetuitionandapplicablefees.

Payment:
PaymentisdueonthefirstFridayofeachmonthfor
monthly
payment
biweekly
payment
isdueonthefirstandthirdFridayofeverymonth,andweeklypaymentsaredueontheFriday
before
theprearrangedweek.OtherpaymentarrangementsaretobemadewithKatieDavispriorto
paymentsbeingmade.


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LatePayment:
PaymentsareduenolaterthanFridayofthecurrentweek
.
Forinstance,ifyour
childattendsMay2529th,yourpaymentmustbesubmittedbyMay29th.Paymentsnotreceivedon
Fridayaresubjectto

alatepaymentfeeof
$10perweek
.Shouldpaymentsfallmorethan10daysin
arrears,thestudentwillnotbeallowedtoreturnuntilpaymentsarebroughtcurrentanda
reregistrationfeemayapply.

AdvanceNotice:
ArrangementforanindividualdaymustbemadeoneweekinadvancewithKatie
Davis.Ifoneweeksnoticeisnotgiven,thedailycostwillbe$35.00perday.

SnacksandMealtime:
Childrenwillbringororderlunchdaily.Alllunchoptionsareattached.All
snackswillbeprovidedbySonShineStation.Childrenhavetheoptionofbringingoneextrasnackto
SonShineStation.SpecialbirthdaytreatsandothertreatsaretobeprearrangedwithKatieDavis.As
apeanutfreefacility,snacksprovidedarepeanutfreeandallspecialtreatsmustbepeanutfreeand
notmadeinafactorythatprocessesnuts.

Electronics:
Childrenareallowedtobringelectronics(
only
nonpreschoolstudents)butelectronic
timeislimitedthroughouttheday.Electronicsmustbelabeledwitheachchildsnameandplacedin
thedesignatedbineachmorning.SonShineStationisnotresponsiblefordamagesincurredtoany
electronics.

FieldTrips:
Somefieldtripswillinvolveasmallfeewhichwillbecollectedpriortothetrip.
Informationwillbesenthomeinadvance.

Illnesses:
SonShineStationwillnotifytheparent/guardianwheneverthechildbecomesillduring
SonShineStationhours.Theparent/guardianagreestomakearrangementstohavethechildpicked
upfromthefacilityassoonaspossible.PleaserefertotheSonShineStationhandbookforquestions
concerningdifferenttypesofillnessesandwellnesspolicies.

PoolActivities:
SonShineStationwillofferswimminglessonsonspecificdatesgivenbyShannon
Facchina.Inorderforachildtoparticipateinthisactivity,thereleaseofliabilityformonpagenine
mustbecompletedbyaparent/guardianandreturnedtotheSonShineDirector
orthechildwillnotbe
abletoparticipate.


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SUMMERCAMPCONTRACT
AGREEMENT2015
PLEASERETURNTHISPAGEAND
THEFOLLOWINGPAGESTO
KATIEDAVISATSONSHINE
STATION.

Name:______________________

(Tobecompletedbyoffice)

DateReceived:_______________

Paid:_______________________

Contract(forapproval):_______


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SignedAgreementandAttendance

PleaseinsertyourchildsnameandageandindicatewhichweeksyourchildwillbeattendingSonShineStationsSummer
Campbysigning
Yes
or
No
byeachweeklistedbelow.

ChildsName:___________________________Age:______

Yes/No

Week

Date

Comments

May1115

PRESCHOOLONLY

May1822

Preschool&Meck.CoOnly(TBD)

May2529

FirstWeekofSummerCamp!

June15

June812

June1519

June2226

June29July3

Closedat12:00PMonJuly3rd

July610

10

July1317

11

July2024

12

July27July31

13

August37

14

August1014

15

August1721

TuitionPaymentOptions:Foryourconvenienceyoumaychooseoneofthepaymentplans
listedbelow.Pleaseinitialnexttotheoptionthatyouprefer.Ifyouwishtomakechangestothisplan,
pleasecontactKatieDavis.

_____1timepaymentof$________

_____4monthlypaymentsof(Maytotal)$__________,(Junetotal)$_________,
(Julytotal)$_________,(Augusttotal)$__________

_____Biweeklypaymentsof$___________pymtsbeginning______&ending______

_____Weeklypayments(dependingondateslistedincontract)

By signing this contract, I herebyagree toabideby the policiesand procedures outlinedbySonShineStationandsubmitall

paymentsaccordingtothepaymentoptionthatIhaveselectedabove.

Parent/GuardianName(Print)_________________________________________

_____________________________________________________________________________
Parent/GuardianSignature
Date

_____________________________________________________________________________
SonShineDirectorSignature
Date


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EMERGENCYINFORMATION
ANDAUTHORIZATIONFORM20152016

ChildsName:___________________________________

BirthDate:___________

Parents/LegalGuardians:_________________________________________

ContactInformation:

HomeAddress:________________________________________________

HomeTelephonenumber:________________________

Mothersworknumber:________________cellnumber:_____________

Fathersworknumber:_________________cellnumber:______________

Guardiansworknumber:_______________cellnumber:______________

Emergencycontactsifparents/guardianscannotbereached:

Name:_____________________________Home/worknumber:___________________

Name:_____________________________Home/worknumber:____________________

PhysicianInformation:

Physician/ClinicsName:___________________________________________________

Officenumber:___________________________________________

ImportantHealthInformation:

Pleaselistanyandallallergiesyourchildmayhave
:
___________________________________________________________________________________________________
___________________________________________________________________________________________________
__________________________________________

Pleaselistanyinformationyouthinkweshouldknowaboutyourchild:
___________________________________________________________________________________________________
___________________________________________________________________________________________________
__________________________________________


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EMERGENCYPOLICYAND
AUTHORIZATIONFORM20152016

ItisthegeneralpolicyofSonShineStationtotransporttothelocalemergencyroom
anychildwhoisinjuredwhileinourcareandrequiresemergencytreatment.This
authorizationwillallowSonShineStationtoobtainmedicalcareforyourchild.Itwill
alsoallowhospitalization,diagnostictesting,surgicalprocedures,and/orthe
administrationofmedicationstomychildifdeemednecessarybyaphysicianinan
emergencysituation.Wewillfollowthisgeneralpolicyifthepersoninchargejudges
thatadelayinsecuringtreatmentwouldnotbeinthebestinterestsofthechild.I
understandthatthisauthorizationdoesnotreleaseSonShineStationfromthe
responsibilitytoproperlynotifyme(orsomeonedesignatedbyme)assoonpossible
inanemergency.

____
Yes
,Iwanttheaboveprocedurefollowedfor________________________
(Childsname)

Iherebyauthorizethecallingofourfamilyphysician,orifnotavailable,another
licensedphysicianatmyexpensetoprovidewhateveremergencymedicalorsurgical
treatmentisnecessary.

__________________________________________________________________
ParentorLegalguardian
Date

____
No
,Idonotwanttheabovepolicyfollowedfor__________________________
(Childsname)

Ipreferthefollowingprocedure:

__________________________________________________________________
ParentorLegalguardian
Date


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SONSHINESTATIONBLANKETPERMISSIONFORM
FORTRANSPORTATIONANDFIELDTRIPSFOR2015

Igivemychild,

permissionforSonShineStation
andtheirqualifiedstafftotransportmychildtoandfromanyfieldtrip.Iunderstand
thattransportationfortripswillbeeitherbyvan,volunteerdriversorwalking.I
understandthatIwillbenotifiedpriortoanyspecificfieldtriptoinformmeofdates,
time,fees,anddestinations.

_______________.
Parent/guardiansignature
Date


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PERMISSIONTOAPPLYLOTIONS,
OINTMENTS,ANDPOWDERS

Asparentorguardianof_________________________________________,IgiveSonShineStation
permissiontoapplythefollowingselectedprotectiveormedicinalmaterials:
Pleasechecktheitemsyouagreeto.Allparentsandguardiansmustsignatthebottom.
___Sunscreenasneededappliedliberallyforoutdoorplay,fieldtrips,andespeciallyforswimming.
Weusesunscreenoften,butnot100%ofthetimeunlessrequestedbyaparentorguardian.
___Insectrepellent,appliedsparingly,onlywhennecessary.Weuseamoderatestrengthrepellent,
suchasOffSkintastic.Weoftenapplymorerepellenttoclothingthantoskin.Weuseinsect
repellentrarely,butweprefertohavepermissiontouseitwhenneeded.
___AntisepticcreamorointmentsuchasBacitracinforminorcutsandabrasionstoprevent
infectionandtosoothoreasepain.
___Topicalanalgesic,suchasSkeeterStick,toeasepainoritchingfromaninsectstingorbite.
___Petroleumjellyorhandcream,topreventandtreatdryskinonhandsorface.

OTHERIMPORTANTINFORMATION:
_____________________________________________________________________________

_____________________________________________________________________________

______________________________________________________________________________

_______________________________________________________________________________
Parent/GuardianSignature
(Date)


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RELEASEOFLIABILITY
READCAREFULLYTHISAFFECTSYOURLEGALRIGHTS

InexchangeforparticipationintheactivityofswimminglessonsorganizedbyShannonFacchina("ShannonFacchina"),of
613ChapticoRd.,SouthHill,Virginia,23970and/oruseoftheproperty,facilitiesandservicesofShannonFacchina,Iagree
formyselfand(ifapplicable)forthemembersofmyfamily,tothefollowing:

1.Iagreetoobserveandobeyallpostedrulesandwarnings,andfurtheragreetofollowanyoralinstructionsordirections
givenbyShannonFacchina,ortheemployees,representativesoragentsofShannonFacchina.

2.IrecognizethattherearecertaininherentrisksassociatedwiththeabovedescribedactivityandIassumefullresponsibility
forpersonalinjurytomyselfand(ifapplicable)myfamilymembers,andfurtherreleaseanddischargeShannonFacchinafor
injury,lossordamagearisingoutofmyormyfamily'suseoforpresenceuponthefacilitiesofShannonFacchina,whether
causedbythefaultofmyself,myfamily,ShannonFacchinaorotherthirdparties.

3.IagreetoindemnifyanddefendShannonFacchinaagainstallclaims,causesofaction,damages,judgments,costsor
expenses,includingattorneyfeesandotherlitigationcosts,whichmayinanywayarisefrommyormyfamily'suseofor
presenceuponthefacilitiesofShannonFacchina.

4.IagreetopayforalldamagestothefacilitiesofShannonFacchinacausedbymyormyfamily'snegligent,reckless,or
willfulactions.

5.Iconsenttotheparticipationofmy_________________,_________________of_________________,
_________________,inswimminglessons,andagreeonbehalfoftheaboveminortoallofthetermsandconditionsofthis
Agreement.BysigningthisReleaseofLiability,IrepresentthatIhavelegalauthorityoverandcustodyof
_________________.

6.Intheeventofaninjurytotheaboveminorduringtheabovedescribedactivities,IgivemypermissiontoShannon
Facchinaortotheemployees,representativesoragentsofShannonFacchinatoarrangeforallnecessarymedicaltreatment
forwhichIshallbefinanciallyresponsible.ThistemporaryauthoritywillbeginonMay11,2015andwillremainineffectuntil
terminatedinwritingbytheundersignedorwhentheabovedescribedactivitiesarecompleted.Shannon
Facchinashallhavethefollowingpowers:

a.Thepowertoseekappropriatemedicaltreatmentorattentiononbehalfofmychildasmayberequiredbythe
circumstances,includingwithoutlimitation,thatofalicensedmedicalphysicianand/orahospital

b.Thepowertoauthorizemedicaltreatmentormedicalproceduresinanemergencysituationand

c.Thepowertomakeappropriatedecisionsregardingclothing,bodilynourishmentandshelter.

7.AnylegalorequitableclaimthatmayarisefromparticipationintheaboveshallberesolvedunderVirginialaw.

IHAVEREADTHISDOCUMENTANDUNDERSTANDIT.IFURTHERUNDERSTANDTHATBYSIGNINGTHIS
RELEASE,IVOLUNTARILYSURRENDERCERTAINLEGALRIGHTS.

Dated:_________________

Signature:_______________________________________

Name:_________________

Address:_________________
_________________,__________________________________

Incaseofanemergency,pleasecall_________________(Relationship:_________________)at_________________
Ext._________________(Day),or_________________Ext._________________(Evening).