Shot Record Verification
I agree that my child attends public school in the state of Texas and that his/her shot record is on file with the school district that they attend.
I agree that I will read and understand the Parent's Handbook.
I give my consent for the names and likeness(photographic, video, and electronic image) of my child to be used in print as distributed by CZA for advertising, training and group activities. If I disagree with the above statement, I will provide a written statement to the director.
I understand that I am responsible for all child care fees and if accounts are not kept up to date late fees will be charged and my child may be removed from the program.
I understand that a non-refundable registration fee will be charged to my account once my registration is reviewed and accepted.
I understand I will be notified at once in case of an accident or illness to my child, and will make arrangements for medical care of my child with physician or hospital of my choice. If I cannot be reached to make the necessary arrangement, or in a critical emergency requiring medical care, I hearby authorize the CZA Afterschool to call 911 and have my child taken to the nearest hospital and contact the physician indicated on the form.