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					     Growing with Christ Tutoring & Athletic Program
Child’s Name____________________________         School
                                                 name/address____________________________
                                                 Time of dismissal________________________
Child’s Age and Date Of Birth (As of August 20, 2012)_____________________________
Parent’s
Name__________________________________
Home                                          Zip Code _____________________
Address__________________________________
_____________________________________________
E-                                           Emergency Name_________________
Mail________________________________________
Cell Phone                                       Emergency Contact _______________
____________________________________

Home Phone
___________________________________
FEES:

DEPOSIT OF $90 DUE TO HOLD SPOT WHICH COVERS THE LAST WEEK OF
PARTICIPATION UNLESS YOU TERMINATE WITHOUT A 2 WEEK NOTICE.

 $90 PER WEEK FOR HOURS BETWEEN 2-6PM with minimal homework help. Additional fees
apply for homework assistance and for one-on-one tutoring.

$105 FOR 1:6 RATIO HOMEWORK HELP

$135 FOR ONE-ON-ONE TUTORING 2 DAYS A WEEK 1 HOUR A DAY

EXTENDED CARE PER WEEK $15 TO EXTEND TO 6:30PM MON-FRI.
TRANSPORTATION- Transportation fees are on a case to case basis.

For basic, full-time aftercare a $10 discount applies for siblings ONLY!!!

Part-time is available for $75 for a minimum of 3 days and additional fees apply for homework
assistance and one-on-one tutoring. NO DISCOUNTS FOR SIBLINGS IF PART-TIME.
Payments are due the Friday before the week your child/children are participating. If payment is not
received a late fee will be added of $30 each day there after and we will not pick up your child until we
receive payment. If a check is returned, the fee is $35. If you fail to inform us that your child is out of
school after 10:00 am the day they are out, you will be charged $25, NO EXCEPTIONS.
WWC will provide free full day care for days schools are closed, except for federal holidays,
Christmas, Spring break and a couple others days (Please see handbook). Spring break week, will
be a flat fee of $175 which includes snacks and drinks. A list of days will be provided at
orientation.
 . After care begins August 22, 2011-June 8, 2012 The hours are 2pm-6pm. Your child will be picked up by Van from
school to New Life Community Church located at 13711 old Annapolis Rd Bowie Md 20720.
If the child is under 8 or 80LBS you must provide a booster seat according to MD state law. You must notify the
school and the camp of the necessary information to allow for pick up to occur. The school will not release them to us
unless you have notified them first. This is your responsibility.


Credit Card Payment: Credit card payments can be made online at our website
www.Hisworldwidecommunity.org
YOU MUST ADD A 2% SERVICE CHARGE TO YOUR PAYMENT IF PAYING BY CREDIT CARD. IF YOU
ARE UNSURE OF THE TOTAL PLEASE CONTACT US AND WE WILL CLARIFY.

*Policies:.DEPOSIT OF $90 IS DUE AS SOON AS POSSIBLE TO HOLD A SPOT.
First payment is due by Aug            13, 2012 for the 1st week of aftercare
Late Fees: If you are late picking your child up, you will be charged $1 per minute after 6:00pm
Refunds: Refunds are going to be given up until August 13, 2012, after that date refunds will not issued. Registration is
non-refundable.

A two week notice is required for canceling Aftercare services.
Our dedicated staff and counselors oversee children at all times.
Children must bring a snack and drink for the aftercare program or they may purchase snacks and drinks at .$50 an
item.
World Wide Community reserves the right to photograph and video record classes for the purposes of advertising, scrap
booking and crafts.
    Your child is registered only when we receive your completed registration form, medical forms, enrollment
 agreement, and deposit mailed to our office: 12923 Marquette Lane, Bowie, MD 20715. If your child was a part of
 Camping with Christ, you do not need to fill out an Emergency form again unless there are changes that need to be
                                                       made.
World Wide Community Enrollment Agreement

Child’s Name: ________________________________. Parent's Name: _________________________________.

Parent's Address: _____________________________. Phone Number: ________________________________.

1. The undersigned parent or guardian (Parent) of the above child agrees to pay World Wide Community the non-refundable,
non transferable fee of $50 for registration per child, no exceptions. There are no discounts other than sibling, which is
$10 and only applies to basic aftercare.

2. The parent understands that time and date for each of the 1week sessions has been pre-determined by the Program and
provided in advance of the parent.

3. The parent understands and agrees that there is no credit or refund for missed or unused sessions and that all fees paid to
the program and all fees are non-refundable and non-transferable.

4. The Parent understands and agrees that the Directors/Teachers of the program have the right to terminate the enrollment of
any child from the program, at any time if the Director/Teacher, in her sole discretion, determines that the continued
attendance of the child in the Program is not in the best interest of the child or the Program, the undersigned acknowledges
and agrees that the student’s enrollment may be terminated for a violation of the rules or regulations of the Program, at the
Program’s sole discretion, without any refund or cancellation of tuition, which the undersigned nevertheless agrees to pay in
accordance with the terms of this contract.

5. The Parent grants the Program and its Events permission to include photographs and videos taken during the sessions and
events, in which his/her child may appear in program literature, informational and /or promotional materials.

6. In the event that the Parent cannot be reached and a situation arises which the Program Director/ Teacher defines as an
emergency, the parent hereby grants permission to the Program Director/Teacher to secure and provide for necessary medical
treatment, including hospitalization.

7. The Parent understands that the Program does not have the services of a nurse or other medical personnel on premises to
administer medication or provide medical treatment. The undersigned acknowledges and agrees that, to the extent that the
student is required to be administered medication during the time that the child is in the program that, non-medical staff
would administer such medication.

8. I/we the Parent of the above child understand that part of the experiences that my/our child will be having may be new to

 my child, and they come with certain risks and uncertainties beyond what my child may be used to dealing with at home or
in his/her school environment. I/we realize that no environment is risk-free, and we are prepared to assume on behalf of our
child, the risk involved in his/her participation in the GROWING WITH CHRIST AFTER CARE program. The Parent
furthermore releases and holds harmless the Program, its agents and employees from all claims, damages or other liability for
injury to the student where such claims, damages, or other liability is not the result of gross negligence by the Program, its
agents, or employees. The Parent further agrees and acknowledges that the Program is not responsible for any medical
expenses for the child.
 __________________________________________             ________________________________________
 Father or Guardian                                     Mother or Guardian
 __________________________________________             ________________________________________
 Signature                                              Signature
 __________________________________________             ________________________________________
 Date______________________________________             Date____________________________________


By signing above, I, the Father, Mother or Guardian listed above permit my child/children to be released from World Wide
Community, Growing with Christ after care program, to the adults listed below.

EACH DAY THAT SOMEONE ELSE BESIDES THE PARENT OR GUARDIAN PICKS THE CHILD UP, THEY
MUST COME IN TO SIGN IN/OUT AND SHOW HIS/HER ID TO AFTER CARE COUNSELOR!
1.________________________________ 2. _________________________ 3._____________________

				
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posted:10/1/2012
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