Tree House Academy
List telephone numbers below where parents/guardian may be reached while child will be in care
Child daycare operations are public accommodations under the americans with Disabilities Act (ADA), Title 111. if you believe that such an operation may be practicing discrimination in violation of Title 111, you may call the ADA Information Line at (800) 514 - 0301 (voice) or (800) 514 - 0383 (TTY).
If your child does not attend pre-kindergarten or school away from the child-care operation, one of the following must be presented when your child is
admitted to the child-care operation or within one week of admission.
Texas Administrative Code, Title 40, Chapters 746 and 747, Subchapters L, Discipline and Guidance
We would appreciate it if parents completed this consent form in order to allow their children to be photographed or videoed during special events or normal day
to day activities organized at Tree House Academy. In order for a child to have their photograph taken or be included in any type of video, they must have a
consent form on file at Tree House Academy.
If you do not want to have your child photographed or videoed, please do not hesitate to indicate this in the section below. As well,if you do object, please ensure
that your child/children is/are aware of this.
I understand that I have enrolled my child or children at
,also referred to herein as the “Day Care”. The Day Care has a program whereby web cam’s are in use and my children are under constant streaming video
surveillance that is accessible from the web in accordance with the terms and conditions associated with the Peanut Butter & Jelly, LLC website(also referred to
herein as “PB&J”). By my signature below,I hereby consent to the photographing of myself and/or my minor child(ren) and the recording of my voice and or that of
my child(ren) named above. I agree that these photographs and/or recordings singularly or in conjunction with other photographs and/or recordings singularly may
be used for advertising, publicity, commercial or other business purposes. I further agree that the video footage is the sole property of the above listed facility and
may only be used by them. I agree that I have no rights to any of the video footage or photographs for any reason at any time. The video footage will be used for
internal training and management within the facility. I understand that the term “photograph” as used herein encompasses both still photographs and motion
Since my child/children is/are under the age of 18: I,
,certify that I am the parent/legal guardian of the individual
named above, I have read this release and approve of its terms..
House Academy permission to apply sunscreen to my child,
, for protection from the sun while he/she participates in outdoor activities with Tree House Academy.
, give Tree House Academy permission to apply insect repellent to my child,
, for protection from the insects while he/she participates in outdoor activities with Tree House Academy
Tree House Academy keeps emergency information on file for every child. This information lists the current addresses and phone numbers of family members and at least two other authorized persons who may be called in an emergency when the parents/guardian cannot be reached. Persons expressly denied authorization to pick up the child are also listed. It is essential that names and phone numbers be kept up-to-date. Failure to maintain current phone numbersand address can result in loss of child care services.
The child must remain out of the center until they are symptom free without medication for at least 24 hours or accompanied by a doctor’s note
At Tree House Academy we want to insure the health and safety of all our children, families and staff members. Therefore, Tree House Academy is a nut free
facility and asks that you not bring any nut products of any kind into the building including Chick-fil-a products as they use peanut oil to fry their food in.
Children over the age of two are limited to two hours per day on “Screen Time” which includes television, tablet, computer and Wii activities. Any child under the age of two years is restricted from any screen time.
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