ࡱ> vyuU -bjbjnn 4Paa%\\\\\ppppT<p+<+>+>+>+>+>+>+$]-0pb+\|||b+\\w+###|\\<+#|<+##VD)@)I[0) (++0+) 0J0)0\)`;#\I3b+b+!+||||0B ": HANOVER ACADEMY TUITION AGREEMENT SUMMER CAMP 2020 OBLIGATION TO EXECUTE AGREEMENT: Parents/Guardians agree that Hanover Academy, Inc. will not reserve a place for _________________________________(students name) unless this agreement is fully executed and received by Hanover Academy, Inc. PAYMENT OF TUITION, COSTS, and FEES: Parents/Guardians agree to pay tuition for the 2020 Summer Camp in accordance with the following schedule: All payments due by the first Monday of each Session. Non-payment will result in Hanover Academy prohibiting continued attendance in future camps. The cost is $175 per week for each 2-week Camp. Please check the Camp(s) your child will be attending ____ June 1st June 12th: Fairy Tale Island ____ June 15th June 26th: Its a Bugs Life ____ June 29th July 10th: Deep Blue Sea and Beyond ____ July 13th July 24th: Amazing Animal Kingdom ___ July 27th August 7th: Sea of Clouds ___ August 10th August 21st: Lego Land EXTENDED CARE POLICY: Camp hours are 9:00a.m.-4:00p.m. We offer extended care before camp begins from 7:00 to 9:00 and after camp ends until 5:45. 45 LATE PICK UP POLICY: Hanover Academy closes promptly at 5:45p.m each evening, (Hanover Academy Time). There is a late fee for ALL CHILDREN who are present at the Academy after 6.00 p.m. The fee is $20.00 for the first 5 minutes and $2.00 per minute thereafter. This money is due and payable immediately to the Hanover Academy staff members who must remain after closing. PHOTOS: As part of the normal course of the day, your childs picture may be taken and subsequently used for school publications, newspaper or television reports or advertising purposes with no additional permission required and no compensation paid. ____________________Parent/Guardian ______________________Parent/Guardian ____________________ Social Security ______________________Social Security ____________________ Date ____________________ Date SUMMER CAMP EMERGENCY INFORMATION The following is the information we need for your child in case of an emergency. A list will be made using this information for summer camp personnel and only those persons on this list will be allowed to pick up your child. If anyone who is not on this list is going to pick up your child, we must have written authorization from you. We can not allow your child to go otherwise, and you will be contacted to pick up your child. Also, please list a phone number where you can be reached if we need to contact you in the event of an emergency or illness, as well as the phone numbers of two alternative contacts if you are unable to be reached. PLEASE RETURN THIS FORM BEFORE THE FIRST DAY OF CAMP The following persons are authorized to pick up my child from Summer Camp. Anyone not on this list CAN NOT pick up my child without written authorization from me. NAME/ADDRESS RELATIONSHIPTO CHILD _______________________________________ _____________________________ _______________________________________ _____________________________ _______________________________________ _____________________________ _______________________________________ _____________________________ Emergency number: ____________________ Name of person at this number______________ Alternative phone #_____________________ Name of person at this number_____________ Parents Signature______________________________ Parents Signature______________________________ Telephone numbers of two others in order that we can call to notify of an emergency or illness. Name/Address____________________________________________ Number_________________________ Name/Address ____________________________________________ Number_________________________ HANOVER ACADEMY SUMMER CAMP RULES AND REGULATIONS AGREEMENT: Hanover Academy agrees to notify the parent/guardian whenever his/her child becomes ill, and the parent/guardian agrees to pick the child up as soon as possible. The parent/guardian authorizes Hanover Academy Summer Camp to obtain immediate medical care if an emergency occurs when he/she cannot be located immediately. Any expenses incurred are the responsibility of the parent/guardian. Medical immunizations records and recent physical must be submitted and be up to date. Medication forms, must be completed and handed into the office before any medication can be administered We cannot accept any child who is ill. Any child who becomes ill will be sent home. Advance written notice must be given if anyone other than those listed on the application form is to pick up your child. ____________________________________ ________________________ Parent or Guardian Date ____________________________________ ________________________ Administrator of Summer Camp Date Date Child Admitted_________________ Date Child Withdrawn________________ *********************************************************************** ________________________________ HAS MY PERMISSION PARTICIPATE IN ALL ACTIVITIES I understand that in the event _________________________ (Name of child) becomes ill or needs medical attention during regular class hours or while participating in school activities that the School will make every effort to contact me and/or the doctor I have designated to be contacted. In the event neither I nor the doctor can be reached, I authorize Hanover Academy to obtain medical assistance for ______________________ (Name of child). I understand and agree that Hanover Academy, its Head of School, teachers and employees or agents shall not be liable for claims of any sort arising from their efforts to obtain such medical assistance. PARENTS/GUARDIANS SIGNATURE Medication in School Per new state regulations which became effective June 1st, 2007, all prescribed medications given at school must have a completed medication consent form that has been signed by both the physician and the parents. Please send all medications in their original containers with the prescription printed on the front as required by State Law. Any medications sent to school without proper identification/prescription will NOT be given. We will require a separate authorization form for each medication. All long-term medication given to students must have an authorization form with doctors notes stating the length of time the student is to take the medication, how and when (example Ritalin give to child every day at 1:00p.m. starting in June and ending in August.) This form has to be signed by the doctor and the parent and updated every six months. For students needing occasional over the counter medications (i.e. for colds, sore throats, etc.) parents may bring the medication to the office and complete the authorization form with the proper dosage information. These medications can only be administered for a maximum of ten days. We are no longer permitted to hold medications for just in case or obtain permission over the phone to give a child any type of medication. Forms may be picked up in the office from the Program Coordinator. All medication that comes into the school must be turned in to the office or Program Coordinator by the parent/guardian. We need everyones cooperation in this matter for the safety and health of the students at Hanover Academy. Parents of Children with allergies: If my child has an allergic reaction because he/she is allergic to ____________________________________, please do the following: ___________________________________ Parents Signature Hanover Academy Summer Camp Program Procedure for Arrival and Departure Our hours of Operation are from 7:00 a.m. until 5:45p.m. Camp Hours are from 9:00 a.m. until 4:00 p.m. Summer Camp The parent/guardian must bring the child into the gym and drop child off being physically present for the Camp Counselor to see and speak to if needed. The staff member will sign the child in upon arrival. When leaving, the parent/guardian or person(s) WITH WRITTEN AUTHORIZATION must be visible and acknowledged by the staff member inside the building for their child to be released. The staff member will also sign the children out, recording the time of departure. If you would like your child to leave our program with another parent this must be put in writing and given to your childs teacher. ALL PERSONS PICKING UP CHILDREN FROM THE PROGRAM MUST BE AT LEAST 18 YEARS OF AGE LATE PICK-UP POLICY FOR ALL CHILDREN: Hanover Academy Program CLOSES at 5:45 p.m. each day. (ALL CHILDREN MUST BE PICKED UP BY 5:45P.M.) There is a late fee for ALL children who are present at the Academy after the closing time of 6:00p.m. (Hanover Academy Time) The fee is $20.00 for the first 5 minutes and $2.00 per minute thereafter. This money is due immediately and payable to the Hanover Academy staff members who must remain after closing. If a child is left in the program after 6:15 p.m. and there is no contact with a parent/guardian, then a member of Hanover Academy Administration will be notified. If the child is still at Hanover Academy at 6:30p.m, Hanover Academy will contact Social Services for further action. 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L^`LhH. ^`hH. ^`hH. PLP^P`LhH.0^`0CJo(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.(Q]37$]\&@ u57`2 YUnzA"'#*d$4&zR)H*T+g/LN2Lp5~6[R7:<i<e>E@BDLcM# PY P$+X`\G]+0a fiJu$zj|e }8 ~eS7E)lXSSXU~k\UD1a F6=BxZ2\X"?eFf8J1XJB$m''Kp'%%@%@UnknownG.[x Times New Roman5Symbol3. .[x Arial7Georgia9TT17Ct005. .[`)TahomaA$BCambria Math"hjgJkd CC%24$$R3QHP?J2!xx, TUITION AGREEMENTfirst4 Ellen Sholar   Oh+'0S , L X d p|TUITION AGREEMENTfirst4NormalEllen Sholar6Microsoft Office Word@H'@Y@8)@$Y[0GLRVT$m )   !1.@Times New Roman--- #2 v0 HANOVER ACADEMY  %2 v0 TUITION AGREEMENT     2 v0    2 v0     2 0 SUMMER CAMP 20   2 0 20   2 0   @Times New Roman---  2 `0     2 H0   @Times New Roman---@"Arial---@Times New Roman---@Times New Roman--------------- 2 00 1. ---  2 >0  "--- :2 `0 OBLIGATION TO EXECUTE AGREEMENT    --- 2 0 :  --- 2  0 Parents/G   2  0 uardians a   2 =0 g 22 D0 ree that Hanover Academy,       0'' 2 `0 Inc.   %2 0 will not reserve     g2 =0 a place for _________________________________(students name)        2  0 unless this    0''------ 52 `0 agreement is fully executed     D2 &0 and received by Hanover Academy, Inc.    ---  2 0    0''  2 00   ------------ 2 00 2. ---  2 >0  "--- 42 `0 PAYMENT OF TUITION, COSTS,        2 a0 and FEES --- +2 0 : Parents/Guardians a   82 /0 gree to pay tuition for the 20 2 0 20  2 0    0'' 2 `0 Summer C    P2 .0 amp in accordance with the following schedule:          2 0    2 0 All payments d     22 O0 ue by the first Monday of        0'' 2 ,`0 each S  2 , 0 ession. Non   2 ,0 -  2 ,0 payment will r    q2 ,?D0 esult in Hanover Academy prohibiting continued attendance in future            0'' 2 >`0 camps.   2 >0    0''---  2 K00   --- 2 ]0 0    2 ]\0 T  2 ]f 0 he cost is $1 2 ]0 75  2 ]0   2 ]0 per  2 ]0   "2 ]0 week for each 2    2 ]Q0 - 2 ]V0 week C    2 ]0 amp   2 ]0 .  2 ]0   ---  2 o00   --- 2 0 0   \2 \60 Please check the Camp(s) your child will be attending       2 0   @Georgia---@Georgia---@Georgia------@Georgia- - - ---------------- - - --- 2 0 0   2 X0   2 `0 ____---  2 0  ---  2 0 J--- 2 0 un  2 0 e 1   2 0 st  2 0    2 0    2 0   2 0 June  2 0 12 --- 2 0 th:- - -   2 *0   %2 -0 Fairy Tale Island     2 0   ---------- - - --- 2 0 0   2 T0    2 \0   2 `0 ____---  2 0   2 0 Ju  2 0 ne   2 0    2 0 1   2 0 5 --- 2 0 th---  2 0    2 0    2 0   2 0 Ju  2 0 ne   2  0   2 0 26 --- 2 "0 th --- 2 10 : - - -  %2 :0 Its a Bugs Life  --- 2  0    2 0   @Times New Roman- - - ------- - - ------ 2 00   2 L0    2 \0   2 `0 ____  2 0  --- 2 0 Ju  2 0 ne   2 0   2 0 29 --- 2 0 th ---  2 0    2 0    2 0   2 0 July   2  0 10 --- 2 0 th---  2 ,0 :---  2 00  - - -   2 30  --- /2 70 Deep Blue Sea and Beyond      2 0   ---------- - - --- 2 0 0   2 T0   2 `0 ____  2 0  --- 2 0 July   2 0 13 --- 2 0 th---  2 0    2 0    2 0   2 0 July 24   --- 2 0 th --- 2 &0 : - - -  ,2 .0 Amazing Animal Kingdom        2 0    2 0 0    2 S0   - - - ------- - - - - -  2 0 0   2 W0   2 ^0 ___ ---  2 |0   2 0 July 27   --- 2 0 th---  2 0    2 0    2 0   2 0 August 7  --- 2 "0 th---  2 /0 :---  2 30  - - -  2 6 0 Sea of Clouds   ---  2 0     2 (00   ------ 2 :00   2 :Q0    2 :]0  - - -  2 :a0 ___ ---  2 :0   2 : 0 August 10  --- 2 60 th ---  2 :0    2 :0    2 :0   2 : 0 August 21  --- 2 6D0 st---  2 6P0 :---  2 :T0  - - -  2 :W 0 Lego Land   --- 22 :0  - - -   2 : 0   --- 2 KH 0    2 K|0    2 K0   ------------ 2 _00 3. ---  2 _>0  "--- )2 _`0 EXTENDED CARE POLICY  ---  2 _10 :  2 _40   .2 _>0 Camp hours are 9:00a.m.        2 _0 - 2 _0 4:00 2 _ 0 p.m.    82 _00 We offer extended care before       0''--------- &2 r`0 camp begins from 7   2 r0 :00  2 r0   2 r0 to 9 2 r0 :00  2 r#0   42 r)0 and after camp ends until 5  ---  2 r0 :--- 2 r0 45  2 r0 .---  2 r0    0'' 2 `0 45  2 l0   --------- 2 00 4. ---  2 >0  "--- (2 `0 LATE PICK UP POLICY   --- D2 &0 : Hanover Academy closes promptly at 5         82 50 :45p.m each evening, (Hanover       0''---------  2 `0 A  2 k 0 cademy Time).     2 0   /2 0 There is a late fee for --- 2 f0 ALL   2 0   2 0 CHILDREN  ---  2 0   /2 0 who are present at the A   2  0 cademy after   2 0    2 0 6 2 0 .00   0'' 2 `0 p.m.   2 {0   2 a0 The fee is $20.00 for the first 5 minutes and $2.00 per minute thereafter. This money is due and       0'' Y2 `40 payable immediately to the Hanover Academy staff mem         2  0 bers who   22  0 must remain after closing.     2 0    0''---  2 00   --------- 2 00 5. ---  2 >0  "--- 2 `0 PHOTOS --- 2 ^0 : As part of the normal course of the day, your childs picture may be taken and subsequently      0'' 2 `i0 used for school publications, newspaper or television reports or advertising purposes with no additional       0'' .2 `0 permission required and     2 0   +2 0 no compensation paid.     2 0    0''  2 #00   ---  2 5H0   )2 5`0 ____________________ #2 50 Parent/Guardian      2 5y0    2 50  0  2 50   C2 5%0 ______________________Parent/Guardian     2 50     2 H00  0  2 H`0  0  2 H0  0  2 H0  0  2 H0  0  2 H 0    )2 Z`0 ____________________  2 Z0   "2 Z0 Social Security   2 Zh0    2 Z~0    2 Z0  0  2 Z0   ,2 Z0 ______________________ "2 Zd0 Social Security    2 Z0     2 m`0    m2 `A0 ____________________ Date ____  ,2 0 ________________ Date    2 |0     2  0  0  2 P0  0  2 0  0  2 0     2  0   "System0 ;P- -   00//.."! ՜.+,0 hp  Hanover AcademyC$ TUITION AGREEMENT Title  !"#$%&'(*+,-./0123456789:;<=>?@ACDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklnopqrstwx{Root Entry FI[0z@1Table)0WordDocument 4PSummaryInformation(B TDocumentSummaryInformation8mMsoDataStoreRG[0I[0YKNSEWKKW==2RG[0I[0Item 2PropertiesUCompObj r   F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q