Register

Child's Information
Today's Date
Start Date
Child's Name*
First Middle Last Nickname
Date of Birth*
Sex*
Age Group*
Schedule*
Days of the Week
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday

Father's Information (Guardian)
Father's Name
First Last
Cell Phone
Home Phone
Work Phone
Email Address
Address
Street Address Address Line 2 City State ZIP Code
Driver's License Number
Occupation
Employer Name
Employer Phone Number
Mother's Information (Guardian)
Mother's Name
First Last
Cell Phone
Home Phone
Work Phone
Email Address
Address
Street Address Address Line 2 City State ZIP Code
Driver's License Number
Occupation
Employer Name
Employer Phone Number
Who does the child live with?
If Other..

Special Needs
Allergies, Food Allergies, etc.
Medications Child is Currently Taking
Medical History
Doctor's Name
Doctor's Phone
Hospital Preference
Hospital Phone Number

Additional Information
Previous Daycare/School Experience
Please tell us how you heard about Discovery Learning Academy
Media Release

I (we) authorize Discovery Learning Academy of Niceville, Florida to use and publish recognizable images of my (our) chilD in any medium deemed appropriate (please initial all that you are willing to participate in):
- Web Pages
- Newspapers
- TV (broadcasts to home)
- Multimedia Presentations
- Pictures for Professional Journals
- Facility Camera Monitoring System (required)

Registration, Tuition, Payment and Withdraw Policy
Registration: An $100 (Single Child) or $125 (Family) deposit is required for the registration of your child(ren) at Discovery Learning Academy. This deposit is a non refundable fee.

Tuition: Tuition will begin on the start date provided at the time of registration or when space is available (if you are on our waiting list).Tuition is collected at the beginning of the month for the entire month’s tuition. You are allotted one vacation week consisting of five consecutive days each school-calendar year (August through May) and one week of vacation consisting of five consecutive days during the summer (May through August). If you provide notice before the 1st of the month we will pro-rate your next month’s tuition reflecting a credit for one week of vacation. The vacation week is not retroactive. Previously taken vacations will not be credited to your account.

Payment: Payments are due on the 1st of each month for the upcoming month for all children enrolled at Discovery Learning Academy. Payments received after the 10th day of each month are considered late. A $40 late fee is automatically applied. We accept ACH (bank draft) and debit/credit card for payment. There is a $40 charge for returned checks and/or declined credit card payments. The responsible party for the account will be required to fill out a payment authorization form. It is the responsibility of the parent to notify Discovery Learning Academy of any changes or updates to your payment information to avoid fees being assessed to your account.

Withdrawal: If you decide to withdraw your child for any reason from Discovery Learning Academy, you must provide a 30 day written notice to administrative staff or you will be obligated for the next month’s full tuition payment. If for any reason you choose not to have your child finish out their 30 days, you are still responsible for the full tuition payment. There are no refunds for unused portions of tuition. Vacation weeks will not be pro-rated after your 30 days written notice has been received.

By signing below I agree to adhere to and understand the registration fee, tuition, payment, and withdraw policy.
Signature*
Parent/Guardian Name*
Date*

Nutrition Policy
A young child’s nutrition is of vital importance to their growth and development. Discovery Learning Academy has a nutritional policy that staff, administration, and parents must follow.

Infants: Infants bottles are to be sent in by the parents pre-mixed and ready to feed. All bottle parts shall be labeled with the child’s first and last name and the date. They will be stored in a refrigerator, heated to room temperature in a crock pot, fed to the child, and placed in the child’s cubby or bag. The date and time that the bottle was heated will be on the bottle. No food or cereal may be fed to a child 4 months or younger without a doctor’s note granting permission. Children over the age of four months old will be fed only food provided by the parents as instructed to the teachers. Once fed to the child, the food may not be fed to them again. It will be thrown away or packaged to send home. Food must be nutritious and age appropriate.

One Year & Over: Discovery Learning Academy provides a morning and an afternoon snack. Snack calendars are posted outside of each classroom and lobby at the start of each month. Snack food is served in USDA suggested portions for children in each age group. They are measured and served per child. One snack is served with milk and the other with a juice/water mixture. Snack foods are a variety of fruits, crackers, cereal, and cheese. If a substitution must be made, it is noted on the master snack calendar. Parents may choose to send in a snack of their choice for their child. Please make the teacher and office staff aware if this is the case. Children bring their lunch from home, daily. Discovery Learning Academy does not heat or refrigerate lunches. Lunches that need to be cooled should be packed with a cold pack. Warm lunches may be sent in thermoses. All lunch pieces shall have the child’s first and last name on them (bowls, lids, bags, etc.). Lunches must include a drink. Eating utensils and a napkin should be sent from home, if needed. Staff will utilize a Sharpie Marker to write names on any pieces that do not have names on them. Lunches should be part of a balanced diet and should include a variety of healthy foods. Pack food that your child enjoys eating. For healthy, age appropriate lunch suggestions, please see the office staff or your child’s teacher. The following items may NOT be included in lunches: sodas, canned drinks, candy, drink powders that must be mixed.

VPK: Children who attend as a VPK only student will provide their own “working” snack (drink is optional). Students who stay at Discovery for wrap around care will bring their own lunch (same policies as above apply). Afternoon snack is provided.

If a parent fails to send in a lunch, Discovery Learning Academy staff will notify the parent as soon as possible. The parent must provide lunch before the class’ scheduled lunch time. If a parent is unable to bring a lunch to the child, staff will provide a lunch (from a local restaurant) at the cost of $8.00 which will be billed to the parent.

Allergies: Any known allergies should be listed on the child’s registration forms. If a new allergy is discovered, notify the teacher and office staff so that the paper work may be updated. Allergy notifications are emailed to all administrative staff and teachers who work with the child. Allergies are posted in a conspicuous place in the classroom. If a food is being served that a child may not have, they are provided with an alternate snack. All children with an allergy shall be separated from another child with that particular food. The teacher will work to ensure that the child does not come in contact with the allergen. In the event of accidental contact, staff will follow the proper procedures put into place by the parents. In the case of a very severe allergy, please discuss a detailed plan with the administrative staff.

Parties, Cooking, Food Activities: In order for parents to monitor their child’s nutrition (and as per DCF policy), no student may participate in any food activity without a signed permission slip. This includes birthday/holiday parties and cooking activities. A parent has the right to choose for their child not to participate in these activities.

By signing below, you acknowledge that you have been provided the nutritional plan and understand the Discovery Learning Academy guidelines.
Signature*

Discipline Policy
Discipline is an on‐going and necessary component of a healthy lifestyle for children. Teachers and staff will utilize positive reinforcement, redirection and possible “time out” if needed to address discipline issues. Teachers and staff will take the time to discuss with a child his/her behavior away from other children. If the use of positive reinforcement and redirection is unsuccessful, the use of “time out” will be utilized and the child may miss out in the current classroom activities. Time out schedule table is as follows:

1 year old: 1 minute of time out
2 year old: 2 minutes of time out
3 year old: 3 minutes of time out
4 year old: 4 minutes of time out
5 year old: 5 minutes of time out

If time out is ineffective, the next step is bringing the child to the office to discuss his/ her behavior with the administrative staff. Multiple behavioral issues during a given day may warrant a call to the parent or guardian. Discovery Learning Academy reserves the right to dismiss a child after multiple behavioral issues occur. Tuition is not refunded for disciplinary dismissal.

Children will not be subjected to discipline which is severe, humiliating or frightening. Discipline will never be associated with food, rest, or toileting. Children will never be denied outdoor/active play as a form of discipline. Spanking or other forms of physical punishment are strictly prohibited. Please discuss Discovery Learning Academy’s discipline policy with your child.

By signing below you agree and understand the discipline policy at Discovery Learning Academy.
Signature*

Classroom Camera Monitoring Service
Rate: $5 per month per child

Terms and Conditions

You agree to the terms and conditions in this agreement set forth by Bluewater Discovery Learning Academy and governing laws.

In order to access the Camera Monitoring Service you are required to download an app on your mobile device. You will be granted access to your child’s primary classroom only. If you log in and find that you are linked to any other camera, contact the office immediately. You agree that at no time will you record and reuse the video via the Camera Monitoring Service provided by Bluewater Discovery Learning Academy. Once you disenroll or services are terminated your log in will immediately become inactive. By accessing the Discovery Learning Academy Camera Monitoring Service, certain information about users, such as internet protocol (IP) addresses, navigation through the site, software used and time spent, as well as other similar information, will be stored on Bluewater Discovery Learning Academy servers. While Bluewater Discovery Learning Academy makes every effort to maintain a high level of technical operability and security of the Bluewater Discovery Learning Academy Camera Monitoring Service, we inform you that you browse and use the website at your own risk and do not warrant that the functional aspects of the website will be uninterrupted or error free. Refunds for partial month use, interrupted video feed or internet outage is not refunded. Monthly fees are not prorated and non-refundable.
Signature*
Child's Name*
Date*

Permission for food-related activities & special occasion food consumption
Pursuant to 65C-22.005(1)(c)2., F.A.C., licensed child care facilities must obtain written permission from parents/guardians regarding a child’s participation in food related activities. These activities include such things as: classroom cooking projects, gardening, and school wide and birthday celebrations.
Permission*
- I give permission for my child to participate in food related activities and special occasions wherein food is consumed.
- I decline permission for my child to participate in food related activities and special occasions wherein food is consumed.
Allergies*
- My child DOES NOT have a food allergy or dietary restriction. He or she MAY participate in activities.
- My child DOES NOT have a food allergy or dietary restriction. He or She MAY NOT participate in activities
- My child DOES have a food allergy or dietary restriction. He or She may NOT participate in activities.
I understand that it is my responsibility to update this form in the event that my decision for permission changes. I agree that this form will remain in effect during the term of my child’s enrollment.
Signature*
Child's Name*
Date*

Parent Application Signature
Your signature below indicates that all of the information in the enrollment form is complete and accurate. Failure to provide accurate information or falsifying documents may result in disenrollment of child.
Parent Signature*
Printed Name*
Date*
Please check indicating that you understand and acknowledge the following:*
- I have downloaded and read the Parent Handbook.
- Rule 65C-22.006(2), F.A.C. and Section 65C-22.011(1), F.A.C., requires a current physical examination (Form DH3040) and immunization record (Form 680 or 681) prior to enrollment.
- Section 402.3125(5), F.S., requires that parents receive a copy of the Child Care Facility Brochure, "KNOW YOUR CHILD CARE FACILITY".
- Section 65C-22.006(3)(c)2., F.A.C., requires that parents are notified in writing of the disciplinary practices used by the child care facility.
*
- I understand that registration is not final unless I have established a start date with Discovery Learning Academy.
Comments
This field is for validation purposes and should be left unchanged.

Step 1 of 11

Child's Information

Father's Information (Guardian)

Mother's Information (Guardian)

Emergency Contact 1

Emergency Contact 2

Emergency Contact 3

Special Needs

Additional Information

Registration, Tuition, Payment and Withdraw Policy

Nutrition Policy

Discipline Policy

Classroom Camera Monitoring Service

Terms and Conditions

Permission for food-related activities & special occasion food consumption

Parent Application Signature