Childcare Forms

In consideration of my child being allowed to participate in activities sponsored by Trinity Children’s Learning Center, I/We hereby release, discharge, indemnify, and agree, to hold harmless, Trinity Children’s Learning Center, its directors, employees, and volunteers from any and all liability for personal injuries and/or damage(s), or illness that may be suffered by (Child’s name). I/We further agree to indemnify, and hold harmless, Trinity Children’s Learning Center, its directors, employees, and volunteers for any claim and/or damage(s) it is required to pay as a result of any injury or damage(s), including reasonable attorney fees, litigation expenses, and court costs.

When there is a medical emergency, or when a child needs immediate medical treatment, an employee of Trinity Childcare Learning Center will take all reasonable steps to see that the child(ren) in our care receive adequate medical attention. If the parent(s) cannot be reached in an emergency, an employee of Trinity Children’s Learning Center will call the person(s) listed below who are authorized by the parent to give permission for the medical treatment of the child. If the child must be taken to the hospital, 911 will be called and the child will be taken to the hospital identified. If circumstances dictate is more reasonable to bring a child to another hospital, Trinity Children’s Learning Center will authorize this. In the situation where the parent(s) or person(s) authorized cannot be reached, the parent(s) authorize(s) the child’s doctor to provide appropriate medical treatment. Trinity Children’s Learning Center is released of all claims or liability due to sickness or injury. Person(s) authorized to give permission for medical treatment:

If there is only one legal guardian, please indicate.

The following people have permission to pick my child up from Trinity Children’s Learning Center:

I understand that Trinity Children’s Learning Center has installed security cameras in the foyer, in each classroom and around the outside perimeter of the building. I also understand that my child as well as myself will be videotaped while on the premises of TCLC I also consent that all photographs and/ or video footage of my child (named below) taken at TCLC for purposes of illustration, advertising, and publicity, in any manner inform including, broadcasting, print, electronic and social media

Contract will be issued to the child’s legal guardian.

If tuition payments are to be handled by another source, please note and indicate the relationship to the applicant.

Attached to this application is the summary of the Tennessee Licensing Requirements.

I, ________________________________ have received and read the summary of the licensing requirements for childcare centers that was provided to me by Trinity Children’s Learning Center.

I/we submit this application with an understanding and acceptance of all the rules, conditions, and requirements on this application and in the handbook of Trinity Children’s Learning Center. I/we further agree to abide by such policies and procedures while my child(ren) is/are enrolled at Trinity Children’s Learning Center. I/we understand that withholding or misrepresenting information requested on this application may jeopardize my child(ren)’s enrollment at Trinity Children’s Learning Center. A tuition contract, once issued, signed, and returned with all appropriate monies will constitute an agreement to enroll. No reductions will be made for withdrawal, dismissal, or absence. I/we understand that the $100.00enrollment fee is non-refundable.

Please attach feeding and nap schedule to this form, or email it to info@trinityclc.com

PUBLIC CHAPTER 687 requires the Department of Human Services and the Department of Health to work together to educate parents of children in child care agencies regarding the importance of immunizing their children against influenza. The Department of Human Services works with child care agencies to ensure that this information is distributed annually to parents in August or September.

In consideration of my child being allowed to participate in activities sponsored by Trinity Children’s Learning Center, I/We hereby release, discharge, indemnify, and agree, to hold harmless, Trinity Children’s Learning Center, its directors, employees, and volunteers from any and all liability for personal injuries and/or damage(s), or illness that may be suffered by (Child’s name). I/We further agree to indemnify, and hold harmless, Trinity Children’s Learning Center, its directors, employees, and volunteers for any claim and/or damage(s) it is required to pay as a result of any injury or damage(s), including reasonable attorney fees, litigation expenses, and court costs.

When there is a medical emergency, or when a child needs immediate medical treatment, an employee of Trinity Childcare Learning Center will take all reasonable steps to see that the child(ren) in our care receive adequate medical attention. If the parent(s) cannot be reached in an emergency, an employee of Trinity Children’s Learning Center will call the person(s) listed below who are authorized by the parent to give permission for the medical treatment of the child. If the child must be taken to the hospital, 911 will be called and the child will be taken to the hospital identified. If circumstances dictate is more reasonable to bring a child to another hospital, Trinity Children’s Learning Center will authorize this. In the situation where the parent(s) or person(s) authorized cannot be reached, the parent(s) authorize(s) the child’s doctor to provide appropriate medical treatment. Trinity Children’s Learning Center is released of all claims or liability due to sickness or injury. Person(s) authorized to give permission for medical treatment:

If there is only one legal guardian, please indicate.

The following people have permission to pick my child up from Trinity Children’s Learning Center:

I understand that Trinity Children’s Learning Center has installed security cameras in the foyer, in each classroom and around the outside perimeter of the building. I also understand that my child as well as myself will be videotaped while on the premises of TCLC I also consent that all photographs and/ or video footage of my child (named below) taken at TCLC for purposes of illustration, advertising, and publicity, in any manner inform including, broadcasting, print, electronic and social media

Contract will be issued to the child’s legal guardian.

If tuition payments are to be handled by another source, please note and indicate the relationship to the applicant.

Attached to this application is the summary of the Tennessee Licensing Requirements.

I, ________________________________ have received and read the summary of the licensing requirements for childcare centers that was provided to me by Trinity Children’s Learning Center.

I/we submit this application with an understanding and acceptance of all the rules, conditions, and requirements on this application and in the handbook of Trinity Children’s Learning Center. I/we further agree to abide by such policies and procedures while my child(ren) is/are enrolled at Trinity Children’s Learning Center. I/we understand that withholding or misrepresenting information requested on this application may jeopardize my child(ren)’s enrollment at Trinity Children’s Learning Center. A tuition contract, once issued, signed, and returned with all appropriate monies will constitute an agreement to enroll. No reductions will be made for withdrawal, dismissal, or absence. I/we understand that the $100.00enrollment fee is non-refundable.

Please attach feeding and nap schedule to this form, or email it to info@trinityclc.com

PUBLIC CHAPTER 687 requires the Department of Human Services and the Department of Health to work together to educate parents of children in child care agencies regarding the importance of immunizing their children against influenza. The Department of Human Services works with child care agencies to ensure that this information is distributed annually to parents in August or September.