First Friends Programs First Friends serves children ages 6 weeks to 5 years old in three different programs:

Infants, Toddlers, Pre-K.

Infants (6 weeks to 18 months)- Our caring Teachers are here to enhance every moment in the Infant classroom. Your child will spend their day laughing, learning and loving. We acknowledge that each child is an individual and will require customized schedules. Our goal is to mirror your schedule at home as closely as possible to provide a smooth transition each day.

Toddlers (18-36 Months)- The activities in the Toddler Classroom are developed to create learning experiences and social experiences through play, projects, and activities. The Toddler room is designed to transition your child into a more group schedule with small focused activities to capture their attention. The Toddler Teachers along with Parent will introduce potty training when it’s appropriate for each individual child.

Pre-K (3-5 years)- The Pre-K classroom will be a multi age group. Careful consideration will made to make each activity age appropriate by skill level. The Pre-school room is a more structured room and will concentrate on kindergarten readiness skills as well as social emotional relationships. Each day children will be experiencing Reading, Writing, Science and Math activities to lead them on the path to Kindergarten.

Phone: (716)342-2139

Fax: (716)608-1438

1553 Harlem Road

Cheektowaga, NY 14206

info@first-friendsdaycare.com

Phone: (716)342-2139

Fax: (716)608-1438

1553 Harlem Road

Cheektowaga, NY 14206

info@first-friendsdaycare.com

Tuition and Fees Fees:

Annual registration fee: $40.00 Non-refundable

Tuition Deposit: Equivalent to one week’s tuition rate and due by drop off on the child’s first day.

Tuition deposits are credited to the child’s last week’s tuition, with two weeks written notice of child’s last day.

Weekly Tuition Rates: Due on Monday. Late fee of $10 applies to payments after Tuesday Rates Are for fixed schedules. Additional 10% to flex your days.

5 Full Days 4 Full Days 3 Full Days 2 Full Days Half Days Infant Room $273.00 $262.00 $192.00 $128.00 $45.00 each Toddler Room $265.00 $256.00 $192.00 $128.00 $40.00 each Pre-K Room $242.00 $230.00 $176.00 $118.00 $35.00 each

There is a 5% weekly discount when two or more siblings are enrolled three (3) or more full days per week. The discount applies to each child’s tuition rate.

Half days are considered 5 or less hours per day. AM 6:30-12:30 or PM 12:30-6pm

Weekly tuition remains the same regardless of illness or holiday. Parent can go to app.hoppingin.com to offer their child’s slot to other parents when the child will not be in our care. If another parent takes the slot, a credit of $20 for a half-day slot or $30 for a full-day slot.

Late pick up is any time after 6pm (any time after 5 hours of care for half day enrollment) at a rate of $1.00 per minute.

For children enrolled in half days, late pick up is anytime after 5 hours of care.

Rates effective January 1, 2020

&��'+8����a -$�+���Created for working families to allow a guaranteed slot for the number of days needed each week. Rate based on age group and duration of care. (See tuition schedule, Add 10%)

Benefits

• Flexibility to have care based on your schedule

• Guaranteed slot for your child

Requirements

• Provide schedule in advance to allow for proper staffing, including pick up/drop off times

• Tuition due weekly before childcare service is provided

• Anticipated drop off and pick up times required for each day

&���$�+���The best value for working families who work a regular, Monday-Friday schedule.

Tuition rates are calculated annually, subtracting grace days for vacations, sick days, inclement weather

closures, and holidays and then broken up into a discounted weekly tuition rate for payment convenience.

The discounted weekly tuition rate is due every Monday or the next business day in the event of a holiday

or inclement weather closure regardless of attendance since the grace days are built into the price. In lieu

of paying the discounted weekly tuition rate, parents can pay the higher daily rate with no grace day

discounts and omit paying tuition on sick days, holidays, vacations, and closures if the annual absences do

not exceed the otherwise allotted number of grace days. Rate based on age of child(ren).

Daily Rate Annual Tuition Grace Days Discount Discounted Annual Tuition

Discounted Weekly Tuition

Infant Room $64 $16,640 -$2,444 (38 days) $14,196 $273Toddler Room $64 $16,640 -$2,860 (45 days) $13,780 $265Pre-K Room $59 $15,340 -$2,756 (46 days) $12,584 $242

Benefits

• Guaranteed slot for your child every day of the week

• 38-46 Grace days built into discounted tuition rate for absences for vacation, sick days, site

closures, and holidays (older children = higher ratios = lower payroll = more grace days)

Requirements

• Tuition due weekly, regardless of attendance

• Anticipated drop off and pick up times required for each day

&��'�?� ��Created for the convenience of families enrolled part time or those with irregular schedules

with occasional, inconsistent childcare needs.

This is the most flexible option and is priced based on the time you use only. Payment is required in

advance and slots can be scheduled via Hopping In by 5:00pm the business day before care is requested.

The center director must be contacted directly and approve attendance for childcare requests with less

notice prior to dropping off.

• Half day care - $45 for up to 5 hours of care

• Full day care - $65 for all day care

• Based on classroom availability. Slots are not guaranteed.

(716)342-2139

1553 Harlem Road

Cheektowaga, NY 14206

info@first-friendsdaycare.com

Flex Care There are 2 ways to utilize Flex Care:

1.) If you need unscheduled care in half or full day increments, you can check available slots for each classroom on the ‘Hopping In’ app under First Friends Daycare and book a date and time through the app. Payment is due in full at the time of booking.

Rate:

Half Day Full Day Infant Room $45.00 $65.00 Toddler Room $45.00 $65.00 Pre-K Room $45.00 $65.00

2.) If you need less than half a day of unscheduled care, you can contact the center directly to check availability and book a date and time. A $50 deposit is required to secure a slot. Balance will be due, or refund will be distributed for total service rendered minus $50 deposit at time of pickup.

Rate: $20 for the first hour (1- hour minimum) and $6 for every 30 minutes thereafter, rounding to the next :30 upon pickup.

• Per state regulations, child(ren) must be current with all registrationinformation.

• Families with children enrolled full-time and part-time can use the ‘HoppingIn’ app to open scheduled slots when an absence is planned and receivepartial tuition credit if the slot is filled.

Enrollment Agreement Child’s Name: ______________________________ DOB: _____________________________________

Parent’s Name: _____________________________ Email: ____________________________________

Phone Number: _____________________________ Address: __________________________________

This agreement is effective______________________________________. Two weeks written notice must be given to change this agreement. I am aware that failure to provide two weeks’ notice will result in forfeiture of my deposit. __________ (Please initial)

Approximate time of arrival and departure

Monday Tuesday Wednesday Thursday Friday

Registration Fee: $ __________ + 1st & Last Week's Tuition $ __________ = Total: $_____________

Total Amount Paid: $___________

Enrolled Siblings receive a 5% discount each when enrolled at least 3 days per week.

Child’s Start Date: ______________________ Classroom: __________________________

A copy of the New York State Office of Child and Family Services Regulations is available in the Center office for your review.

Parent Signature: __________________________________________________Date: _______________

Director Signature: _________________________________________________Date: _______________

Phone: (716)342-2139

Fax: (716)608-1438

1553 Harlem Road

Cheektowaga, NY 14206

info@first-friendsdaycare.com

OCFS-LDSS-0792 (08/2019) FRONT

NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES

DAY CARE ENROLLMENTPROGRAM NAME: ADDRESS: PHONE NUMBER:

( ) -

CHILD’S FULL NAME:

PREFERRED NAME/NICKNAME:

DATE OF BIRTH:

/ /

GENDER:

CHILD’S HOME ADDRESS:

NAME OF PERSON ENROLLING CHILD: RELATIONSHIP TO CHILD:

Parent Guardian Caretaker Relative

Other

PHONE NUMBER(S) OF PERSON ENROLLING CHILD:

( ) - ok to text

EMAIL ADDRESS:

ADDRESS OF PERSON ENROLLING CHILD (IF DIFFERENT THAN CHILD):

EM

ER

GE

NC

Y I

NF

O

EMERGENCY CONTACT NAMES / ADDRESSES Authorized to Pick Up Child PRIMARY PHONE NUMBER OTHER PHONE NUMBER / EMAIL

PRIMARY CONTACT: Yes No ( ) -

ok to text

( ) -

ok to text

Yes No ( ) -

ok to text

( ) -

ok to text

Yes No ( ) -

ok to text

( ) -

ok to text

FOR PROGRAM USE ONLY

DATE OF ENROLLMENT: / /

FOR PROGRAM USE ONLY

DATE OF DISENROLLMENT: / /

OCFS-LDSS-0792 (08/2019) REVERSE

CHILD’S FULL NAME: DATE OF BIRTH:

/ /

Check boxes below to indicate if your child has any special needs/services: None

Early Intervention/Special Education Occupational Therapy Speech/Language Physical Therapy

Allergies (Please list)

Other

Please provide information here AND discuss with your child care provider:

CHILD’S PRIMARY CARE PHYSICIAN’S NAME/ GROUP: PHONE NUMBER:

( ) -

PREFERRED HOSPITAL: PHONE NUMBER:

( ) -

CHILD’S DENTAL CARE: PHONE NUMBER:

( ) -

Child health care information is available by calling toll-free 1-800-698-4543 or

the NYS Health Marketplace website: https://nystateofhealth.ny.gov/

AGREEMENTS

● I consent to emergency medical treatment for my child…………………………………………………………………………….

● I consent for my child to take part in neighborhood trips (i.e., library, park and playground) away from the programunder proper supervision……………………………………………………………………………………………………………….

● I understand the program may need additional permissions for situations such as transportation, medication,release of information, and field trips.………………………………………………………………………………………………….

● I provided information on my child’s special needs to the program to assist in caring for my child……………………………

● I understand the program must give parents, at the time of enrollment of a child, a written policy statement asrequired by regulation…………………………………………………………………………………………………………………..

● I agree to review and update this information whenever a change occurs and at least once every year…………………….

Yes

Yes

Yes

Yes

Yes

Yes

No

No

No

No

No

No

SIGNATURE – PARENT OR PERSON(S) LEGALLY RESPONSIBLE: DATE:

/ /

PHOTO OF CHILD (Optional)

Phone: (716)342-2139

Fax: (716)608-1438

1553 Harlem Road

Cheektowaga, NY 14206

info@first-friendsdaycare.com

New Enrollment Questionnaire

Child’s Name: _____________________________________ Birth Date: ____________

Nickname: _____________________________

Please answer these questions to help us get to know your child. The more we know the better we can care for them and teach them.

Parent/ Guardian Names: ___________________________________________________________

Sibling Names and ages: ___________________________________________________________

History: Do you have any medical, developmental or behavioral concerns for your child? Yes / No

If so, please explain: ______________________________________________________________

______________________________________________________________________________

Does your child have any allergies? Yes / No

If so, please explain: ______________________________________________________________

Are there any allergies in the family that we should watch for? Yes / No

If so, please explain: ______________________________________________________________

Does your child take any medications at home? Yes / No

If so, please explain: ______________________________________________________________

Has your child ever been in Daycare before? Yes / No

______________________________________________________________________________

Does your child have separation anxiety? Yes / No

______________________________________________________________________________

Have there been any major changes in the family such as death, divorce, recent move etc.? Yes / No

______________________________________________________________________________

Social Relationships: What Language is spoken at home? ____________________________________________________

How well does your child speak? ______________________________________________________

______________________________________________________________________________

How would you describe your child’s personality? __________________________________________

______________________________________________________________________________

Does your child have any fears? Yes / No

______________________________________________________________________________

What makes your child upset and how do they express it? __________________________________

______________________________________________________________________________

Please explain your methods of discipline_______________________________________________

______________________________________________________________________________

Eating Habits: How would you describe your child’s appetite? ___________________________________________

______________________________________________________________________________

Are there any foods that your child typically refuses? Yes / No

______________________________________________________________________________

Do you have any concerns about your child’s eating habits? Yes / No

______________________________________________________________________________

Sleeping Habits: Does your child sleep well? Yes / No _________________________________________________

______________________________________________________________________________

What time does your child typically go to bed at night and wake up in the morning? ________________

______________________________________________________________________________

Does your child take naps? Yes / No

If so, about what time? ____________________________________________________________

Please describe your sleep time routine (blanket, pillow, stuffed animal etc.) _____________________

______________________________________________________________________________

Elimination: Does your child wear diapers or pull-ups? Yes / No

Is your child toilet trained? Yes / No

If not, would you like to begin toilet training? Yes / No (if not please skip the remaining questions)

How long has your child been toilet trained? _____________________________________________

What word is used for urination? __________________ Bowel Movement? ______________________

Will your child tell an adult when they must use the bathroom? Yes / No

______________________________________________________________________________

Is there anything else we should know about your child? ____________________________________

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________

This form was completed by: ________________________________________________________

Relationship to child: ______________________________________________________________

Signature: _________________________________________________Date: _________________

Allergies/ Medical/ Dietary Needs

Please List any allergies or medical conditions your child has at this time. Also list any dietary requirements. Allergies __________________________________________________________________________________________________________________________________________________________Medical __________________________________________________________________________________________________________________________________________________________Diet __________________________________________________________________________________________________________________________________________________________

Parent’s Signature____________________________________________Date______________

Please note: First Friends is a peanut, tree nut and strawberry free facility. All food that enters the center must follow these guidelines. It is our goal to accommodate all families to the best of our ability. If we are unable to accommodate your specific dietary needs, you may be required to supply your own meals and snacks.

Special Note: All outside snacks to share for special celebrations must be store bought with a list of ingredients attached.

Phone: (716)342-2139

Fax: (716)608-1438

1553 Harlem Road

Cheektowaga, NY 14206

info@first-friendsdaycare.com

Consent for Pick-Up

Please list below ALL contact information for those you permit to pick up your child. Parents should be included on this list.

Name Address Phone Number Relationship

First Friends Daycare can not interfere with custodial pickup unless ordered by the court and original court papers are produced.

Phone: (716)342-2139

Fax: (716)608-1438

1553 Harlem Road

Cheektowaga, NY 14206

info@first-friendsdaycare.com

GETTING TO KNOW YOUR INFANT

Please fill out this form for your child ages 0 to 18 months. It will help me get to know your child better. Thank you

Child’s Name: __________________________Child’s Date of Birth: ___________________

____Pre-Mature Birth ____Full-Term Child’s Birth Weight: ___________________

Child’s General Mood: Are they mostly Happy, fussy, colicky? ________________________________________________________________________

Has child stayed with anyone else besides parents? _________________________________

Is child Bottle or breast-fed? _______________If using both, when do you use bottle vs. breast? __________ _____________________________________________________________

How do you give bottle, room temp, warmed, cold? _______________________________________________________________________

If you warm the bottle, what procedure do you use to warm bottle? _______________________________________________________________________

Does the child hold his or her own bottle? ______________________________________________________

Is child on formula or milk? ___________What kind of milk or formula do you use? ________

Is child on baby cereal? ______________ List the kinds you use: _____________________

Is child on strained or other baby foods? _______ List the varieties you use fruits veggies etc.:

_______________________________________________________________________

Phone: (716)342-2139

Fax: (716)608-1438

1553 Harlem Road

Cheektowaga, NY 14206

info@first-friendsdaycare.com

Food likes: ____________________________ Food Dislikes: ________________________

List amounts of food, types of food and times your child usually eats below:

Breakfast _______________________________________________________________

Lunch __________________________________________________________________

Snack __________________________________________________________________

Will your child have a bottle or breast fed before arriving? ___________________________

Will your child need breakfast? _______________________________________________

Does your child use a pacifier? __________ When? ________________________________

Does your child need a special comfort item to sleep with? ________. What is it? __________

_______________________________________________________________________

Does your child sleep through the night? _______________ IF not how often do they wake and what do you do when they wake – feed, rock change etc.? _______________________________________________________________________

When does your child wake in the morning? _______________________________________________________________________

When does your child nap morning? ___________________ Afternoon? ________________

Please list any other important information or special instructions on the care of your child below: _______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

Signature ________________________ Relationship to Child _____________ Date_________

Sleeping PolicyAt First Friends we strive to make naptime a smooth transition. Making your child feel comfortable is a must. We encourage you to send any favorite soft side animal to make this possible.

I acknowledge that my child _______________________________ D.O.B.: ____________________

____________ will be sleeping in a crib located in the classroom and supervised by staff following regulations of the New York State Office of Child and Family Services. To ensure that your child’s sleeping space is their own, Infant Parents will provide 3 crib sheets for your child’s individual use. First Friends Daycare will provide additional sheets should a need arise.

____________ will be sleeping on a cot. located in the classroom and supervised by staff following regulations of the New York State Office of Child and Family Services. To ensure that your child’s sleeping space is their own, Infant Parents will provide 2 fitted sheet for your child’s individual use. Toddler/Pre-school sheets and blankets will be sent home each Friday to be laundered.

Special Notes:

Parent Signature: __________________________________________________Date: _______________

Director Signature: _________________________________________________Date: _______________

Phone: (716)342-2139

Fax: (716)608-1438

1553 Harlem Road

Cheektowaga, NY 14206

info@first-friendsdaycare.com

Permission to Photograph

I, ________________________, give permission for ________________________ to

photograph my child, ________________________, for the following purposes:

Type of Use: (Please check one)

Grant Permission Decline Permission

Still Photographs:

Display on class projects

Give photographs possibly containing your child to current clients/ classmates

Display in facility’s scrapbook or bulletin boards, shown to current and prospective clients

Display still photos on child care website*

Post photos on child care’s Public Facebook page

Other:

Videos:

Give video to current parents

Share on Facebook

Other:

Comments

I understand that it is my responsibility to update this form in the event that I no longer wish to authorize one or more of the above uses. I agree that this form will remain in effect during the term of my child’s enrollment.

Parent/Guardian Signature: ______________________________ Date: ________________

Phone: (716)342-2139

Fax: (716)608-1438

1553 Harlem Road

Cheektowaga, NY 14206

info@first-friendsdaycare.com

(716)342-2139

1553 Harlem Road

Cheektowaga, NY 14206

info@first-friendsdaycare.com

Supplies to be provided by Parents

• Disposable diapers or pull ups

• Wipes

• Diaper cream (if needed)

• Breast Milk if Breastfeeding (must provide extra frozen supply in case of emergency)

• Bottles with nipples

• 2 complete changes of clothing

• Pacifier (If needed)

• Sunscreen (seasonally)

• Blanket for naptime for toddlers only

• Wearable blanket for Infants (loose blankets not allowed for infants)

Please be sure all personal items are clearly marked with your child’s name.

OCFS-LDSS-4433 (Rev. 06/2019)

NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES

CHILD IN CARE MEDICAL STATEMENT

To Be Completed By Licensed Physician, Physician Assistant or Nurse Practitioner Name of Child: Date of Birth:

/ / Date of Examination:

/ /

Immunizations required for entry into day care Medical Exemption The physical condition of the named child is such that one or more of the immunizations would endanger life or health. Attach certification specifying the exempt immunization(s).

Yes No

Diphtheria, Tetanus and Pertussis (DPT) Diphtheria and Tetanus and acellular Pertussis (DTaP)

1st Date / /

2nd Date

/ / 3rd Date

/ / 4th Date

/ / 5th Date

/ /

Polio (IPV or OPV) 1st Date

/ / 2nd Date

/ / 3rd Date

/ / 4th Date

/ /

Haemophilus influenzae type B (Hib)

1st Date

/ / 2nd Date

/ / 3rd Date

/ / 4th Date OR 1st Date (if given on or after 15 months of age)

/ /

Pnuemococcal Conjugate (PCV) for those born on or after 1/1/08)

1st Date

/ / 2nd Date

/ / 3rd Date

/ / 4th Date

/ /

Hepatitis B 1st Date

/ / 2nd Date

/ / 3rd Date

/ /

Measles, Mumps and Rubella (MMR)

1st Date / /

2nd Date

/ /

Varicella (also known as Chicken Pox)

1st Date / /

2nd Date

/ /

Other Immunizations may include the recommended vaccines of Rotavirus, Influenza and Hepatitis A

Type of Immunization: Date: / /

Type of Immunization: Date: / /

Type of Immunization: Date: / /

Type of Immunization: Date: / /

Type of Immunization: Date: / /

Type of Immunization: Date: / /

Tests

Tuberculin Test Date: / / Mantoux Results: Positive Negative mm

TB Tests are at the physician’s discretion. Acceptable tests include Mantoux or other federally approved test.

If positive, or if x-ray ordered, attach physician’s statement documenting treatment and follow-up.

Lead Screening Date: / /

Attach lead level statement Lead Screening (Include All Dates and Results)

1 year / / Result: mcg/dL Venous Capillary

2 years / / Result: mcg/dL Venous Capillary

Most recent date of lead screening (if different from above):

/ / Result: mcg/dL Venous Capillary

Per NYS law, a blood lead test is required at 1 and 2 years of age and whenever risk of lead poisoning is likely. If the child has not been tested for lead, the day care provider may not exclude the child from child day care, but must give the parent information on lead poisoning and prevention, and refer the parent to their health care provider or the county health department for a lead blood screening test.

(Continued on reverse side)

OCFS-LDSS-4433 (Rev. 06/2019)

CHILD IN CARE MEDICAL STATEMENT (continued)

Health Specifics Comments

Are there allergies? (Specify) Yes No

Is medication regularly taken? (Specify drug and condition) Yes No

Is a special diet required? (Specify diet and condition) Yes No

Are there any hearing, visual or dental conditions requiring special attention?

Yes No

Are there any medical or developmental conditions requiring special attention?

Yes No

Summary of Physical Exam Include special recommendations to child day care providers

On the basis of my findings as indicated above and on my knowledge of the named child, I find that: he/she is free from contagious and communicable disease and is able to participate in child day care.

Yes No

Signature of Examiner Address

Please Print Name City, State, Zip

( ) - / / Title Phone Date

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