412-343-1661  |    [email protected]

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Summer Fun Enrollment Form

Registration for Summer Fun 2020 will open on Monday March 2, 2020.

*Please Note that no incomplete registrations will NOT be processed, and spaces will not be held for children with incomplete files. If your child does not have a health assessment on file with MLEDP, please submit that form to our office ASAP to ensure timely processing of your child's registration.

Completed forms can be e-mailed to [email protected], faxed to 412-343-0675, mailed or delivered to 250 Mt. Lebanon Blvd, Suite 414 (Pgh, PA 15234)*

 

Child's Name
Parent Name

Program: MLEDP generally is open during school summer recess, Monday - Friday, 7:00 a.m. to 6:30 p.m.

Emergency - Child Release Information:

Parent agrees to notify MLEDP immediately in the event of a change in child/family information: emergency contacts, child’s physician, address, telephone numbers, and parent’s work place. Swimming: MLEDP Summer Fun follows the Mt. Lebanon Swim Center Guidelines for swimming, diving and use of the water slide. MLEDP reserves the right to limit activity at the pool if a child’s behavior endangers them or another child. MLEDP is providing child care in a group setting and reserves the right to set grade requirements for some pool activities, to ensure safe group management at the pool.

Swimming Fees: Each family is responsible for the purchase of a pool pass or swimming tickets for their child. These may be purchased through the Mt. Lebanon Recreation Department.

Program Fees: Parent agrees to pay a contracted fee each month based upon child’s scheduled attendance per week (see Rates). Parent understands a minimum enrollment of 10 sessions is required.

Parent understands that payments are non-refundable. Parent is responsible for payment of fees as contracted, regardless of illness of the child, or other unanticipated absence from childcare including vacations.

Schedule Changes: After May 15, your scheduled childcare is set for the summer. Scheduling additional childcare or swapping days is subject to availability and a schedule adjustment charge of $25.00. All schedule changes require a one week notice. No reductions to schedules will be made after the May 15th deadline. No credits are given for unused scheduled care.

Payment Options: Payments can be made by check, cash, credit card, or money order. Mail or deliver payments to our Main Office: 250 Mt. Lebanon Blvd. Suite 414, Pgh, PA 15234. Credit Card Payments can be made on our our website: www.mledp.org. (2% service fee applies to online payments). Payments may not be delivered to the center.

In the case where there is shared responsibility for payments, MLEDP will send the monthly statement to the parent who has contracted for care, and that person is responsible for prompt payment of the entire statement.

Late Pick-up Fee: Parent understands that dismissal time shall not be later than 6:30 p.m. Parent or Parent's authorized representative must sign out when departing with your child. Parent agrees to pay $10.00 for every 15- minute increment beyond normal dismissal time that your child remains at the center.

Late Payment Fee: Parent shall pay monthly on the first of every month. Payments must be postmarked on or before the due date. A late fee (see Rates) will be assessed to accounts if the payment arrives after the 5th day of the month.

MLEDP reserves the right to take any, and all action, legal and otherwise, deemed necessary and desirable for the collection of unpaid account balances past due. Parent understands that such action may include reporting the account delinquency to a credit reporting agency and suspension of child care services until the balance due is paid.

Registration is not confirmed until all forms are completed and sign, and both the Parent/Legal Guardian and the appropriate MLEDP representative sign this agreement.

Upon receiving your Enrollment Form, if Summer Fun is filled to capacity, you will be notified immediately. MLEDP reserves the right to change rates at any time.

This Agreement is subject to change from time to time.

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Parent Signature REQUIRED for each item below to indicate consent:

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Additional Rate and Calendar Information

A typical day is 11.5 hours of care.

A minimum of 10 days enrollment is required.

Parents agrees to pay a contracted fee each month, based upon the child’s scheduled attendance per week, regardless of illness of the child or other unanticipated absence from child care including vacations.

MLEDP provides transportation for scheduled Summer Fun Activities at no additional cost.

The following items are billed as they occur.

  • Late Pick Up Fee:
    $10.00 for every 15-minute increment beyond closing time (6:30 p.m.).
  • Late Payment Fee:
    Payments are due the first day of every month. A late fee of 5% of the account balance will be assessed to accounts, if payment arrives after the 5th day of the month.
  • Change of Schedule Fee - $25.00
    After May 15 your scheduled child care is set for the summer. Scheduling additional child care would be subject to availability and a schedule adjustment charge of $25.00. As always, days may be swapped within a calendar week without charge, if space is available.