Language
  • English (US)
  • Español
  • Sunset PreK Registration Form

    Sunset PreK Registration Form

  • Student Information

  • Date of Birth*
     - -
  • Acknowledgement*
  • I have another child applying to this charter school*
  • I have another child attending this charter school*
  • This is a child of a staff or board member*
  • If offered by the school or programming, my child prefers an A.M. or P.M. schedule*
  • My child may qualify for free prekindergarten, based on the following criteria*

  • Primary Guardian Information

  • Format: (000) 000-0000.
  • Parent 1 - Is this parent an emergency contact?*
  • Parent 1 - Authorized to pick up?*
  • Preferred contact*

  • Child's Information

  • Date of Birth*
     / /
  • Sex/Gender*
  • Ethnicity
  • Race*
  • Format: (000) 000-0000.
  • Image field 25

  • Parent/Guardian 2

  • Format: (000) 000-0000.
  • Does Parent 2 lives with the student?
  • Parent 2 - Is this parent an emergency contact?*
  • Parent 2 - Authorized to pick up?*
  • Image field 39

  • Family Status

  • Parent Status:*
  • Who is responsible for payment:*
  • Is there any legal paperwork pertaining to your child that we should be aware of? (This can include custody agreements, IEP paperwork, etc.):*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • STUDENT RESIDENCY QUESTIONNAIRE

  • Is your current address a temporary living arragement?*
  • Is this a temporary living arragement due to loss of housing, economic hardship or financial difficulties?*
  • Were you displaced from your home due to a Natural Disaster? (hurracaine, fire, flood, tornado, etc.)*
  • Please choose which of the following situations the student currently resides in (choose all that apply)*
  • If you are living in a shared housing, please check all the following reasons that apply
  • Image field 42

  • Emergency Contact Person 1

    Must be different from the guardian 1 and 2
  • Format: (000) 000-0000.
  • Emergency Contact 1 Authorized to pick up?*

  • Emergency Contact Person 2

    Must be different from the guardian 1 and 2
  • Format: (000) 000-0000.
  • Emergency Contact 2 Authorized to pick up?*
  • Image field 66

  • Consents and Agreements

  • Tuitions and Associated Fees

  • I agree to pay a weekly tuition rate as outlined by my childcare center. This rate is subject to changeand will be adjusted due to tuition increases upon thirty (30) days prior written notice or scheduled program changes:*

  • Photography and Media

  • I give the childcare center permission to photograph or videotape my child with the intent to use these materials for promotional, advertisement, or educational purposes:*

  • Transportation

  • I give consent for my child to be transported and supervised by the operation's employees (Check all that apply):*

  • Water Play

  • I give consent for my child to participate in the following water activities (Check all that apply):*
  • Is your child able to swim without assitance?*
  • Image field 69

  • Acknowledgement

  • I acknowledge that I have access to the childcare center family handbook and will abide by all policies, procedures, and guidelines as provided:*

  • My signature below acknowledges my understanding and agreement to each of the above consents.

  • Clear
  • Signature Date
     - -
  • Image field 75

  • Medical Information

  • Special needs

  • Do you have any concerns about your child's development?:*
  • Child's Special Care Needs (check all that apply):*
  • Image field 80
  • Does your child currently have any limitatios to physical activity?*
  • Does your child require any special equipment for daily activities?*

  • Allergies and Medication

  • Does your child require medication every day or as needed? If “Yes”, doctor documentation will be required.*
  • Does your child have any known allergies? If “Yes”, doctor documentation will be required.*
  • Does your child have diagnosed food allergies? (If Yes, documentation will be required.)*
  • Does your child have food preferences that are not due to allergies? (e.g., for religious, cultural, or personal reasons)*
  • Format: (000) 000-0000.
  • Child's required immunizations, vision and hearing screening, and TB screening are current and onfile at their school:*

  • Schedule of care

  • I will be needing the following schedule of care:*
  • Image field 100

  • Medical Consents and Agreements

  • Immunizations

  • 1. I understand that my child must be current on all immunizations per state licensing regulations prior to enrollment and I am responsible for providing a copy of updated shot records as they are available to them:*
  • 2. I understand that I have the right to immunize my child as I deem fit. I have attached a copy of the immunizations that my child has along with a statement stating philosophical reasoning as towhy I choose for certain:*
  • 3. I understand that I will only be given a one-week grace period to provide shot records to center administration (upon enrollment and for expired records). After one week, my child will not beallowed to return to the childcare facility without documentation from the child’s health careprovider:*

  • Medical Authorizations

  • 1. In the event of a medical emergency, I authorize the center staff to administer first aid, CPR, andor secure emergency medical treatment for my child. I understand that I will be notified as soon aspossible, which may be after treatment has already begun:*
  • 2. If transportation to a hospital/clinic is necessary and a parent or emergency contact is notavailable to bring the child immediately, I give consent for my child to be transported by oremergency medical services:*
  • Image field 102

  • Medication Administration

  • 1. All medications will be kept in a locked medicine box, this is for your child’s safety as well as the safety of other children. Medicine is not allowed to stay in the children’s bags or cubbies ever:*

  • In the event I cannot be reached to make arrangements for emergency medical care, I authorize the person in charge to take my child to

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Toilet Training

  • 1. I understand that it is not the responsibility of teachers to change diapers. This task falls solely on the parents. In the event that a diaper change is required, the parent will be contacted to address the situation.:*

  • All About Me

  • Child Lives with:*
  • Image field 113
  • Are there other siblings/family members in the home?*
  • Do you have backup care arrangements in place in case of illness or center closure?*
  • Are there any other comments or information you would like the center to know?*
  • Clear
  • Image field 120

  • Family Survey

  • Within the past 3 years have you, or your child, moved from one school district, city or state to another?*
  • If yes, did you, or your child, move so you could work or look for work in agriculture or fishing?*
  • Did you seek or obtain employment in agricultural or fishing related activities within the last threeyears? (e.g. field work, canneries, lumbering, dairy work, meat processing).*
  • Is this type of work an important source of income for your family?*
  • If yes, check all the activities that apply*
  • Clear
  • Image field 267

  • SOCIOECONOMIC INFORMATION FORM

  • Birthdate*
     / /
  • Date*
     / /

  • The Lawson Academy is required to collect and report the socioeconomic status of each student to the Texas Education Agency for purposes of the annual state accountability ratings and for federal reporting. Please note that this form is not sent to the Texas Education Agency and that the income levels indicated for your family are not reported to the Texas Education Agency. Only the Economic Disadvantaged status of each student as determined by the information provided is reported to the Texas Education Agency.

  • SECTION A

  • Do you receive Supplemental Nutrition Assistance (SNAP)?*
  • Do you receive Temporary Assistance to Needy Families (TANF)?*

  • If you answered YES on either of the above, skip SECTION B and continue to the SIGNATURE section.

  • SECTION B (complete only if all answers in SECTION are NO)

  • TOTAL YEARLY INCOME BEFORE DEDUCTIONS OF ALL HOUSEHOLD MEMBERS (check one box below): Include wages, salary, welfare payments, child support, alimony, pensions, Social Security, worker's compensation, unemployment and all other sources of income (before any type of deductions)*

  • SIGNATURE please check one of the two boxes as appropiate

  • In accordance with the provisions of the Protection of Pupil Rights Amendment (PPRA) no student shall be required, as part of any program funded in whole or in part by the U.S. Department of Education, to submit to a survey, analysis, or evaluation that reveals information concerning income (other than that required by law to determine eligibility for participation in a program or for receiving financial assistance under such program), without the prior written consent of the adult student, parent or legal guardian.*
  • Clear
  • Date*
     / /

  • 5052 Scott Street Houston, Texas 77004 Recruiting: 832-280-1332 Office: 713-225-1551 Fax: 713-225-1561

  • Image field 147

  • Operational Discipline and Guidance Policy

  • This form provides the required information per 26 Texas Administrative Code (TAC) minimum standards Sections 744.501(7), 746.501(a7), and 747.501(5). Directions: Parents will review this policy upon enrolling their child. Employees, household members and volunteers will review this policy at orientation. A copy of the policy is provided in the operational policies.

    Discipline and Guidance Policy     Discipline must be:
    1) individualized and consistent for each child;
    2) appropriate to the child's level of understanding; and
    3) directed toward teaching the child acceptable behavior and self-control.

    A caregiver may only use positive methods of discipline and guidance that encourage self-esteem, self-control and self-direction, which include at least the following:
    1) using praise and encouragement of good behavior instead of focusing only upon unacceptable behavior;
    2) reminding a child of behavior expectations daily by using clear, positive statements;
    3) redirecting behavior using positive statements; and
    4) using brief supervised separation or time out from the group, when appropriate for the child's age and development, which is limited to no more than one minute per year of the child's age.

    There must be no harsh, cruel, or unusual treatment of any child. The following types of discipline and guidance are prohibited:
    1) corporal punishment or threats of corporal punishment;
    2) punishment associated with food, naps or toilet training;
    3) grabbing or pulling a child;
    4) putting anything in or on a child's mouth;
    5) humiliating, ridiculing, rejecting or yelling at a child;
    6) subjecting a child to harsh, abusive or profane language;
    7) placing a child in a locked or dark room, bathroom or closet;
    8) placing a child in a restrictive device for time out;
    9) withholding active play or keeping a child inside as a consequence for behavior, unless the child is exhibiting behavior during active play that requires a brief supervised separation or time out that is consistent with 746.2803(4D); and
    10) requiring a child to remain silent or inactive for inappropriately long periods of time for the child's age.

    Additional Discipline and Guidance Measures
    (Only Applies to Before or After School Program (BAP)/School Age Program (SAP) that Operates under 26 TAC Chapter 744)

    A program must take the following steps if it uses disciplinary measures for teaching a skill, talent, ability, expertise or proficiency:

    ensure that the measures are considered commonly accepted teaching or training techniques;

    describe the training and disciplinary measures in writing to parents and employees and include the following information:

    (A) the disciplinary measures that may be used, such as physical exercise or sparring used in martial arts programs;

    (B) what behaviors would warrant the use of these measures; and

    (C) the maximum amount of time the measures would be imposed;

    inform parents that they have the right to ask for additional information; and

    ensure that the disciplinary measures used are not considered abuse, neglect, or exploitation as specified in Texas Family Code Section 261.001 and TAC Chapter 745, Subchapter K, Division 5, of this title (relating to Abuse and Neglect

  • This policy is effective on the following date*
     / /
  • Clear
  • Role*

  • Title 26, Chapter 746 Subchapter L: http://texreg.sos.state.tx.us/public/readtac$ext.ViewTAC?tac_view=5&ti=26&pt=1&ch=746&sch=L&rl=Y

    Title 26, Chapter 747 Subchapter L: http://texreg.sos.state.tx.us/public/readtac$ext.ViewTAC?tac_view=5&ti=26&pt=1&ch=747&sch=L&rl=Y

    Title 26, Chapter 744 Subchapter G: http://texreg.sos.state.tx.us/public/readtac$ext.ViewTAC?tac_view=5&ti=26&pt=1&ch=744&sch=G&rl=Y

  • HOME LANGUAGE SURVEY

    19 TAC Chapter 89, Subchapter BB, §89.1215(Home Language Survey only administered during initial enrollment in Texas public schools)

    To be completed by Parent or Guardian for students enrolling in Prekindergarten* throughgrade 8 (or by students in grades 9-12).

    * Prekindergarten includes any student enrolling in a 3- or 4-year-old school program.

     

    Part One:

    The state of Texas requires that the following information be completed for each student whoenrolls in a Texas public school for the first time. It is the responsibility of the parent orguardian, not the school, to provide the language information requested by the questions below.

     

    Dear Parent or Guardian:

    Please answer the questions below about the languages your child or family uses. If yourresponses indicate the use of a language other than English, the school will conduct a languageproficiency assessment to determine how well your child communicates in English. Thisinformation will be used to determine any appropriate linguistic supports and informinstructional recommendations. If you have questions about the purpose and use of the HomeLanguage Survey, or you would like assistance in completing the form, please contact yourschool/district personnel.
    This survey shall be kept in each student’s permanent record folder. A copy of this surveyshall follow the student while enrolled in any public or open enrolled charter school in Texas.

  • Part Two:

    Please answer the questions to the best of your ability.

  • Clear
  • Date
     - -
  • Clear
  • Date
     - -
  •  
  • Should be Empty: