MAKE EVERYONE'S LIFE EASIER

MAKE EVERYONE'S LIFE EASIER by following these instructions, please.

Make life easier for yourself. 1. Fill in the documents online if possible.

The blanks (fields) in the documents have been linked together so that entering information, such as your child's name, in one place will fill in the information in other places. This will reduce the time needed to complete all the documents.

2. Check every document carefully. Each page has unique information that needs to be entered. All documents need to be signed or initialed individually . If you or your child does not have a digital signature, you may sign the documents after printing.

3. Print the pages single-sided. Different documents will be filed in different places. Please do not print them double-sided.

If you cannot print the pages, save the completed documents and email the file to [email protected]. If you or your student could not digitally sign each document, arrange a time to go to the school office and finish the packet by signing all the pages.

Make life easier for the office. 1. Return the completed documents as soon as possible.

This will allow the office to check the pages for any missing information and get the information filed in a timely manner.

2. Print the pages single-sided. Again, different documents will be filed in different places. Please do not print them double-sided.

THANK YOU THANK YOU THANK YOU THANK YOU THANK YOU

PARENT-STUDENT HANDBOOK AGREEMENT FORM

Please complete for each student in K2-12th grades.

Dear Parents and Student,

In seeking to practice the biblical principle taught in Matthew 7:12 and Romans 14, ECS desires to enroll students and families who agree with the policies contained in this handbook. ECS is a ministry of Emmanuel Baptist Church. It is a Christian school, not a private school. For this reason, we select to use the Bible as our guide and expect our students to follow the precepts and the principles it teaches. ECS is also an academic institution, so you will notice certain policies and procedures that were designed to serve the daily operations of the school in a practical way.

The School Committee and Administration of ECS have diligently labored and prayed over the policies and procedures contained in the Parent-Student Handbook. Every aspect of the handbook was written with the education, safety, and welfare of our students, faculty, and families in mind.

Please read over the entire Parent-Student Handbook to familiarize yourself with our ECS policies and expectations. If you and your student(s) agree to abide by and uphold the policies as stated in the ParentStudent Handbook, we welcome your student(s) and family to be part of Emmanuel Christian School.

Sincerely In Christ,

School Committee and Administration of Emmanuel Christian School

We, as a family, have read and agree to abide in spirit and practice with the policies, standards, and rules contained within the Emmanuel Christian School Parent-Student Handbook. The handbook is located on the school website at www.ecscrusders.com.

We also understand that if we cannot fully support the principles, biblical standards, and rules set forth in the Parent-Student Handbook; it is our responsibility to notify the Administration of Emmanuel Christian School in writing within twenty-four hours of that decision and our student(s) may be subject to dismissal from ECS.

____________________________________________________________________ ___________________ Parent/Guardian signature Date

____________________________________________________________________ ___________________ Parent/Guardian signature Date

________________________________________________________ _________ ___________________ Student’s Signature (4th -12th grade) Grade Date

Please complete a form for each of your children.

Please return this form to the school office as a requirement for admission.

POLICY STATEMENTS

Please complete for each student in K2-12th grade.

ECS Discipline Policy

In accordance with the South Carolina DSS guidelines, Emmanuel Christian School DOES NOT practice any form of

physical or corporal punishment to children within our care. Our teachers must all agree to follow the Discipline

Policy of our school at the point of hire. Parents must provide their agreement to our Discipline Policy with their

signature. Your required signature below is your acknowledgement of our school’s discipline policy. Further details can be

found in your ECS parent-student handbook.

Parent’s Initial: _____________________

ECS Medication Agreement When my child must be given any medication at school, it will be sent in the original container stating my child’s name,

dosage, and time to be administered. Your required signature below is your acknowledgement of our school’s medication

agreement policy.

Parent’s Initial: _____________________

ECS Emergency Medical Care I agree for Emmanuel Christian School to transport and obtain emergency medical care for my child in the event emergency

medical treatment is required. I understand my child will be transported to a medical treatment facility, a caregiver with the

center will remain with my child until I or my designee arrives, and my child’s paperwork will be available for medical

professionals to review. I give permission for my child’s paperwork to be reviewed and for my child to be treated as deemed

necessary by medical professionals.

Child’s Name: ___________________________________________________________________________________

First Middle Last

Parent’s Signature: _______________________________________________________________________________

Date: __________________________________________________________________________________________

Emmanuel Christian School’s Designee: Heather Atkinson or her designee__________________________

Transportation I give permission for my child to be transported on field trips by ECS or any ECS Designee.

Signature: ______________________________________________________________________________________

EMERGENCY CARE INFORMATION


Student's Full Name:_____________________________________________________________________________

DOB: ____________________ Grade: _________ Teacher: _________________________________________

Address: ______________________________________________________________________________________

Street City State Zip

Parents are: ☐ Married/Living together ☐ Separated

☐ Divorced If divorced, who has legal custody? _________________________________________

Please check which of the following your child may have while at school if needed:

☐ YES ☐ NO In case of emergency allergic reaction, ECS has permission to give my child

BENADRYL ELIXIR per directions, before notification of parent:

Please list any history that is pertinent to your child’s daily care at school:

_______________________________________________________________________________________________

_______________________________________________________________________________________________

Please list all prescribed medications your child takes, and include amounts:

_______________________________________________________________________________________________

_______________________________________________________________________________________________

Parent's Signature ____________________________________________ Date: ______________________

Mother: _______________________________

Home: ___________________

Cell: _____________________

Work: __________________

Pager:__________________

Father:________________________________

Home: ___________________

Cell: _____________________

Work: __________________

Pager:_________________

Other:_________________________________

Relationship:____________________________

Home: ___________________

Cell: _____________________

Work: __________________

Pager:__________________

☐ Tylenol

☐ Cough drop

☐ Children’s Tylenol

☐ Tums

☐ Ibuprofen

☐ None - please call first

Allergies to Medicine

_____________________________________________

_____________________________________________

Please list the reaction

_____________________________________________

_____________________________________________

List any other allergies

_____________________________________________

_____________________________________________

Please list the reaction

_____________________________________________

_____________________________________________

COVID-19 WAIVER

Please complete for each student in K2-12th grades.

Due to the COVID-19 pandemic, Emmanuel Christian School (ECS) has been exploring different and reasonable ways to provide services to all students. ECS has worked with state and local agencies, including our local health department, to draft and implement guidelines moving forward regarding cleaning, screening, social distancing, etc. Though Emmanuel Christian School and its agents will work hard to implement and abide by those guidelines, neither the guidelines themselves nor even guidance from the Centers for Disease Control and Prevention (CDC) would allow ECS to guarantee an environment that is entirely free of COVID-19 risks.

By allowing your child to return to campus, however, you acknowledge and understand that your child's attendance will require him/her to interact physically with the Emmanuel Christian School staff members, other students, and volunteers. As such, despite reasonable mitigation efforts on behalf of ECS, physical interaction with the public at large may pose some unavoidable risks to you, your child, and your family due to the COVID-19 pandemic. With that, you further acknowledge and agree to the following:

1. Waiver and Release. You hereby release and forever discharge and hold harmless Emmanuel Christian School and its agents (any employee, client, agent, owner, shareholder, board member, or any other representative of ECS) from any and all liability, claims and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from your child's return to camus and/or participation in activities associated with ECS. You understand that this release discharges ECS from any liability or claim that you may have against ECS with respect to COVID-19.

2. Assumption of Risk. You further understand that your child's return and/or participation may expose him/her and others to unavoidable COVID-19 community spread. As such, you hereby expressly and specifically assume the risk of injury or other harm, and also expressly release Emmanuel Christian School and its agents (any employee, client, agent, owner, shareholder, board member, or any other representative of ECS) from all liability for injury, illness, or other issue resulting from or in any way related to your child's return or participation.

BY EXECUTING BELOW, YOU ACKNOWLEDGE HAVING READ AND UNDERSTOOD ALL OF THE ABOVE TERMS AND CONDITIONS.

________________________________________ ________________________________________ Parent/Guardian Printed Full Name Your Child's Printed Full Name*

________________________________________ ______/______/2021 Parent/Guardian Signature Date

*Please complete and sign a COVID-19 Waiver for each of your children that attend Emmanuel Christian School.

PERMISSION TO PICK UP FORM


This is for anyone picking up your student in the carline. Any student picked up before the carline must have a written note or the parents must notify the school office.

Name of Child:___________________________________________ Teacher:_________________________________

If parents are divorced or separated, photo copies of divorce decree or court injunction will be useful in case of custody incidents. Indication must be made as to who picks up the child at all times. If there is a separation, divorce, or other custody problems, of which we should be aware, please explain:

Name of person(s) who may not pick up the child:

____________________________________________ _______________________ Signature of parent or guardian Date

Update/Changes to above list

Date: _______________________ Initials: ______________________________

Date: _______________________ Initials: ______________________________

Name Phone Number Relationship

Mother/Guardian

Father/Guardian

Name Relationship

South Carolina Department of Social Services Child Care Regulatory Services GENERAL RECORD AND STATEMENT OF CHILD'S HEALTH FOR ADMISSION

TO CHILD CARE FACILITY

This form is to be completed for each child at the time of enrollment in the child care facility, updated as needed when changes occur, and maintained on file at the facility.

GENERAL INFORMATION: (to be completed by Parent or Guardian)

DSS Form 2900 (MAR 10) 1 of 2

Name of Facility: _____________ Emmanuel Christian School _________________ County: __ Darlington ________

Address: ___ 1001 North Marquis Highway _______________________ Hartsville SC, 29550 __________________ Street Address – no Post Office Boxes City, State, Zip

Child’s Name: ____________________________________________________________________________________ Last First Middle Initial Nickname

Date of Birth: ________________________________________ Enrollment Date: _______________________________ Child’s Current Home Address: _______________________________________________________________________ Street Address City, State, Zip

Parent/Guardian’s Full Name: ________________________________________________________________________ Home Phone: ____________________ Work Phone: _____________________ Other Phone: _____________________ Parent/Guardian’s Full Name: ________________________________________________________________________

Home Phone: ____________________ Work Phone: _____________________ Other Phone: _____________________ You must have two individuals who have the authority to obtain emergency medical treatment for the child. 1. Person responsible if parent/guardian unavailable for emergency medical services:

_________________________________________________________________________________________________ Full Name Relationship

Address: _________________________________________________________________________________________ Street Address - MUST LIVE LOCALLY TO ECS City, State, Zip

Telephone Number(s): ___________________________________ Family Code Word(s): ________________________ 2. Person responsible if parent/guardian unavailable for emergency medical services:

_________________________________________________________________________________________________ Full Name Relationship

Address: _________________________________________________________________________________________ Street Address - MUST LIVE LOCALLY TO ECS City, State, Zip

Telephone Number(s): ____________________________ Family Code Word(s): _______________________________ Is Child currently enrolled in school? (5K up to 6 years old) ☐ Yes ☐ No My Child will regularly attend this facility FROM ______________am/pm TO ______________am/pm If Child is a drop-in, indicate hours of care: FROM ____ N/A _______am/pm TO ______ N/A _____am/pm

Check all days Child will regularly attend this facility: ☑ Mon ☑ Tue ☑ Wed ☑ Thurs ☑ Fri ☐ Sat ☐ Sun Check all meals Child will receive daily: ☐ Meals are not offered ☐ Breakfast ☑ Morning Snack ☑ Lunch ☑ Afternoon Snack ☐ Dinner ☐ Evening Snack

HEALTH INFORMATION: (to be completed by Parent or Guardian)

Family Physician or Health Resource: __________________________________________________________________ Name

_________________________________________________________________________________________________ Street Address City, State, Zip Telephone

Emergency Care Provider: ___________________________________________________________________________ Emergency Facility Name


DSS Form 2900 (MAR 10) 2 of 2

Dental Care Provider: _______________________________________________________________________________

Name


Health Insurance Provider: ___________________________________________________________________________

Certificate of Immunization: ☐ Yes ☐ No ☐ N/A Please explain: ___________________________________________

My child has the following health conditions such as allergies, asthma, diabetes, epilepsy, etc., and/or takes the following medications on a regular basis:

Additional Comments: _______________________________________________________________________________

I certify that to the best of my knowledge ________________________________________________________________ Child's Name is in good mental and physical health and able to participate in the child care program at

Emmanuel Christian School l Name of Child Care Facility

Signature: ________________________________________________________ Date: _________________________ Parent or Guardian

Signature: ________________________________________________________ Date: _________________________ Director/Operator/Staff Designee

Documents

MAKE EVERYONE'S LIFE EASIER