Statement of Authorization
The following statements are authorization and an agreement between the parent/guardian and St. John’s Early Learning Center. This document must be signed annually in order for St. John’s ELC to provide child care for your child. 
I,                                                       , hereby give my permission to St. John’s Early Learning Center to call a doctor for medical or surgical for my child,                                                            , should an emergency arise. It is understood that conscientious effort will be made to contact/locate a parent/guardian before any action is taken, but if it is not possible to locate us, this expense will be accepted by us. 
I,                                                    , also give my permission for my child,                                             , to go on trips away from the school on foot. 
I hereby grant permission for my child,                                                              , to be included in evaluations and photographs connected with the school program. We will have a professional photographer 2-3 times a year along with photographs of the children taken throughout the year by this staff. Photography is used solely to document different activities the children partake in at St. John’s Early Learning Center. Pictures may be used for slideshows (Christmas and Spring Fling Programs) and displayed around the center.
I understand St. John’s Early Learning Center will not be responsible for anything that may happen as a result of false information given at the time of enrollment and while in attendance at this school.
I also understand that St. John’s Early Learning Center WILL NOT assume responsibility for a child who has not been signed in when they arrive for the day. 
I,                                                           , have read and agree to the policies and procedures written in the Parent Handbook. This information was provided to me and I hereby acknowledge responsibility for my child and self while enrolled in St. John’s ELC. 
Mother or legal guardian                                                                                  Date         /      /        .
Signature:                                                                                     .
Father or legal guardian                                                                                   Date         /      /        .
Signature:                                                                                    .
Witness                                                                                         		  Date         /      /        .   
Signature:                                                                                    .