TJKCC - Registration Form (2016)

(TJK CHILD CARE CENTRE002151959V)

No. 1, Jln Cerdik 3, Tmn Universiti, 43000 Kajang, Selangor
Fb: Taska Teachermama Junior Kindy
Email:tjkcc2014@yahoo.com.my
No. Tel: 013.666.1906

For Office Use Only:

ADMISSION
Program Code:
Documents required:
Completed registration form

Registration date:
Deposit: RM

one (1) copy of

MYKID

Payment: RM

Two (2) students current

photo

Admission date:
Balance: RM

Photocopy of IC
(Father & Mother )

Receipt Number:

REGISTRATION FORM
Please read the following instructions carefully before completing this form.

A. STUDENTS PARTICULAR

RECENT
PASSPORT SIZE

Full Name:
Address:

PHOTO

Date of Birth (D.O.B):

Place of Birth:

My Kid Number:

Age:

Gender:

Race:

Illness/ Childs medical concerns: (eg: Athma, epileptic fits, allergy, eczema etc):

B. PARTICULARS OF PARENTS/GUARDIAN
Info:

Father/guardian

Mother/guardian

Name:
Occupation:
Mobile:
Tel (o):
Ext:
Email:

C. EMERGENCY CONTACT PERSON (OTHER THAN PARENTS)

Name :

Relations to the child:

Contact Number:

D. RELEASE OF CHILD (OTHER THAN PARENTS)

Name :

Relations to the child:

Contact Number:

Vehicle type & registration number:

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TJKCC - Registration Form (2016)

(TJK CHILD CARE CENTRE002151959V)

No. 1, Jln Cerdik 3, Tmn Universiti, 43000 Kajang, Selangor
Fb: Taska Teachermama Junior Kindy
Email:tjkcc2014@yahoo.com.my
No. Tel: 013.666.1906

E. TERMS & CONDITIONS AND DECLARATIONS

Please tick

1)

I understand that monthly fee shall be paid in advance before the 5th of every month. Im
fully aware that there is no refund of fees and no adjustment for days the child does not
attend including during school holidays, public holidays or personal holidays. Fees paid are
strictly non-refundable, deductable or transferable.

2) I understand that if my fees payment becomes two (2) month in arrears (without any written
notice to TJKCC), TJKCC will give extra 7 days to settle the payment. Failure to pay fees two
(2) months consecutively may result in my childs enrolment being cancelled.
3) I understand that TJKCC will only release my child to my appointed guardians whose names
appear on the registration form. I will advise TJKCC in advance, in the event that my child is to
be fetched by a different person. TJKCC reserves the right to withhold the child if and should
the stipulated condition is not met.
4) I understand TJKCC makes every effort to care for and cater to my childs needs, whilst it is
TJKCC duty to maintain a safe and conducive environment for my child; I also realize that
accidents can occur. Thus, I understand that TJKCC should not be held liable for any accidents
which may occur within our premises during school hours.
5) I understand that in the event of an illness or accident to my child, TJKCC will make reasonable
attempts to contact me. When I am notified, I am required to pick my sick child immediately.
6) In the event that I cannot be reached, I hereby grant TJKCC full discretion to consult a
licensed physician of TJKCCs choice to attend to my child. All medical fees or other related
expenses shall be borne by me.
7) I further understand that sick children with these symptoms severe diarrhea/vomiting;
temperature of 38C/over; puffy or sticky eyes; unusual skin rashes or persistent pain;
symptoms of communicable disease (chicken pox, dengue, HFMD WILL NOT BE ALLOWED
TO ENTER TJKCC.
8)

I will check with my childs Health Care Provider to see if a dosage schedule can be arranged
that does not involve the hours my child in TJKCC.

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TJKCC - Registration Form (2016)

(TJK CHILD CARE CENTRE002151959V)

No. 1, Jln Cerdik 3, Tmn Universiti, 43000 Kajang, Selangor
Fb: Taska Teachermama Junior Kindy
Email:tjkcc2014@yahoo.com.my
No. Tel: 013.666.1906

9) IF MY CHILD REQUIRES MEDICATION WHILE AT TJKCC, I will submit the medication

authorization form (provided by TJKCC) with a written prescription accompanying any
medications that needs to be given out to my child.
10) I understand that TJKCC shall not be held liable/responsible for any loss of valuable items. As
such, children are not to bring/wear on them any expensive/valuable items/belongings.
11) I hereby give my permission to TJKCC to photograph, audiotape or videotape my child/children
and to use my childs/ childrens image, spoken words and/or their work for educational and
promotional purposes

I Mr. / Mrs. / Mdm _____________________________________________________

of I.C. number: __________________________ hereby confirm that I have read;
understood and accept the terms and conditions (no.1 no.11) stipulated and will adhere to it.
Im interested in registering my child at TJKCC and I declare that all the particulars, details
and statements given above are correct and true.
I agree to give one months written notice of withdrawal in advance, should I wish to
withdraw my child from TJKCC
Mothers signature:

Fathers signature:

--------------------------------------------Name:
NRIC:
Date:

---------------------------------------------------Name:
NRIC:
Date:

DAY CARE PROGRAMME

TJK CHILD CENTER (2016)
Code

DAY CARE PROGRAMME

DAILY RATE
DAY CARE
DURATION
(HOURS)

ANNUAL
FEES
(RM)

MONTHLY
FEES
(RM)

TRANSIT
(RM)

ADHOC
(RM)

TIME

TJK1

PLAYSCHOOL (FULL DAY)

7.00 am - 7.00 pm

12 hours

320*

380

TJK2

PLAYSCHOOL (HALF DAY)

SCHOOL/ KINDY
TRANSIT (HALF DAY)

7.00 am 1.00 pm

6 hours

320*

200

1.00 am - 7.00 pm

More than 3 hours

80**

180

10

TJK4

SCHOOL/ KINDY TRANSIT

includes lunch

Less than 3 hours

80**

80

15

TJK5

SCHOOL/ KINDY TRANSIT

no lunch

Less than 3 hours

80**

50

15

TJK6

Daycare (Adhoc)

7.00 am - 7.00 pm

More than 6 hours

20

TJK7

Daycare (Adhoc)

7.00 am - 7.00 pm

Less than 6 hours

10

TJK8

Over time

TJK3

After 7.00 pm

*Registration, Insurance, T-shirt & Activity Fees

RM6/ hour
**Registration, Insurance & Equipment Fees

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