Extended Care

Extended Care Contracts

Complete and submit your extended care registration documents quickly and easily – all in one place.

Available Contracts

School Year Schedule – 2026-2027

Before & After Daycare Parent Contract

🕐 Morning Care: 6:15 AM – School Start

🌇 Afternoon Care: School Dismissal – 6:30 PM

👦 Eligible Grades: Kindergarten – 8th Grade

The policies in this contract are set forth by Happy Valley School Before & After Daycare and are in accordance with childcare regulations. The Policy Manual and Parent Contract become effective upon acceptance by the parent/guardian and Happy Valley School Before & After Daycare.

Required Information

The following information requirements are needed before your child may attend.

1) Signed contract per child.

2) Emergency Form MUST be filled out COMPLETLEY.

3) Copy of Immunization MUST be attached. Download and email to jsmeets@happyvalleyschool.org.

4) Copy of custody papers, if applicable.

5) One-time registration fee of $50.00 per family.

Business Hours

Daycare hours of operation are Monday through Friday from 6:15 a.m. to 7:15 a.m. and 1:50 p.m. to 6:30 p.m. (Excluding holidays).

Fees & Refunds

Registration Fee: $50.00 per family.

Fees: AM Care: $8.00; PM Care: $20.00

All payments must be prepaid on the 1st of the month for days 1st – 15th and on the 16th of the month for days 16th – 30th (31st). If the payment due date falls on a weekend, fees are due the Friday before.

A $10.00 late charge for all payments made after the 16th and 1st of the month. There are no credits issued for days missed due to illness, vacation, or suspension.

Child is withdrawn from the program if payment is not made.

Return check policy: $25.00 handling charge for any returned dishonored check. The parent will be required to pay cash from that point on.

Policies, contracts, and forms are subject to review and change. We will notify parents in writing of any changes.

Afternoon snacks provided daily; calendar posted on information board.

Children will be able to complete homework in before/afterschool program.

"*" indicates required fields

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Company

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Parents are to read all rules to children and initial.

Parents are to read all rules to children and initial*

I will follow all school and daycare rules.*

Parents are to read all rules to children and initial*

I will not hit, kick, spit, or otherwise injure another child.*

Parents are to read all rules to children and initial*

I will not leave my group without permission.*

Parents are to read all rules to children and initial*

I will use my words and ask a teacher if I need help with a problem.*

I have read and understand the Happy Valley School Before and After Daycare Policy Manual and will comply with all written policies and procedures.

I agree to pay all fees on time each month. I understand that there is a $10.00 late charge if payment is not made on time.

I understand the hours of operation for the daycare. A late charge of $1.00 per minute per child will be charged for all time after 6:30 p.m. This amount is DUE at the time of pick up.

I understand that my child is responsible for following daycare rules while attending Happy Valley School Before & After Daycare.

I understand that I will keep the daycare updated on any address, employment, phone number changes or any emergency contact information.

I hereby acknowledge that I am aware of the conditions stated in the Happy Valley School Before and After Daycare Contract and agree to abide by the above requirements.

Parent Full Name*

Parent Signature*

Your Name
Your Name
Your Name

Date*

Child’s Name*

Teacher*

Email for billing*

August Payment

*Payments are due by the 1st of the month for August 1st – 15th and due again on the 16th for August 16th –31st. *A $10.00 late fee will be charged every week that payment is late.

Please check the days that your child will attend in August.*

05 AM

05 PM

06 AM

06 PM

07 AM

07 PM

10 AM

10 PM

11 AM

11 PM

12 AM

12 PM

13 AM

13 PM

14 AM

14 PM

17 AM

17 PM

18 AM

18 PM

19 AM

19 PM

20 AM

20 PM

21 AM

21 PM

24 AM

24 PM

25 AM

25 PM

26 AM

26 PM

27 AM

27 PM

28 AM

28 PM

31 AM

31 PM

Arizona Department of Health Services

Bureau of Child Care Licensing, Emergency, Information and Immunization Record Card

Child's Name*

Date Enrolled*

Sex*

Male

Female

Home Address*

Street Address City State ZIP Code

Date of Birth*

Date Disenrolled*

Updated*

Parent or Guardian Name*

Home Address*

Phone*

Email Address*

Parent or Guardian Name

Home Address

Phone

Email Address

I authorize the following individuals to collect my child from the facility in case of emergency or if I cannot be contacted.

(Pursuant to R9-5-304.B and R9-5-716, at least two contact persons are required)

Name*

Contact Phone Number*

Name*

Contact Phone Number*

Name

Contact Phone Number

Name

Contact Phone Number

If Medical care is necessary, call:

*A Health Care Provider is a physician, physician assistant or registered nurse practitioner. *I hereby give authority to any hospital or doctor to render immediate aid as might be required at the time for his/her health and safety.

Health Care Provider Name*

Contact Phone Number*

In case of injury or sudden illness, I request that this individual be called first:*

The following individual(s) may NOT remove my child from the facility:*

Custody papers have been provided and are on file at the facility*

Yes

Telephone Authorization Code

Immunization Information

A license shall attach an enrolled child's written immunization record or exemption to the enrolled child's Emergency, Information and Immunization Record card. For information regarding current immunization requirements contact the Arizona Immunization Program Office at (602)364-3630

One of these items must accompany the EIIR card at all times:*

Copy of the current official documented immunization record attached

Religious Beliefs exemption form signed by parent/guardian attached

Medical Exemption form signed by physician and parent/guardian attached

Signed Laboratory Proof of Immunity form attached

Notification of immunization needed sent to Parent(s) or Guardian(s):

Updated immunizations received and attached:

Medical Information

Is child allergic to food, other substances, or need a modified diet?*

Yes

If yes, describe symptoms, name foods or substances to be avoided or modified, and the procedure to follow if reaction occurs:

Is child usually susceptible to infections and if so, what precautions need to be taken?*

Yes

If yes, list precautions:

Is child subject to convulsions and what should be our procedure if one occurs?*

Yes

If yes, specify precautions:

Is there any physical conditions that we should be aware of and what precautions should be taken (heart trouble, foot problem, hearing impairment, hernia, etc.)?*

Yes

If yes, list precautions:

Additional comments

Other special instructions

This Emergency Information and Immunization Record Card is accurate and complete, and was provided by:

Parent/Guardian PRINTED Name*

Signed Name*

Your Name
Your Name
Your Name

Date*

Not Sure Which Program Is Right for You?

PROGRAM	BEST FOR	HOURS
Before & After School Care	Families needing daily care during the school year	6:15 AM – 6:30 PM
Summer Camp	Families needing care during summer break	6:30 AM – 6:30 PM

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2026–2027 Enrollment Open

Questions About Extended Care Contracts?

Jennifer Smeets – Daycare Director

jsmeets@happyvalleyschool.org
623-695-9915
7140 West Happy Valley Road Peoria, AZ 85383
Open Monday – Friday, 7:00 AM – 3:30 PM

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