Emergency Preparedness Form

Life is stressful enough without having to think about what is going to happen should an emergency or disaster arise, while your child is on our care. Please read and sign the Emergency Preparedness Form so you and your family are aware of the plans we have put in place.

Emergency Disaster Preparedness Parent Information Form for Reunification

Name of Provider/Program: The Children's Learning Tree

Program Address: 44 Venture Way, Somerset, KY 42503

Emergency/Disaster Contact at the child care program: Melissa Mount

Phone number & Email of emergency/disaster contact: 606-679-0084 - childrenslearningtree@windstream.net

Cell phone of emergency/disaster contact: 606-767-2014 (Please do not call during non-emergencies; it will not be turned on.)

In the event the facility/home must be evacuated because of an emergency/disaster, the staff and the children will leave the building and gather in the immediate area at: Empty field adjacent to staff parking lot

In the event the facility/home must be evacuated because of an emergency/disaster, the staff will be transported by staff vehicles to: Somerset Christian School

The address, phone number, and contact person at this relocation site is: 815 Grand Central Blvd. Somerset, KY - 606-451-1600 - John Hale, Principal

The address, phone number and contact person of the alternate relocation site (#2) if the first site is not accessible: Harmony Christian Fellowship - 310 Lost Lodge Rd. Somerset, KY - 606-561-0777 - Adam Owens

If necessary, children will be transported to this health care facility: Lake Cumberland Regional Hospital

Address, phone number and position title of contact at health care facility: 305 Langdon St. Somerset KY - 606-679-7441
* Please see your child care provider if you would like to review the complete emergency/disaster preparedness plan.
Acknowledge*
I acknowledge I have received a copy of this Emergency Preparedness/Disaster Plan.
Name*
Signature
Date*
MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.

Enrollment Forms

Family Registration Form

New to The Children's Learning Tree of Somerset? Please fill out the form to register your child (children) for any of our childcare services.

Emergency Preparedness Form

Please fill out the emergency preparedness form so you and your children will be prepared should an emergency situation arise.

First Aid

Please fill the First Aid information form out so we may treat your child in the event your child needs medical attention and we are unable to contact you.

Pest Management Form

Would you like to be notified when we are treating our facility for pests? Please let us know and we will provide a 24 hour notice.

Service & Payment Authorization

Our fees are due a week in advance on a weekly basis. Please read our payment policy and sign our contract. Should you have questions, or need to make alternate arrangements, please contact us.