Complete the 3-step application to enroll one child.
Chrysalides Therapy Center
Effective Date: [Insert Date]
Please read these Terms and Conditions carefully before submitting an enrollment application. By checking the agreement box and submitting the enrollment form, the Parent/Guardian confirms that they have read, understood, and agreed to these Terms and Conditions.
The enrollment application must be completed and submitted by the child's Parent or Legal Guardian. The Parent/Guardian is responsible for providing accurate, complete, and truthful information about the child. The Parent/Guardian is also responsible for ensuring that all information and supporting documents submitted to Chrysalides Therapy Center are valid and up to date.
Submitting an enrollment application does not guarantee acceptance or enrollment at Chrysalides Therapy Center. All applications are subject to review and validation by authorized staff. Chrysalides Therapy Center may request additional information or documents when necessary. The Parent/Guardian will be informed of the enrollment status through the contact information provided in the application.
The Parent/Guardian must provide the required information and upload the required supporting documents during the enrollment process. The Parent/Guardian confirms that all submitted information and documents are truthful, accurate, complete, and not misleading. If the information or documents provided are found to be inaccurate, incomplete, fraudulent, or misleading, Chrysalides Therapy Center may delay, reject, or reconsider the enrollment application, subject to applicable policies and laws.
The Parent/Guardian must provide relevant medical, developmental, and therapy-related information that may be necessary for the safe and appropriate provision of services. The Parent/Guardian should inform Chrysalides Therapy Center of any known medical conditions, allergies, medications, physical limitations, or other relevant concerns that may affect the child's participation in therapy. The Parent/Guardian understands that the information provided will be used by authorized personnel for purposes related to enrollment, scheduling, therapy services, documentation, and child safety.
By enrolling the child at Chrysalides Therapy Center, the Parent/Guardian acknowledges that therapy services will be provided by qualified personnel according to the child's identified needs, recommendations, and the Center's available services. The Parent/Guardian understands that therapy is intended to support the child's development and functioning and that individual results may vary. The Parent/Guardian should discuss significant medical concerns or changes in the child's condition with the appropriate healthcare professional and inform Chrysalides Therapy Center when such information may affect the child's therapy services.
Therapy schedules are subject to therapist availability, available time slots, and the operational schedule of Chrysalides Therapy Center. Submitting an enrollment application does not automatically reserve a therapy schedule. A schedule may only be confirmed after the child's enrollment has been approved and a suitable schedule has been assigned or booked. The Parent/Guardian is responsible for reviewing the child's scheduled therapy sessions and informing Chrysalides Therapy Center of any necessary changes.
The Parent/Guardian must notify Chrysalides Therapy Center when the child will be absent from a scheduled therapy session. Absence notifications should be submitted within the required period established by Chrysalides Therapy Center. Failure to provide the required notice may result in an applicable penalty. When rescheduling is allowed, the Parent/Guardian may choose from available schedules. Rescheduled sessions are subject to therapist and time-slot availability. Chrysalides Therapy Center does not guarantee that the same therapist or preferred schedule will be available for a rescheduled session.
The Parent/Guardian acknowledges that applicable payments and the required ₱2,000 bond may be recorded through the payment system. The system may display payment transactions, payment status, outstanding balances, and bond balances. Penalties may be applied according to the policies of Chrysalides Therapy Center. Depending on the reason for the absence and the supporting documentation provided, the applicable penalty may be 50% or 100%, subject to confirmation by authorized staff. The Parent/Guardian is responsible for settling applicable payments and outstanding balances.
The bond may be refundable upon discharge of the child, subject to verification of the child's account and any applicable outstanding balances or penalties. The refundable amount may be determined after authorized staff review and approval. Payments made for therapy sessions are generally non-refundable, except when a refund is specifically approved by Chrysalides Therapy Center under its applicable policies. A refund request does not guarantee approval. The final refund amount and release will be subject to the Center's verification and approval procedures.
Chrysalides Therapy Center provides therapy services intended to support the child's developmental and functional needs. However, the Center does not guarantee a specific medical, developmental, or therapeutic outcome. The effectiveness of therapy may differ from one child to another depending on individual circumstances, participation, recommendations, and other factors. The Parent/Guardian understands that information provided through the enrollment portal is not a substitute for professional medical advice, diagnosis, or emergency medical care. For medical emergencies, the Parent/Guardian should seek appropriate emergency medical assistance.
The Parent/Guardian is responsible for providing complete and accurate information that may affect the child's participation in therapy. Chrysalides Therapy Center will take reasonable measures to provide services safely and appropriately. However, the Center shall not be responsible for circumstances resulting from inaccurate, incomplete, or undisclosed information provided by the Parent/Guardian, subject to applicable laws. Nothing in these Terms and Conditions is intended to remove or limit any responsibility or liability that cannot legally be excluded under applicable law.
The Parent/Guardian is responsible for keeping their account credentials confidential and for all activities performed through their account. The Parent/Guardian must not share account credentials with unauthorized individuals or attempt to access another person's account. If the Parent/Guardian suspects unauthorized access to their account, they should notify Chrysalides Therapy Center as soon as possible.
The enrollment portal requires an internet connection and may occasionally become unavailable because of maintenance, technical issues, network problems, or third-party service interruptions. Chrysalides Therapy Center will make reasonable efforts to maintain the availability of the system but does not guarantee uninterrupted access at all times. Delays in email, SMS, or other notifications may occur due to internet connectivity, telecommunications networks, or third-party service providers.
Chrysalides Therapy Center may send enrollment, scheduling, payment, and service-related notifications through email, in-app notifications, and SMS. SMS may be used for urgent or emergency-related updates. The Parent/Guardian is responsible for providing accurate contact information and checking relevant communications. Chrysalides Therapy Center is not responsible for communication delays caused by incorrect contact information, network problems, or third-party service providers.
Chrysalides Therapy Center collects and processes personal information provided through the enrollment portal for legitimate purposes related to enrollment, therapy services, scheduling, payment processing, communication, documentation, and other operations of the Center. Information relating to the child and Parent/Guardian will be handled in accordance with applicable privacy laws, including the Data Privacy Act of 2012 (Republic Act No. 10173), and the Chrysalides Therapy Center Privacy Policy. Only authorized personnel should have access to information necessary for their assigned responsibilities. If the Parent/Guardian uses the optional automatic document reader, the uploaded document is sent to an AI service provider solely to read and suggest the details for the enrollment form; it is not used by the provider to train AI models, and the suggested details must be checked by the Parent/Guardian. The Parent/Guardian may refer to the Privacy Policy for additional information regarding the collection, use, storage, protection, and rights concerning personal information.
By submitting the enrollment application, the Parent/Guardian acknowledges that they have read and understood the Privacy Policy and agrees to the collection and processing of personal information for the purposes stated in the Privacy Policy and applicable laws. The Parent/Guardian confirms that they have the authority to provide the child's information for enrollment and related services.
The enrollment portal must only be used for legitimate purposes related to enrollment and the services of Chrysalides Therapy Center. Users must not intentionally provide false information, misuse the system, interfere with system operations, attempt unauthorized access, or use another person's account without permission. Chrysalides Therapy Center may take appropriate action when unauthorized or improper use of the system is identified.
Chrysalides Therapy Center may update these Terms and Conditions when necessary because of changes in its services, policies, procedures, or applicable requirements. Updated Terms and Conditions may be made available through the website or enrollment portal. The Parent/Guardian may be required to review and accept updated terms when necessary.
By checking the agreement box and submitting the enrollment form, the Parent/Guardian confirms that:
The enrollment form cannot be submitted unless the agreement checkbox is selected.