Daycare Registration

Home
Registration
Daycare Registration

Daycare Registration

Program: Child Care 3 months - 5years

Child Personal and Contact Information

Child's Name*

Date of Birth *

Gender*

Male Female

Address

Phone No.*

Tell us about your child

The reason we collect Family information is to help us get to know your child and their family. The more acquainted we are the better care we can provide. Additionally, we strive to provide a multicultural program and we believe this information may help us to enrich that programming.

Family Heritage

Where was the child born?*

Where was the child's mother born?*

Where was the child's father born?*

What is the family's cultural heritage?*

Are there any faith based food or activity restrictions? If so please explain

Are there any faith based holidays/celebrations that you would like to see represented in our programming?

Is there anything you feel we should know regarding your family situation or personal beliefs? If so please explain

What are your child's favourite foods?*

What foods are refused?*

Please list again foods not permitted due to allergies/personal reasons

Describe your child's personality, disposition, likes and dislikes

Please describe any relevant events pertaining to your child's development that the centre needs to know about

What can we do to help support your child's development?

What can we do to help support your child's family?

Parental Consent and Confirmation

The following sections require parent signatures to make the registration valid. Reading the Parent Handbook and our Policies & Procedures Manual is also required.

If filling out the application on-line, your typed name will be accepted as your signature. Your signature is confirmation of your understanding and agreement of the information on the Registration Form, in the Parent Handbook and the Policies & Procedures Manual.

I/we give Kildare Childcare & OSC permission to take whatever steps are necessary to provide emergency medical treatment for my/our child as warranted. If an ambulance is required I/we understand that it will be at my/our expense.
Parent(s) Initials*

I/we give Kildare Childcare & OSC permission to take photographs of my/our child in their daily activities and post them on display in the centre. Photos will not be used for advertising, publication or telecast without explicit permission for that specific event.
Parent(s) Initials*

I/we give permission to Kildare Childcare & OSC to take my/our child off the centre's premises for neighbourhood walks, park outings and other such related activities while in the care of staff. For all other field trip outings, a permission form will be distributed and parent's signatures will be required for child participation.
Parent(s) Initials*

I/we understand that Kildare Childcare & OSC aims to provide quality care for all children and families in a safe and comfortable environment. I/we understand that Kildare Childcare & OSC reserves the right to refuse or discontinue enrolment at their discretion should they feel my/our child poses a health or safety concern, displays unmanageable behaviour issues or is not suited for the program.
Parent(s) Initials*

I/we confirm that I/we have read and agree to the terms as laid out in the Parent Handbook and Policies & Procedures Manual. Further I/we understand that these rules and regulations are subject to change and I/we will be notified of any changes within a reasonable time. I/we will confirm in writing to adhere to the changes in order for my/our child/ren to continue to participate in the program.
Parent(s) Initials*

I/we confirm that I/we understand that a minimum of 30 days WRITTEN notice of withdrawal provided DIRECTLY to the owners/directors is required or I/we are required to pay the next months fees in full.
Parent(s) Initials*

I/we understand that is my/our responsibility to keep my/our subsidy up-to-date. I/we further understand that if coverage is cancelled or suspended for any reason I/we are responsible for fees due in full.
Parent(s) Initials*

Print Parent Name(s)

Parent Signature(s)

Daycare Registration

Search Previous filled form