Downloads Parent Handbook Little Nino’s Daycare & OSCRegistration Form Child’s Name: Address Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth MM DD YYYY Lives with / Both parents Mom or Dad Other Parent #1 or Guardian Name Home Address Address 1 Address 2 City State/Province Zip/Postal Code Country Home/Cell phone# (###) ### #### Wk. phone # (###) ### #### Place of Work Parent #2 or Guardian Name Home Address Address 1 Address 2 City State/Province Zip/Postal Code Country Home/Cell phone# (###) ### #### Wk. phone # (###) ### #### Place of Work Emergency Contact 1 Emergency Contact # Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone# (###) ### #### Relation Emergency Contact #2 Emergency Contact # Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone# (###) ### #### Relation Little Nino’s Daycare & OSC Health Information : Immunization up to date? Does your child require on going medication? Name of medication Reason Does your Child have any allergies? Symptoms Does your child require any emergency medication? If yes, please complete a medication permission form. We cannot administer medication without parent signature. Name of medication Symptoms Any food restrictions? PERSONS AUTHORIZED TO PICK UP Identification will be required if we haven’t met the authorized person previously. Name 1 Telephone Number (###) ### #### Name 2 Telephone Number (###) ### #### Name 3 Telephone Number (###) ### #### Name 4 Telephone Number (###) ### #### Names of other children in the family: Names 1 Birth date MM DD YYYY Names 2 Birth date MM DD YYYY Names 3 Birth date MM DD YYYY Little Nino’s Daycare & OSC About Your Child Has your child had experience playing with other children? What language(s) are spoken at home? Does your child speak English? If no, please provide some comforting words in your home language. Does your child have any security objects such as a blanket, soother, bottle, toy etc.? Are there any recent traumatic situations your child has been exposed to such as a death in the family, divorce, move, new sibling etc.? What is your child's temperament? E.G easy going, hard to please, demanding, aggressive, etc. What are your child's favorite activities, toys, books, or games? Are there any other comments or information you would like to share? Start date MM DD YYYY Times you plan to drop off your child Hour Minute Second AM PM Times you plan to pick up your child Hour Minute Second AM PM Little Nino’s Daycare & OSC I give permission that my child may be given first aid treatment by qualified staff at Little Nino’s Daycare & OSC Centre. In the event that I or the Emergency Contacts assigned by me are not available, I give my permission (as parent or legal guardian) to the caregivers to provide first aid for the child named above. I also give permission to take the appropriate measure including contacting emergency medical services (EMS) to arrange transportation to the closest medical facility. All costs incurred will be paid by the parents. I have received a copy of Little Nino’s Daycare & OSC Centre Parent Handbook. I have read, understand and agree to abide by the policies contained therein. I further understand that if the policies outlined in this handbook were not adhered to, it would be sufficient cause for the removal of my child/children from the daycare program. I also agree to give a minimum of two weeks written notice (ten full daycare days) of my intent to withdraw my child/children from the daycare program. If two weeks notice is not given, I/we agree to make full tuition payment for the final two weeks. Please initial next to each item. We want to be sure you understand and agree to these policies. I understand the daycare fees are $ due on the 1st day of each month. I understand fees will not be reimbursed for holiday and sick days. I understand the late pickup/early drop off fee is $2.00 per minute. I understand the pick-up policy for other than parental pick up. I understand the illness policy. I understand the medication administration policy I have read and understand the Child Guidance policy. I understand the off-site activity policy I understand the transportation policy. I understand that I must do my best to inform the daycare prior to 9:00 am, should my child be absent. Parent Signature Date MM DD YYYY Thank you!
