Family
First Parent
Second Parent
First Child
Living Arrangements
School
Please enter school details as you expect them to be on your child's start date
Enrolment
Medical
Subsidy

Second Child
Living Arrangements
School
Please enter school details as you expect them to be on your child's start date
Enrolment
Medical
Subsidy

Third Child
Living Arrangements
School
Please enter school details as you expect them to be on your child's start date
Enrolment
Medical
Subsidy

Emergency Contacts (Other than parents)


Agreements
I hereby authorize P.B.P.P.A.S staff to apply the sunscreen (provided by the daycare) on my child in spring and summer as needed.
I hereby authorize P.B.P.P.A.S staff to apply the insect repellent (provided by the daycare) on my child in spring and summer as needed.
I hereby consent to and authorize P.B.P.P.A.S to use and reproduce photographs taken of my child to circulate for display purposes within our facility.
I understand that walks to neighborhood areas and parks are part of the programming at P.B.P.P.A.S and I hereby give consent for my child to participate in these activities.
In the event that I can not be reached and emergency medical treatment is required for my child, I hereby agree to allow the Director or staff of P.B.P.P.A.S to seek any medical treatment appropriate. I agree to be responsible for any costs incurred as a result of this medical treatment.
Wrap up
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