Family Name
First Parent
Second Parent
First Child
Living Arrangements
School
Enrolment
Medical
Subsidy

Second Child
Living Arrangements
School
Enrolment
Medical
Subsidy

Third Child
Living Arrangements
School
Enrolment
Medical
Subsidy

Emergency Contacts (Other than parents)


Agreements
I hereby authorize Happy House Daycare staff to apply sunscreen (provided by parents) on my child in spring and summer as needed.
I hereby authorize Happy House Daycare staff to apply insect repellent (provided by parents) on my child in spring and summer as needed.
I hereby consent to and authorize Happy House Daycare to use and reproduce photographs taken of my child to circulate same for advertising and display purposes of every description
I understand that field trips and walks to neighbourhood areas and parks are part of the programming at Happy House Daycare 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 Happy House Daycare to seek any medical treatment appropriate. I agree to be responsible for any costs incurred as a result of this medical treatment.
I hereby consent and authorize Happy House Daycare to walk my child to/from school, supervised by the Director and/or staff of Happy House Daycare.
Other parents sometimes request a family's phone number so they can phone to invite your child to a birthday party or some other social event. Please sign below if you have no objections to the release of your phone number for this purpose.
Wrap up
Powered by TimeSavr