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
Details regarding the illness policy are found in the Parent Handbook. I understand that Seeds & Sprouts ELCC follows the guidelines set out by Alberta Health, and that my child is not to be in attendance if they have any of the symptoms listed in the policy. They may return to the program when the requirements set out in the policy have been met.
I authorize Seeds & Sprouts to apply lotion and/or diaper cream and/or lip chap (all listed are provided by the parents) on my child as required.
I have read, understand and agree to the terms , rules and guidelines included in the Parent Handbook.
I understand that in the event of an offsite excursion that I do not wish for my child to participate in (Inclusive of field trips in and outside of the community), or in the event that my child has had their field trip privleges revoked, that I will need to find alternative care for my child for that day. Seeds & Sprouts will not be able to provide alternative care for that day.
II understand and agree that it is my responsibility to ensure that my childcare fees are up to date each month. I understand that if I qualify for subsidy, that it is my responsibility to ensure that it is up to date. If my subsidy does not come through it will be my responsibility to pay the difference.
I understand I must provide 30 fiscal days notice in writing, if I wish to terminate my child's spot at Seeds & Sprouts ELCC. If I do not give one fiscal month's notice that I would be responsible for paying for the following month.I understand that in excess of one month of my childcare fees being paid - I risk termination of my spot and my account going to a third party collection agency.
I understand that my child will need to be at Seeds & Sprouts no later than 9:30am (unless alternative arrangements have been made), and that they must be picked up by 5:45 pm . If I arrive after this time there may be a late pick-up fee charged to my account. Children are not to attend the program for longer than 10 hours a day.
I hereby authorize Seeds & Sprouts ELCC staff to apply sunscreen (provided by parents) on my child in spring and summer as needed.
I hereby authorize Seeds & Sprouts ELCC staff to apply insect repellent (provided by parents) on my child in spring and summer as needed.
I hereby consent to and authorize Seeds & Sprouts ELCC to use and reproduce photographs taken of my child to post inside the centre.
I hereby consent to and authorize Seeds & Sprouts ELCC to use and reproduce photographs taken of my child to use for display on our website and any online social media platform.
I understand that walks to neighborhood areas and parks are part of the programming at Seeds & Sprouts ELCC and I hereby give consent for my child to participate in these activities, without additional notifications for such walks. Seeds & Sprouts has a 20 block walking radius.
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 Seeds & Sprouts ELCC 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 Seeds & Sprouts ELCC to aid in / provide transportation for my child to and from school. I understand that I am bound by the transportation agreement that is provided to me at the beginning of each school year.
Other parents sometimes request a family's phone number/email 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/email for this purpose.
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