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 agree to contact the Carseland Before and After Program when my child will be absent from the program on his or her scheduled day. I understand that doing so allows the program to regulate numbers and prioritize staff. I also understand that this allows an opening for other families on the waiting list to attend the program.
I agree to contact the Carseland Before and After Program when my child will be arriving 30 minutes or more past their regular drop off time. I agree to contact the before and after program if any persons other than myself or other legal parent/ guardian is dropping off or picking up my child. I agree to contact the program when my chid is being picked up from school early and therefore will not be attending the after school part of the program. I understand that this is a separate phone call or email made to the program than from the courtesy call made to Carseland School. I understand that the program closes at 6pm and that I need to contact them if I know I will be late or if any other persons are picking up my child. I understand that if my child is still in attendance 10 minutes after the program ends, a $1 per minute charge will be added to my fee until an authorized pick up person arrives.
I have purchased a Carseland Before and After Program punch card for my child, before attending the program I agree to: - contact the program to enter my child's scheduled attendance days. - contact the program when my child will not be attending their scheduled punch card days. I understand that failure to schedule days before attending may result in the program tuning us away. I understand that once my child's scheduled days are reported, the program will expect us on those days. I understand that failure to contact the program about my child's absence on scheduled days will result in a regular attendance punch on my Childs card. I understand that once a punch card is full a new punch card must be purchased before my child can attend again, if needed.
I hereby consent to and authorize Carseland Before and After Program to use and reproduce photographs taken of my child to post inside the centre.
I hereby consent to and authorize Carseland Before and After Program to use and reproduce photographs taken of my child to use for display on our website and any online social media platform. Written consent can be revoked at any time by contacting the Before and After Program.
In the event that I can not be reached and emergency medical or first aid treatment is required for my child, I hereby agree to allow the Director or staff of Carseland Before and After Program to seek or administer any medical treatment appropriate. I agree to be responsible for any costs incurred as a result of this medical treatment.
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.
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