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Family Name Is There a Second Parent or Guardian?YesNoRelation to Child(Required) First Name(Required) Last Name(Required) Cell Phone(Required)Personal Email(Required) Address(Required) Street Address City State / Province / Region ZIP / Postal Code Occupation?(Required)WorkSchoolStay at HomeOtherOccupational Name(Required) Occupational Phone Number(Required) Occupational Address(Required) Second Parent ( optional ) Guardian Information (if applicable) Guardian Information ( Optional ) Yes Or No Relation to Child(Required) Relation to Child First Name(Required) Last Name(Required) First Name Last Name Email(Required) Cell Phone(Required)Cell PhoneAddress(Required) City State / Province / Region ZIP / Postal Code Occupation?(Required)WorkSchoolStay at HomeOtherOccupational Name(Required) Occupational Phone Number(Required) Occupational Address(Required) Address City State / Province / Region ZIP / Postal Code Email Address(Required) Email Address Child's First Name(Required) Child's Last Name(Required) Goes By Birthdate(Required) MM slash DD slash YYYY SexSelectMaleFemaleLiving Arrangements(Required)Child Lives With Mother Father Other Is There a Custody Agreement?(Required)Is There a Custody Agreement? Select No Yes School(Required)Please enter school details as you expect them to be on your child's start date Not in School Attending Kindergarten Attending Grade 1 to 6 School Name(Required) Enrolment(Required) MM slash DD slash YYYY Desired Start DateFrequency(Required)FrequencySelectFull TimePart TimeDrop InMedical(Required)Health Care #Physician's Name(Required) Physician's NamePhysician's Phone(Required)Physician's PhoneDiet Restrictions(Required) Allergies(Required) Other Medical Concerns(Required) Is Your Child's Immunization Up to Date?(Required) No Yes Does your child require medication, or carry emergency medication?(Required) No Yes Medication DetailsSubsidy(Required) Subsidy is Approved I Have Applied for Subsidy I Will Apply for Subsidy I Need Help Applying for Subsidy I Do Not Plan to Apply for Subsidy Have an additional child to add? Yes No Given Name(Required) Last Name(Required) Goes By Birthdate(Required) MM slash DD slash YYYY SexSelectMaleFemaleLiving ArrangementsChild Lives With Mother Father Other Is There a Custody Agreement?Is There a Custody Agreement? Select No Yes SchoolPlease enter school details as you expect them to be on your child's start date Not in School Attending Kindergarten Attending Grade 1 to 6 School Name(Required) Enrolment MM slash DD slash YYYY Desired Start DateFrequencyFrequencySelectFull TimePart TimeDrop InMedical(Required)Health Care #Physician's Name(Required)Physician's Name Physician's Phone(Required)Physician's PhoneDiet Restrictions(Required) Allergies(Required) Other Medical Concerns(Required) Is Your Child's Immunization Up to Date?(Required) No Yes Subsidy Subsidy is Approved I Have Applied for Subsidy I Will Apply for Subsidy I Need Help Applying for Subsidy I Do Not Plan to Apply for Subsidy Have an additional child to add? Yes No Given Name(Required) Last Name(Required) Goes By Birthdate(Required) MM slash DD slash YYYY SexSelectMaleFemaleLiving ArrangementsChild Lives With Mother Father Other Is There a Custody Agreement?Is There a Custody Agreement? Select No Yes SchoolPlease enter school details as you expect them to be on your child's start date Not in School Attending Kindergarten Attending Grade 1 to 6 School Name(Required) Enrolment MM slash DD slash YYYY Desired Start DateFrequencyFrequencySelectFull TimePart TimeDrop InMedical(Required)Health Care #Physician's Name(Required)Physician's Name Physician's Phone(Required)Physician's PhoneDiet Restrictions(Required) Allergies(Required) Other Medical Concerns(Required) Is Your Child's Immunization Up to Date?(Required) No Yes Does Your Child Receive Medication on an Ongoing Basis? No Yes Subsidy Subsidy is Approved I Have Applied for Subsidy I Will Apply for Subsidy I Need Help Applying for Subsidy I Do Not Plan to Apply for Subsidy Emergency Contact Information (relation)(Required) First Name(Required) Last Name(Required) Cell Phone(Required)Home Phone(Required)Address(Required) City State / Province / Region ZIP / Postal Code Authorized for Pickup(Required) Yes AgreementsSun Screen and Insect Repellent Application Sun Screen and Insect Repellent ApplicationI hereby authorize Sweet Grass Child and Family Resource Centre Educators to apply sun screen(provided by parents) and insect repellent (provided by parents) on my child in spring and summer as needed. No Expired Sunscreen.Terminination of Care Terminination of CareI hereby acknowledge that I have read and understood Sweet Grass Early Learning and OSC policy that I am required to provide one month's (30 days) notice for any termination of enrollment or change in schedule.Absences From Care Absences From CareI understand that the absence from Care Refunds for child care fees will not be processed for the following: missed days; vacation; sick days; public health closures; or severe weather closures.Medication Administration Medication AdministrationI give my permission for Sweet Grass Child and Family Resource Centre to Call 911 in the event of an emergency situation for my Child, and the cost is that of the parents/guardian. First Aid will be administered by an Educator at the centre as necessary.Parent Handbook Parent HandbookMy signature below indicates that I have received a copy of Sweet Grass Child and Family Resource Centre’s Parent Manual. I acknowledge that I have read and understood the policies and procedures outlined within the parent manual. I also understand that Sweet Grass Child and Family Resource Centre may revise, supplement, or rescind policies, procedures or benefits described in the manual, with or without notice.I understand that the absence from Care Refunds for child care fees will not be processed for the following: missed days; vacation; sick days; public health closures; or severe closures.Infant Care Incentive Infant Care IncentiveI acknowledge and understand that Sweet Grass Early Learning and OSC is eligible to receive fund from Alberta Children's Services under the Infant Care Incentive Program. The program receives $150 each month for children ages between 0-18 months and receiving child care for eight or more hours per month.Photographic Release Photographic ReleaseDue to the new Copyright Laws we must have parental/guardian consent before we can display or copy students’ pictures/documentation/art work. I hereby grant permission for Sweet Grass Child and Family Resource Centre to use photographs of and to exhibit and/or copy the works of my child. This may be through documentation, bulletin boards, presentations. This also includes media release coverage such as TV or Newspapers. We will inform you if your child gets selected for a media release.Illness IllnessI understand that when my child is vomitting, has diarrhea or a fever of 38 degrees Celsius or higher (100 degrees fahrenheit), my child requires to stay home. If my child develops the above symptoms while at the program, staff will contact me to request my child be picked up. I agree that my child must be symptom free for a period of 24 hours prior to returning to the child care program. Transportation to and from School Transportation to and from SchoolI hereby consent and authorize Sweet Grass Early Learning and OSC to walk my child to/from school bus, supervised by the Director and/or staff of Sweet Grass Early Learning and OSC.Telephone Number Release Telephone Number ReleaseOther 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.Child Guidance Procedure Child Guidance ProcedureChild guidance procedure used at the daycare include: redirecting the child's activities, talking through problems with the children or removing the child from the situation. Positive reinforcement is practiced at all times.Developmental Screening Tool Developmental Screening ToolI do hereby give consent to the teacher to use ages and stages developmental screening tool that will help teacher better meet the needs of my childField Trips & Neighbourhood Walks Field Trips & Neighbourhood WalksI understand that field trips and walks to neighborhood areas and parks are part of the programming at Sweet Grass Child and Family Resource Centre and I hereby give consent for my child to participate in these activities.How Did You First Hear About Us? Web Search Word of Mouth (Referral) Drive by (Saw the Signs) Other CAPTCHANameThis field is for validation purposes and should be left unchanged.
