I, hereby grant permission for the operator, or designate, of this child care centre to take whatever steps are necessary when accidents, sudden illnesses, or other emergencies occur. Necessary steps will be taken to obtain emergency medical care for my child if warranted
Parent’s Signature for Immediate Medical Attention*
Allergies (food, medication, etc.)?*
A condition or behaviour that requires special attention, medication, or special diet?*
I, ,hereby consent to have leave the premises from time to time to participate in excursions to places of interest, planned as part of the children’s program.It is understood that supervision will be provided by members of the staff.
NOTE: Advanced notice will be given on planned field trips.
I, ,hereby give permission to Zoe’s Tender Years Child Care to use photographs of in any daycare related newsletters, bulletin boards and internet viewing (that is password protected at all times).
NOTE: Individual identities of all children will be kept strictly confidential.
I, have brothers. Name/Ages:
I, have sisters. Name/Ages:
If YES, please input previous Daycare Provider’s information:
I agree to pay $ per for the care for my child, due on the 1st of each month. This fee will be charged for all contracted months regardless of holidays, sick days or other absences. (Please note: Prices are subject to change)I agree to abide by the overtime policies and fees as set forth in the parent handbook.
TERMINATION: In case of termination of care, both parties agree to submit to the other a one month written notice stating date of termination. I understand that I will be charged my normal child care fees during this period. Advanced payment is required for the entire one month period and is due upon submission of written termination.
I have received, read, understood and agreed with the policies and procedures in Zoe’s Tenders Years Child Care Centre’s handbook.
Mother/Legal Guardian’s Signature*
Father/Legal Guardian’s Signature*
Zoe’s Tender Years Child Care Centre8551 Weston RoadWoodbridge, OntarioL4L 9R4
I, ,have agreed to Childcare services provided by Zoe’s Tender Years Child Care Centre for my child . I have made a deposit of $250.00 for the Childcare services, as well as a one-time registration fee of $100.00. I acknowledge that if I, make any changes to the agreement above, the childcare center will not be obligated to make this fee refundable.
Parent’s/Legal Guardian’s Signature*