Registration Form OCS

Child’s Name

Child’s Language

Date of Birth

Home Address

Date of Registration

Start Date

Time Preference

Part TimeFull Time

Child's School

School Phone

School Address

Start Time

End Time

Bus #

Bus Stop / Location

Bus Pickup Time

Bus Drop off Time

YESNO

I agree and give my permission. Prior to any transportation being supplied to your child/ren by the centre, you will be required to complete a transportation permission form if your child/ren need/s transportation to and /or from their school.

In order to understand child’s needs and to plan activities that are developmentally appropriate, the following information on the child’s development so far is required. Please complete it to the best of your knowledge.

Is your child developing as you think he/she should for his/her age?

YESNOunsure
If no, please explain

Describe your child’s personality, disposition, likes and dislikes

Relevant events pertaining to your child’s development

Describe any relevant events pertaining to your child’s development that the centre needs to be aware of.

Mother’s Name

Mother’s cell #

Mother’s Address

Mother’s Email

Mother’s Profession / Employer

Father’s Name

Father’s cell #

Father’s Address

Father’s Email

Father’s Profession / Employer

Name / Relation (The person/s NOT allowed access to my child)

/

Name

Contact Number

Relation to the Child

Address

Name

Contact Number

Relation to the Child

Address

Immunization up to date?

YesNo

Allergies or dietary restrictions?

YesNo

List & explain reactions

Ongoing Medication?

YesNo

If yes, specify

In case of emergency, I authorize the Montessori Child Development Centre Staff to give my child emergency care. Should it be necessary, I authorize the staff of the Montessori Child Development Centre to seek and obtain medical or emergency care, on site or from an outside location. I will be responsible for whatever medical expenses are incurred.

I give the permission to the staff of The Montessori Child Development Centre to take my child for outdoor activities (such as nature walks) both on and off the premises of the Montessori Child Development Centre.

I give the permission to the staff of The Montessori Child Development Centre to take photographs of my child. These photographs may be used for display on behalf of the program or to assist in the childrens’ development.

YesNo
I understand that The Montessori Child Development Centre (Daycare and OSC) reserves the right to refuse or discontinue enrolment at their discretion should they feel my child poses health or safety concerns, displays unmanageable behaviour issues, or is not suited for the program. I also certify that I have received, read, fully understood, and agreed to all the information in The Montessori Child Development Centre Parent Handbook.
I also understand that it is my responsibility to keep my subsidy on my child’s fee up-to-date; otherwise, if subsidy is cancelled for any reason, I
will be responsible for paying the full fee. I hereby certify that the information on this form is correct, and I will inform the Director if any information needs to be updated in the future. Furthermore, I understand that I am required to give a 30-day written notice to the Director in case of withdrawal from the program.