Whenuakite Country Kids Early Childhood Education Centre (Page 2 of 3) in pdf

Whenuakite Country Kids

Early Childhood Education Centre

Start Date

TIME

Monday

Tuesday

Wednesday

Thursday

Friday

Is your child enrolled at any other early childhood service? Which service is it and what days and times are

they enrolled there?

20 Hours ECE Details (for 3 and 4 year olds):

Is your child receiving 20 Hours ECE for up to 6 hours per day, 20 hours per week at this service? Yes

Is your child receiving 20 Hours ECE at any other services?

Yes

If yes, please sign to confirm your child does not receive more than 20 hours of 20 Hours ECE per week

across all services.

You authorise the Ministry of Education to make enquires it deems necessary regarding the information provided

in the 20 Hours ECE Details Box to the extent necessary to make decisions about your child’s eligibility for 20

Hours ECE. You also consent to the early childhood service providing relevant information to the Ministry of

Education, and to other early childhood education services your child is enrolled at, about the information

contained in this box.

Signed________________________________

DECLARATION

I agree for my child to be taken on walks in the vicinity of the centre.

I agree for my child to be taken to the local doctor in the case of an emergency, or in the case of Civil Defence, to be

transported to safety

I give permission for staff to apply Arnica or nappy rash cream as appropriate for minor bumps, grazes, nappy rash, and

following first aid procedure

I have read, understand and agree to abide by the child abuse, child behaviour, trips and sleep policies, while at the

centre.

I agree to my child's photo being displayed in the centre as part of programme planning and published in newsletters

and on our website

I give permission for my child’s name and date of birth to be given to the local school that he/she will attend as part of

their roll planning

I agree to my child's name being displayed in the centre e.g. artwork, recognition cards, birthday charts etc

I give permission for my child's activities to be observed and recorded under the conditions detailed in the education

policy and information leaflet

I have read and understood the fees and absences schedule and agree to abide by these conditions. I agree to pay

collection costs on debts referred to Collection agency

I agree to accept all WINZ responsibilities and that I pay in full amounts not paid by them for this service.

I agree to my child being transported on the school bus, in the cases of flooding, where caregivers are unable to access

the centre

I agree for my child to be regularly checked for Head lice

I will NOT bring my child to the centre in the event of any sickness, infections or illness i.e. chicken pox, Rubella,

Hepatitis, Mumps, Vomiting or Diarrhoea, Conjunctivitis

I understand that the centre is not responsible for my child after hours, and while being transported to and from the

centre. (except centre trips)

Parent/guardian signature: __________________ Date: ___/___/___Staff Signature________________ Date: ___/___/___

PLEASE ADVISE US OF ANY CHANGES OF INFORMATION TO THIS ENROLLMENT

Whenuakite Country Kids Early Childhood Education Centre Page 2

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