NAME OF CHILD/CHILDREN










    PARENT'S NAME







    EMERGENCY CONTACT (SECOND ADULT)





    IMMUNISATION



    **Non-Immunized children will be excluded from Crèche during outbreaks of some infectious diseases

    ALLERGIES/ANAPHYLAXIS/MEDICATIONS/SPECIAL NEEDS

    **Please let us know if your child has allergies; anaphylaxis; medical conditions such as ADHD, Epilepsy, Asthma, Autism, regular medication being taken etc.


    Medical Actions Plans or any medical information relating to the individual needs of your child are to be provided by parents. Please discuss this further with Crèche Staff.

    Crèche staff cannot administer medication so if required please administer before attending.

    IMPORTANT INFORMATION RELATING TO CARING FOR YOUR CHILD


    PHOTO PERMISSION

    I agree to photos of my child/children being taken.

    I agree for these to be occasionally displayed in the Crèche.

    I agree for these to be used for advertising.

    INCURSION PERMISSION

    I agree to Crèche staff taking my child/children to play within the Waves Outdoor Fenced Play Ground or the Rise Indoor Courts or Library when decided by Crèche Staff.

    ACCEPTANCE OF CONDITIONS OF USE - Parent Responsibilities

    • I accept that I must stay on the premises and within close proximity of the Crèche while my child attends.
    • I understand that if my child is unwell they are not to attend Crèche.
    • I understand that the Parent/Guardian who signs a child in MUST be the same Parent/Guardian to pick up and sign out.
    • I understand that my child is recommended to be immunised before using crèche facilities.
    • Children with Anaphylaxis or Allergies must have the crèche supplied orange wrist band applied by parents before they begin their Crèche session.
    • I understand that I am at all times responsible for my child/children while he/she attends the Crèche.
    • I understand that I must immediately return to the Crèche to attend to my child should I be requested to do so by Crèche staff.
    • I give consent to medical treatment being administered for my child in an emergency.
    • I declare that I will notify the Crèche staff of any changes of my child's circumstances.
    • I accept that although every care will be taken, Crèche Staff are free from all responsibility for accidents or loss of property in connection with any child’s participation.
    • The City of Bayswater reserves the right to exclude child/children from the Crèche for misbehaviour that is deemed inappropriate.
    • The City of Bayswater reserves the right to refuse any child or person entry to the Crèche.
    • I agree to pay all fees and/or charges in full.