Out of School Care Registration Form 2023

Sonshine Out of School Care 5830 51St Tofield AB
Out of School Care Registration Form
Child's Legal Name*
Birth Date

DayMonthYear
Date
Preferred Name:
Gender

MaleFemale
Address*

Legal Home Address

Mailing Address

CityProvince

Postal Code
Home Phone Number

Area CodePhone Number
School child attends:
Grade:
Parent / Guardian Information
Mother's Full Name:*
Address*

Legal Home Address

Mailing Address

City Province

Postal Code
Home Phone Number

Area CodePhone Number
Cell Phone Number*

Area CodePhone Number
Email Address:
example@example.com
Occupation:
Name of Employer:
Work Phone Number

Area CodePhone numberExt.
Work Hours:
Address

Business Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Father's Full Name:*
Address

Legal Home Address

Mailing Address

CityProvince

Postal Code
Home Phone Number

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
Email Address:
example@example.com
Occupation:
Name of Employer:
Work Phone Number

Area CodePhone NumberExt.
Work Hours:
Address

Business Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian with legal custody
Parents are: (please check one)

MarriedLiving togetherDivorcedSeparatedWidowedSingle
Other Household Members

Full NameAgeRelationship
Full NameAgeRelationship
Full NameAgeRelationship
Child Pickup Information

Please list below the people who have *Permission* to pick up your child. *Note: Anyone picking up your child must have government issued picture ID.*
Full NamePhoneRelationship
Full NamePhoneRelationship
Full NamePhoneRelationship
Full NamePhoneRelationship
Please list those persons who *Do Not Have Permission* to pick up your child. Please list the reason why a person is not allowed to pick up your child.

If custody or court order exists, a copy of that order must be given to Sonshine Out of School Care. The parent/guardian is responsible for providing accurate and up to date information concerning the legal guardianship of the child. Without a custody or court order on file, Sonshine Out of School Care cannot deny access to the non-enrolling parent. If the non-enrolling parent is listed on the do not pick up list and is able to produce government-issued photo ID proving they are the birth parent of the child, Sonshine Out of School Care cannot legally deny access without legal documentation (custody or court order) stating otherwise.
Full NamePhoneRelationship
Reason:
Full NamePhoneRelationship
Reason:
Emergency Contacts

*Names listed are assumed to be authorized to pick up children*
Primary Emergency Contact (other than parents or guardian You MUST fill in the

legal home address- the town/city name is not sufficient. This portion must be complete before your child can attend the program. *Names listed are assumed to be authorized to pick up children*
Name*

First NameLast Name
Home Phone Number

Area CodePhone Number
Cell Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal Code
Relationship to Child:
Secondary Emergency Contact (other than parents or guardian You MUST fill in

the legal home address- the town/city name is not sufficient. This portion must be complete before your child can attend the program.
Name*

First NameLast Name
Home Phone Number

Area CodePhone Number
Cell Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal Code
Relationship to Child:
Any Specific Instructions on how to reach parents:
Emergency Information
I hereby give permission for a qualified staff member at SONSHINE DAYCARE / OUT OF SCHOOL CARE to give my child/ children first aid. I also give my permission for my child/children to be transported by ambulance, aid car, or staff car to an emergency center for treatment. In the event that I cannot be contacted, I further consent to the medical, surgical, and hospital care treatment and procedures to be performed for my child by a licensed physician or hospital when deemed immediately necessary or advisable by the physician to safeguard my child’s health.
In case of emergency and if emergency transportation is needed, I agree to pay all costs of transportation*
Parent / Guardian's Name
Child's Name

First NameLast Name
Child's Physician:
Phone:
Preferred Hospital:
Phone:
Child's Dentist:
Phone:
Regular Medications:
(If medications need to be administered at the Out of School Care, please sign the required consent form, including medicated creams/ointments)
Medicine Allergic to:
Food Allergies:
Any other Allergies:
Immunizations are up to date:

YesNo
Date of Immunizations:

DayMonthYear
Date
Alberta Health Care Number:
Any special health conditions:
Child suffers from:

HeadachesEarachesSore ThroatStomach AchesFlu / ColdsOther
Parent/ Guardian Signature:

Clear
Date:

MonthDayYear
Date
Other Important Information/Provisions
What are some of your child's interests? (games, toys, movies, ect.). Any dislikes?
How do you discipline your child at home?
Any specific behaviour(s) you are currently working on with your child? How do you manage this behaviour? What is most effective?
Would you like information, assistance and/or prayer for your child's behaviour? other prayer requests?
Any other details you'd like to share about your child/make us aware of? Do you have any other concerns/issues?
Family Traditions/Culture
What is your family's background/culture/heritage?
Are your children learning more than one language? If so, what languages do they understand / speak?
What are some of the traditions that you have as a family; that your kids are growing up with? What holidays do you and your family celebrate?
What is different in your family's traditions/heritage from Canadian culture?
Why are these traditions or holidays important to your family?
What does your child call his/her Parents/Grandparent(s)?
Would you be interested in sharing something from your heritage/traditions with our Daycare/OSC children?

YesNo
Consent for Community Walks
Sonshine Daycare/Out of School Care arranges Community Walks.

Destinations will include, but not limited to:

Sunshine Villa/ Lodge/ Longterm Care Programs

The House Kitchen/ Sanctuary

Tofield Playgrounds / Spray park

Nature walks

Community Events

Grocery Stores

Mom’s Ice Cream

Tofield Library

Museum

Fire Hall

Police Station

Other public buildings may be visited. Parents will be notified.

During this outing, we will maintain the same child to caregiver ratios while in care at Sonshine OSC, as indicated by Alberta Child-care Licensing Regulations.

Elements of risk:

Community walks involve certain elements of risk. Injuries may occur while participating in this activity. The following list includes, but is not limited to, examples of the types of injuries which may result from participating in community walks.

1.sprains

2.bruises on arms or legs

3.slipping, falling

4.scrapes

The risk of sustaining these types of injuries result from the nature of the activity and can occur without the fault of either the child or the Preschool, the teacher, or where the activity is taking place. By choosing to take part in this activity, you are accepting the risk that your child may be injured. If any injury does occur, incident forms will be written up and parents will be notified.

I give my child permission to participate in community walks with Sonshine Daycare and OSC.
Name of Child attending:
Signature of Parent/Guardian

Clear
Date:

MonthDayYear
Date
Multi-Media Policy
At Sonshine Daycare / OSC our goal is to maintain positive communication with families and children through multiple resources. Our focus is on developing and maintaining relationships with children and their families through the following media:

Face-to-face communication

- Telephone/text-message

- Email

- Newsletters Parent Meetings (Group)

- Evaluations (written/verbal)

- One-to-one parent teachings/meetings

- Surveys

- Hi mama (childcare app)

The staff does not share personal information or photos of children from Sonshine Daycare/OSC on social media sites without prior written permission.

Sonshine Daycare/OSC does have a website and Facebook on which images and/or videos of your children may be uploaded under the following parameters: Images of individual or groups of children are not used on Facebook, the website or for advertising without prior written permission from parents each time we request the use of photos or videos.

We do request to use photographs of your children at The House Ministries for, but not limited to, the following purposes: prayer cards slide-shows crafts decoration/atmosphere within daycare rooms accreditation

*Please be advised that the program premise of the Daycare/OSC is video monitored*

A consent form is to be signed for each child upon daycare application/registration providing consent for photography to be used only within The House Ministries of Tofield Alberta.
Photo Release for Advertising and Social Media

By signing this form I am allowing my child's picture and/or video to be used as many times as needed. children's names will never be used in association with the file.
I give permission for Sonshine Daycare / Out of School Care to use my child's photograph and / or video for advertising purposes on... (Please mark appropriate boxes)

Church/Daycare WebsiteFacebookAdvertising PostersNo pictures shared outside of daycare/OSC, on site purposes only
Child's Name
Signature

Clear
Date:

DayMonthYear
Date
Permission for Application Form

Parents will provide products for individual use
I give the staff at Sonshine Daycare /OSC permission to apply bug spray/ sunscreen to my child

Bug SpraySunscreenHand Sanitizer
Parent's name
Child's name
Parent Signature

Clear
Date

DayMonthYear
Date
Other Transportation Permission Form
I give permission for my child to go on community walks around the town of Tofield using the transportation of bikes, scooter, skateboards and rollerblades, or walking.
Parent / Guardian's name
Child's Name
During outings, we will maintain the same child to caregiver ratios as while in care at Sonshine Out of School Care, as indicated by Alberta Child-care Licensing Regulations.

My child will have on the proper safety gear including, but not limited to, helmets that are required for mode of transportation. Your child may be required to bring their own safety gear and/or other forms of transportation.
Signature

Clear
Date

DayMonthYear
Date
Climbing Wall

We are using a traverse climbing wall to host many exciting activities. At its highest point, the wall measures 8 1/2 feet off the ground and is approximately 20 feet long. Participants climb horizontally (traverse) across the wall and their feet should never be higher than 3 1/2 feet off the ground.
I blanks Give permission for my child(ren) blank to access the climbing wall. This is after my child has been informed of the rules and is under developmentally appropriate supervision by child care program staff at all times.
Signature

Clear
Date

DayMonthYear
Date
Should be Empty:

Out of School Care Registration Form

Parent / Guardian Information

Child Pickup Information

Emergency Contacts

Emergency Information

Other Important Information/Provisions

Family Traditions/Culture

Consent for Community Walks

Multi-Media Policy

Photo Release for Advertising and Social Media

Permission for Application Form

Other Transportation Permission Form

Climbing Wall