SUMMER CAMP REGISTRATION 2021

WELCOME TO SUMMER CAMP 2021
REGISTRATION DATES
Pre-registration for current CCLC families: May 10, 2021
Registration Opens to the Public: May 24, 2021

There is a $20.00 refundable activity fee (if cancelled due to COVID restrictions), per child, that will be added to your first payment.

The first 75 children that register will receive a water bottle and a CCLC Summer Camp t-shirt.

COVID-19 ADJUSTMENTS

With many uncertainties due to COVID-19, we are planning for a typical camp program with the following adjustments and/or safety precautions:
- We anticipate that our COVID-19 health and safety policies will remain in effect with a focus on screening, cohorts, physical distancing, the use of personal protective equipment, and enhanced cleaning.
- Field trips are all virtual.
- Should the Ministry of Health identify that we need to limit the size of cohorts, spaces will be prioritized for essential workers as required by the Ministry and then by the date/time that the original camp registration was submitted.
- If we need to cancel your space or the program does not operate, a full refund will be provided.
- All campers registered in camp programs operated by CCLC will be required to complete our mandatory screening each day during their scheduled days.
The following are reminders for you in order to ensure your child(ren) have a great summer:

Please note the LAST DAY of Summer Camp is August 27th. Unfortunately, due to our shared space contract with Stella Maris we are required to turn the classrooms over to the teachers as they must prepare for the 2021/2022 school year. I apologize for any inconvenience this may cause.
- Hours of operation 6:00am – 6:00pm
- Camp Begins TBD
- Cost $30.00 per day. There is a 10% discount if you register for the full week.
- Payments are to be made on a weekly basis. Cheques to be made payable to Creative Child Learning Centre. NO cash unless you have made arrangements with Kristie.
- Label all of your child’s belongings.
- Provide sunscreen and a hat. Please label.
- We will provide a hot lunch on Mondays, Wednesdays and Fridays a fee of $3.00
- Provide your child each day with a lunch and two healthy snacks.
We look forward to having a fun-filled summer with your child(ren).

Thank You,

Michelle DiCarlo R.E.C.E
Executive Director
Creative Child Learning centre
SCHOOL AGE REGISTRATION

LATCHKEY * P.A. DAYS * CAMPS
Latchkey:
$7.00 for any part of an hour before and after school.

Full Day
$30.00 (4-12 years) available on P.A Days, March Break and Summer Break.

Half Day
$20.00 (4 hours)
- Discount given for three or more children.
- Busing available to and from: St Jean the Baptiste, and St. Joseph's, Amherstburg Public
- School Age program available at: Stella Maris 140 Girard St. 519 736 8400
Child Information
Child's Full Name
Gender

Male Female
Date of Birth

Month Day Year
Date
Email (of main contact)
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Sibling Names
Parent/Guardian #1 Information
Relationship with Child
Full Name
Home Phone
Drivers License
Home Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Business Name
Business Phone
Business Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent/Guardian #2 Information
Relationship with Child
Full Name
Home Phone
Drivers License
Home Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Business Name
Business Phone
Business Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Alternate Persons to Contact In Case of Emergency/Authorized to Pick Up Child:
Contact 1: Full Name
Contact 1: Relation with Child
Contact 1: Phone Number
Contact 2: Full Name
Contact 2: Relation with Child
Contact 2: Phone Number
Custody Information:
Are there any special custody arrangements pertaining to access to/visitation of your child?

Yes No
If you answered “Yes”, please provide details on the arrangements:
Health Information
Allergies
Anaphylactic Allergy?

Yes No
EPI PEN?

Yes No
Dietary Restrictions/Food Sensitivity
Fears
Nervous Habits
Has your child ever been stung by a bee?

Yes No Unsure
If "Yes" did they show any side effects?
Has your child been introduced to nuts?

Yes No Unsure
If "Yes", what kind of nuts?
Did they show any side effects?
Has your child ever been diagnosed with the following common infections?

Impetigo Hand/Foot/Mouth Disease Fifth Disease Chicken Pox Thrush Pink Eye Ear Infection Roseola
Please list any other useful information regarding your child:
Are there any health care professionals involved in your child’s life? ie. Occupational Therapist, Physical Therapist; Please provide information:
Policy Acknowledgments
WORKPLACE HARASSMENT POLICY
Commitment Statement:

At Creative Child Learning Centre Inc. the health and safety of our employees is paramount. Priority is given to protecting our employees and our visitors from harassment and discrimination. Such conduct interferes with everyone’s ability to perform their job and is not in keeping with the Centre’s philosophy of trust and mutual respect. By working together, and giving the utmost attention to the safety and well being of each other, we will meet our shared objective of a healthier and safer working environment for all.

Creative Child Learning Centre Inc., employees, clients and parents are entitled to be treated with dignity and respect and have a work environment free from harassment and discrimination. This policy applies to all employees, clients, parents and representatives of The Creative Child while in the workplace, during work related field trips or travel, or during any work-related and /or social functions.

Examples of behaviour that will not be tolerated:
- Staff intimidated
- Belittling remarks directed at staff
- Loud or aggressive remarks directed at staff
We will not tolerate any form of Workplace harassment; therefore incidents that will be dealt with are not limited to the examples above.

Complaints from staff regarding parents/guardians will be dealt with immediately and disciplinary action when appropriate.
I First Name Last Name have read and fully understand the above policy. Any behaviours or conduct that could reasonably be interpreted as a violation of this policy is grounds of dismissal from our progam.
Parent/Guardian Signature

Clear
Date Signed

Month Day Year
Date
Consent for Photographs
I First Name Last Name give permission to Creative Child Learning Centre to include my child(ren) First Name Last Name in pictures that may be used in
local newspaper advertisements and/or Facebook from time to time.
Parent/Guardian Signature

Clear
Date Signed

Month Day Year
Date
Consent for Photographs
In the event that a parent/guardian arrives at the Centre to pick up their child/children and is, or is perceived to be under the influence of alcohol or narcotics, the children will not be released. The staff will call the individuals listed on the child/children’s Emergency Contact List.
Parent/Guardian Signature

Clear
Date Signed

Month Day Year
Date
Sunscreen Application
I First Name Last Name give permission to the staff of Creative Child Learning Centre to apply and re-apply sunscreen with a level of 30 SPF or higher to my child 20 minutes prior to going outdoors, especially during the months of April through September. We ask that a bottle of sunscreen be brought in and labelled with your child's name. If your child does not have their own, one supplied from CCLC will be applied.
Parent/Guardian Signature

Clear
Date

Month Day Year
Date
PARENT POLICY
1. Weekly payment:
Due the first day of the week your child attends

2. Monthly payment:
Due the seventh working day of the month.

3. Late payment fee:
Weekly $10.00 will be added to your invoice.

4. NSF Fee
There is an NSF Fee of $25.00 for any cheques that do not clear.

5. Withdrawal:
two weeks’ notice is required.

6. Overtime fee:
$1.00 per minute per child will be charged to any child who remains past closing.

7. Receipts:
Will be issued to you once payment is made. Receipts will be issued at the end of the year for Income Tax.

8. Illness:
If your child will not be attending due to illness please inform us.

9. Lost items:
Creative Child Learning Centre is not responsible for any lost or damaged items.

10. Assessments:
Assessments may be done on your child if we feel it is needed, i.e. speech and language, development. They will be discussed with you and you may be asked to receive support from an agency such as Children’s First.

11. P.A. Days, and Breaks
These programs are available on a first come basis.

12. Dismissal
Creative Child Learning Centre has the right to dismiss a child completely from program if their behaviour is aggressive or abusive to another child or staff.

13. IEP Plan
Full disclosure of your child’s IEP Plan is required.
I, First Name Last Name have read and fully understood the Child Care Contract as listed above.
Signature

Clear
Date Signed

Month Day Year
Date
Before and After School Program
We would like to provide all children before and after school a positive start and end to their day. As many activities are available for their enjoyment and exploration. Materials are placed out for them to expand their ideas as they work to construct their creations. Children are also able to complete any homework or assignments or just relax with friends. Available to us is the gym and computer lab as well as outside which children can enjoy.
Before and After School Program
1. Your child(ren) is encouraged to eat the lunch that you have sent. Please keep their likes and dislikes in mind to prevent unnecessary waste of food.
2. If your child's lunch includes yogurt, mayonnaise or anything that needs to be refrigerated please let us know so it can be stored properly or place an ice pack in their lunch bag.
3. If your child's lunch includes food that needs to be heated, a microwave is available.
4. If your child arrives without a lunch occasionally, we are happy to prepare a sandwich for him/her.
5. Please do not send candy/pop and other foods with low nutritional value. We encourage parents to refer to the Canadian Food Guide when packing lunches.
6. ALLERGY AWARENESS: All bag lunches need to be peanut/ other nut free.
Creative Child Learning Centre will make available if needed, milk for lunch and two healthy snacks. We encourage parents to provide a healthy lunch and two snacks daily keeping in mind the Canadian Food Guide.
Parents Signature

Clear
Date Signed

Month Day Year
Date
PARENT CONSENT
I hereby grant permission for my child to use all of the play equipment and participate in all

I hereby grant my child permission to leave the premises of the school under supervision of a staff member for neighbourhood walks.

I hereby grant the Supervisor or acting Supervisor permission to take whatever stops necessary to obtain Emergency medical care if warranted. These steps may include but are not limited to the following:
1. Attempt to contact parent/guardian
2. Attempt to contact you by any of the persons listed on the emergency information form completed for us.
3. If we cannot contact you;
  a) Call Ambulance
  b) Have child taken to the hospital in the company of a staff
4. Any of the expenses incurred under #3 above will be borne by the Child's family.
Parent's Name
Parent's Signature

Clear
Health Card Number
Doctor's Name
Phone
Doctor's Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Summer Camp Calendars
Please check the days you require care on the calendar below.

Important Dates:
- June 28 - Last Day of School
- July 1 - CLOSED for Canada Day
- Aug 2 - CLOSED for Civic Holiday
- Aug 27 - Last Day of Camp
Select Dates Between July 2021 and August 2021 *
Creative Child Learning Centre Termination Policy
Occasionally, a child will experience some difficulty in adapting to the daycare's environment or abiding by the daycare rules of behavior. If this is the case for your child, a meeting will be scheduled and we will work closely with you to see if the problem can be resolved. If the child's behaviour continues to be disruptive to the group, we reserve the right to ask you to withdraw your child from the child care centre. You will be notified of any incidents and required to sign a detailed report. As a general rule, we will allow three warnings before your child is dismissed. However, the severity of the incidents will be considered and ultimately it will be to our discretion, if your child is to leave the program.

If the rules and policies set forth are not followed, we reserve the right to terminate the child care contract agreement at any time.

The child care arrangements will be terminated immediately for any of the following reasons (but not limited to):
- Failure to comply with the contract.
- Destructive or hurtful behaviour of a child that persists even with parent cooperation in stopping the behaviour.
- Use of inappropriate language. Inability to meet the child's needs without additional staff.
- Blatant disrespect towards the teachers.
- Non-payment of childcare or late fees and/or recurring late payment fees.
Signature of parent/guardian

Clear
Date Signed

Month Day Year
Date
Should be Empty:

WELCOME TO SUMMER CAMP 2021

REGISTRATION DATES

SCHOOL AGE REGISTRATION

Child Information

Parent/Guardian #1 Information

Parent/Guardian #2 Information

Alternate Persons to Contact In Case of Emergency/Authorized to Pick Up Child:

Custody Information:

Health Information

Policy Acknowledgments

WORKPLACE HARASSMENT POLICY

Consent for Photographs

Consent for Photographs

Sunscreen Application

PARENT POLICY

Before and After School Program

Before and After School Program

PARENT CONSENT

Summer Camp Calendars

Creative Child Learning Centre Termination Policy