Family Care and Program Readiness Form

Family Care and Program Readiness Form

Welcome to the third and last step in our enrollment process. Here, we request that you share the invaluable information we need to help the children settle-in from Day 1 in our programs.
Child's Names

First NameLast Name
Parent or guardian email
example@example.com
Section A - Program Information

Recap on what program your child is enrolling for
Tick what program your child is (or children are) registering for
Section B - Child Development & Support

Tell us about your child’s routines, development, and support needs.
B1 - Daily Rhythm & Comfort

Understanding routines and comfort helps us support your child’s transition and rest time.
What helps your child feel comfortable and settled in a new environment?
Does your child rest or nap during the day?
If yes, please share any relevant details (routine, comfort items, sleep preferences):
B2 - Eating & Nutrition

This helps us plan snacks, meals, and any safety considerations.
Does your child have any food allergies or dietary restrictions?
How would you describe your child's eating habits?

Other
Please use this space to provide any additional information on your child's eating habits and dietary restrictions.
B3 - Health and Medication

At this time, medications are not stored or administered on-site (including prescription and non-prescription medications).Families are required to disclose all relevant health information during registration.BEL-Haven reserves the right to determine whether we can safely support a child’s needs within our setting.
Does your child have any medical conditions we should be aware of?
Is your child currently taking any medication?
If yes, please provide guidance for our team (name, use and directions)
Self-Help and Independence
At BEL-Haven, we support children in developing independence through daily routines and self-help skills, at a pace that feels comfortable and encouraging.

With our nurturing, guidance and close supervision, children in this program are generally able to:
- Use the washroom independently and communicate their toileting needs
- Carry out basic self-care routines (e.g., handwashing, eating, putting on shoes or outerwear)
- Move through daily transitions and activities with care
- Participate fully in our daily activities
Please share anything that will help us support your child’s comfort, adjustment and learning experience.
What is your child's level of independence?
Is your child able to (please select all that apply):
How does your child usually handle separation from a caregiver?
What helps your child feel comfortable?
This space is for any additional information related to your child's self-help routines and super-powers
B5 - Communication

We work closely with families and ask that you stay connected and respond when needed. Understanding your child’s communication and care needs helps us create a responsive and supportive environment.
How does your child typically communicate their needs?

Other
Are there any speech, language, or communication needs we should be aware of?
Please use this space to provide any additional information related to communication with your child.
B6 - Toileting

Children in this program must be potty trained. Your response to this question will help us understand if your child may need occasional reminders or supervision with bathroom routines. Please note that staff do not provide toileting training or diapering support in this program.
Select the option that best describes your child:
Caregiver support is an important part of a positive childcare experience for children aged 18 months to 5 years.

We in BEL-C acknowledge that:

☐ Your child may need help settling in at drop-off

☐ Your child may need support with toileting, meals, or transitions

☐ We will keep you informed about comfort items, routines, and concerns

☐ Caregiver presence requirements may vary by age group and program structure

We’ll be here to support you and your child as they settle into our space.
What other support or routine should we know about?
Section D - Preferred Start Date

Choose when you would like your child to begin care.
Start date
General Information
Preferred Start Date
End Date (if applicable)
Registration and Program Terms - I understand and agree that:
Health and Safety Terms - I undersand and agree that:
Attendance, Drop-off and Pick-up Procedures - I understand and agree that:
Communication and Program Expectations - I understand and agree that:
Independence and Participation Expectations - I understand and agree that:
Photo and Media Consent - We may occasionally document children’s photos, artwork or activities to share program updates with families or for other BEL-C's media purposes such as marketing. All media collected are used respectfully. If you choose to opt out, faces will be blurred or images will not be used. You may update or withdraw photo consent at any time by notifying us in writing.
Final Acknowledgements:
👕 Dressing for the Day

Please dress your child appropriately for the weather, as outdoor time may be included when conditions allow.

Children should arrive dressed in:
- Comfortable, art-friendly clothing that can get messy
- Non-slip socks or clean indoor shoes for indoor use
🎒 Personal Belongings

While our team supports children in tracking their belongings, BEL-C is not responsible for lost or misplaced items. Please label all personal items, including:
- Water bottles
- Clothing
- Bags and containers
- Shoes
- Comfort items
Daily Dressing and Personal Belongings
General Topics
Parent or Guardian Signature

Please sign to confirm your registration and agreement to the program terms.
Should be Empty:

Family Care and Program Readiness Form

Section A - Program Information

Section B - Child Development & Support

B1 - Daily Rhythm & Comfort

B2 - Eating & Nutrition

B3 - Health and Medication

Self-Help and Independence

B5 - Communication

B6 - Toileting

Section D - Preferred Start Date

General Information