Before and After School Care Information 2019-2020

Before & After School Care Information

2019-2020
Please fill out for all children attending Explorers.
1st Child's Name: *

First Name Last Name
Gender: *

Male Female
Date of Birth: *

Month Day Year
Date Date Picker Icon
Type a question *

Before & After School Care - $235/month Before School Care - $120/month After School Care - $170/month Kindergarten Care - $125/month (Before & After on KG days) Prepaid Casual Care - $150 for 10 Sessions Prepaid Casual Care - $300 for 20 Sessions
2nd Child's Name:
Gender:

Male Female
Date of Birth:

Month Day Year
Date Date Picker Icon
Type a question

Before & After School Care - $235/month Before School Care - $120/month After School Care - $170/month Kindergarten Care - $125/month (Before & After on KG days) Prepaid Casual Care - $150 for 10 Sessions Prepaid Casual Care - $300 for 20 Sessions
Please add addition children here:
Parent/Guardian Contact Information:
Mother's Name: *
Mother's Email: *
Mother's Cell Phone: *

Area Code Phone Number
Mother's Home Phone:

Area Code Phone Number
Mother's Business Phone:

Area Code Phone Number
Father's Name:
Father's Cell Phone:
Father's Home Phone:
Father's Business Phone:
Please state any shared custody, if applicable:
(Divorced/separated with shared bi-weekly custody)

Child's primary Address:

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Are you new to Canada? *

No Yes
If yes, where are you from:
How long have you been in Canada?
Number of Years
First Language spoken at home:
Second Language spoken at home:
Do your children have health issues? If so please describe:
Do your children have allergies? If so list here.
Do your children have any physical, social, or emotional challenges we should be aware of? If so describe here:
Two other people to contact in case of emergency if parents cannot be contacted:
First Emergency Contact's Name *

First Name Last Name
Release for Pick ups *

Yes this person can pick up No this person cannot pick up
Relationship to Child: *
Cell Phone: *

Area Code Phone Number
Home Phone:

Area Code Phone Number
Second Emergency Contact's Name *

First Name Last Name
Release for Pick ups *

Yes this person can pick up No this person cannot pick up
Relationship to Child: *
Cell Phone: *

Area Code Phone Number
Home Phone:

Area Code Phone Number
Release for Pick ups

I give permission to the following individuals to act as parent designates to pick up my child(ren) from Explorers.
Please list the names of the people into whose custody we may dismiss your child(ren). Your children will not be allowed to leave the school with anyone not listed below. You can add people to this list at any time.
Name

First Name Last Name
Relationship to Child:
Phone Number

Area Code Phone Number
Name

First Name Last Name
Relationship to Child:
Phone Number

Area Code Phone Number
Please list others that can pick up here:
Is your child also attending Tykes N Tots Daycare at Cardinal Leger School?

Yes No
Please provide any further information relating to your child that would be helpful in understanding and caring for your child:
Payments are DUE 10 days after online registration is complete.
Payment options will be outline in the Explorer confirmation Email.

Cheque payments are made out to Explorers
Fees are pre-paid monthly with 9 postdated cheques for the 1st or 15th of every of every month or one for prepaid casual care. (September fee includes June)

For the first and second child of the same family the above rates apply, for third/fourth child the rate is 25% disscount.
Method for Registration fee payment $30 before June 30. $50 after June 30th *

transfer to sbettker@sasktel.net cheque cash
AGREEMENT: One month written notice to withdraw or change your registration status of your child is required. Notice must be given on the first of the month. I understand that a full social resume must be completed before my enrolment is complete. I hereby acknowledge that I am aware of the conditions stated in this agreement and agree to abide by these requirements.
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Before & After School Care Information

Parent/Guardian Contact Information:

Release for Pick ups