JK/SK FALL 2018

PD DAY & SCHOOL BREAK CARE

Join us when school’s out for a day of fun and friends at one of our offered PD Day or Holiday Camps. Fall child care at one of our two locations is available to children enrolled in Junior Kindergarten or Senior Kindergarten. Children will be engaged in activities that promote exploring, discovering, creating and staying active. From arts, crafts, drama, music, and more your child will enjoy a fun-filled day. Children will be required to bring their own nut-free lunch and snacks for the day.

HOW TO REGISTER Online: Register online at www.guelphy.org

In Person: Register in person at Guelph Y Member Services desk (130 Woodland Glen Drive, Guelph, ON)

LOCATION AND AGES Care is available for children enrolled in Kindergarten as of September 2018. You have the option to register your child at one of two locations in Guelph: Jean Little Y Child Care Centre, 56 Youngman Dr, Guelph, ON N1G 4L2, 7:00 A.M. to 6:00 P.M.Kensington Y Child Care, 84 Kensington St, Guelph, ON N1E 3P9, 7:00 A.M. to 6:00 P.M.

Please select the appropriate day(s) and location for which you wish to register:

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Friday, November 2, 2018Friday, November 30, 2018Monday, December 24, 2018Thursday, December 27, 2018Friday, December 28, 2018Monday, December 31, 2018 Wednesday, January 2, 2019

JK/SK FALL CHILD CARE 2018

DATES FEE YMCA-YWCA of Guelph Fall Care Payment Policies

Fall child care registration fees must be paid in full to reserve your spot. Changes and/or cancellation to your child’s registration must be done in writing no later than 1 week prior to the start of care in order to receive a full refund (less the administration fee).

☐Thursday, January 3, 2019Friday, January 4, 2019

Jean Little Kensington

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☐☐☐☐☐ $46.60

$46.60$46.60

$46.60$46.60$46.60

$46.60

$46.60$46.60$46.60

Friday, September 28, 2018

Please note that Wellington County subsidized participants cannot register online - you must complete this form and register at the Member Services desk.

Publicity

Photographs will be taken throughout the day to be displayed in the Child Care Centre. If any media such as newspaper, radio, television, magazine, slide or video presentations are arranged we will have a seperate permission form to be signed. Child’s surname will not be released without parental consent.

Name:__________________________________________________

Address: _____________________________ Apt #______________

City: ________________________________ PCode: ____________

Parent/Guardian OneName: __________________________________________________

Address: ________________________________________________

Home Telephone: ( ) -

Work Telephone: ( ) -

Cell Phone: ( ) -

Work Address: ___________________________________________

Email: __________________________________________________

Date of Birth (Year/Month/Day): _____________________________

Telephone: ( ) -

County Subsidized: □

Parent/Guardian TwoName: __________________________________________________

Address: ________________________________________________

Home Telephone: ( ) -

Work Telephone: ( ) -

Cell Phone: ( ) -

Work Address: ___________________________________________

Email: __________________________________________________

Emergency Contact

Please provide us with an authorized emergency contact.

Name: _________________________________________________

Telephone (Home): ( ) -

Telephone (Work): ( ) -

Telephone (Cell): ( ) -

Allergies □ □ __________________________________

________________________________________________________

________________________________________________________ Does your child require one on one support? □ Yes □ No

In order to meet the individual needs of your child please list everything we should be aware of: ____________________________________________________________________________________________________________________________

Payments Not Received

In registering for YMCA-YWCA of Guelph Child Care, I, the undersigned parent, guardian or duly authorized party have read and hereby agree to all registration rules, notes and conditions of enrolment including payment, cancellation, refund and the Child Care Code of Conduct. I understand that any photos & videos taken at the centres may be used in marketing and promotional materials.

Signature:________________________________

Date: ____________________________________

Payment Method:

VISA Mastercard Amex Cheque Debit Cash

_______________________________ _____________Card Number Expiry Date

Program SupportHas your child been diagnosed with special needs or behavioural

needs? (ie. ADD/ADHD) □ Yes □ No

If “Yes” please specify: _____________________________________

Please list anyone who you authorize to pick up your child:

Authorized: ______________________________________________

Authorized: ______________________________________________

Charitable Registra�on No.: 11930 6942 RR0001

Financial AssistanceAt the YMCA-YWCA of Guelph, we believe the ability to pay for camp should not be a barrier to par�cipa�on. Financial Assistance is available through the County of Wellington for families unable to pay the full fees. Please contact us for more informa�on.

I have read and reviewed the Child Care parent handbook in detail. Please ini�al here:

________________________________________________________

________________________________________________________

Medical or addi�onal informa�on that could be helpful in an emergency: (i.e. allergies/food restric�ons/previous history of communicable diseases/special medical condi�ons/symptoms of child’s ill health)

My child is enrolled in the school age program and I understand that the Child Care and Early Years Act, 2014, s 35(1)(2), requires that every child enrolled in a licensed child care program is immunized as recommended by the local medical officer of health.

has up to date immuniza�ons as recommended

by the local medical officer of health. has a “statement of conscience or religious

belief” on file with Public Health.

child’s name

child’s name

has been authorized by his/her physician not to

receive due to medical or health reasons. child’s name

name of immuniza�on

Kindergarten +School Age Summer Care

Child Information