Carnaby Club Crèche Enrolment Form

Personal Details

Allergies/Illnesses

Does your child suffer from any medical or physical condition that needs to be brought to the attention of the staff? (For example: allergies; anaphylaxis; disability; medical conditions)
 

If yes, if your child has an Epipen or an asthma plan

Medical Treatment

In the event of any accident or illness, I authorise staff to obtain medical treatment and/or transport by ambulance for my child and agree to pay expenses incurred for medical treatment and transport.

Immunisation

Is your child immunised?:

Emergency Contact and Authorisation to Collect Your Child

Please list a person who is authorised to collect and care for your child in your absence or if the parent/guardian is unavailable to be contacted in the event of any accident, injury, trauma or illness of the child.

Photo Permission

At times, photos may be taken in the Crèche to capture the children playing in our Crèche environment for promotional purposes. Parents will be advised if a photo has been taken.

Declaration