Enrol your child in creche

Personal Details

To be used when in the centre

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)
 
Please indicate:

Does your child suffer from anaphylaxis or asthma?:

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

Please supply action plan and tick the box below:

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.
Medical Authorisation:

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.
Photos:

Declaration

Declaration: