Is your child receiving 20 Hours ECE for up to six hours per day, 20 hours per day, 20 hours per week at this service?
Is your child receiving 20 Hours ECE at any other services?
If yes to either or both of the above, please sign to confirm that:
• Your child does not receive more than 20 hours of 20 Hours ECE per week across all services.• You authorise the Ministry of Education to make enquiries regarding the information provided in the Enrolment Agreement Form, if deemed necessary, and to the extent necessary to make decisions about your child’s eligibility for 20 hours ECE.• You consent to the early childhood education service providing relevant information to the Ministry of Education, and to other early childhood education services your child is enrolled at, about the information contained in this box.
I hereby declare that my child is/is not enrolled at another early childhood institution at the same times that he/she is enrolled at Kidiwise Preschool & Childcare.
Are there any custody / court orders relating to the child?
Has your child been referred to external services for learning support (i.e. Ministry of Education, Public Health Nurse etc.)
If YES do you give our Learning Co-Ordinator permission to contact the service for continuation of support to your child or whanau
If you have any further documentation about the learning support you are receiving we would appreciate a copy.
Please provide a copy of your child’s immunisation schedule
Does your child suffer from Asthma? If yes, please complete an Asthma Action Plan – (See Appendix 1)
Is your child allergic to anything? If yes, please complete an Allergy Action Plan – (See Appendix 2)
Is your child on any regular medication?
Does your child have any additional needs?
(If you have any concerns regarding your child, please speak with the Centre Supervisor/Team Leader)
I give Kidiwise Early Learning Centre management and staff permission to:
Allow the people listed as Parents, Guardians and Emergency Contacts to dropoff and collect my child from the centre unless instructed otherwise
Apply sun block to my child for outside play
Apply nappy rash cream as supplied by the parent / guardian
Apply medicines which are not ingested or prescribed (arnica, antiseptic cream)for the purpose of basic first aid. (As per Appendix 3 – Ministry of EducationLicensing Criteria for Early Childhood Education and Care Centres 2008)
To seek or administer medical assistance required by my child in the event ofan accident or emergency , and agree to pay any medical or transport costsincurred
To allow the teacher/s to take my child on walking and van excursions within theTauranga area.
To use the name and images (Photo / Video) of my child in displays anddocumentation that will be shared within the centre community and on theCentre website and in marketing promotions
I give permission for my child to have a private and secure profile on Storypark
I give my child permission to be in a group stories on Storypark
I give permission for my child to participate in the water safety confidence programme
At Kidiwise we would like to be able to take the children on spontaneous excursions in the van. This will allow us to get into the community more often and take small groups on outings based on our emergent curriculum. This will only involve trips to our local amenities we are so fortunate to have, such as: the library, parks, shops, art gallery, etc.We ensure our van is always safe to travel in by supplying age appropriate car seats and up to date servicing, warrant and registration of the vehicle. We will also ensure there is always a qualified, registered and first aid trained teacher on board.As a parent it is your choice if you would like your child to be involved or not. Please sign below if you’re happy for your child to travel in the Kidiwise van spontaneously.
The following fee payment options are available: Direct Debit, Automatic Payment and Internet banking. We are unable to accept Cash or Cheque payments.