Admissions — Happy Nest Childcare

Child

Parents

Emergency

Health

Allergies

Sleep

Infant

Consents

Agreement

Review

Child Information

Full Legal Name *

Preferred Name

Date of Birth *

Gender (Optional)

Address *

Languages Spoken

Care Type *

Age Group *

Preferred Start Date

Parent / Guardian Information

Emergency Contacts & Custody

Health Information

Medical Conditions

Skin Conditions

Hearing

Vision

Child has special medical needs

Allergies & Dietary

Dietary Information

Special Feeding Arrangements

Dietary Restrictions

Sleep & Physical Care

Number of Naps

Usual Nap Times

Nap Duration

Washroom Independence

Comfort Requirements

Uses diapers

Infant Addendum

Complete this section for children under 18 months.

Breast milk Formula Solids Self-feeding

Food Texture

Infant Sleep Requirements

Consents

I authorize emergency medical treatment if I cannot be reached. I authorize supervised walking trips in the neighbourhood. I consent to developmental screening assessments.

Photo Permissions

Internal display Group photos Newspaper/media Documentation Social media No consent

Skin Products Authorization

Sunscreen Diaper cream Lip balm Hand sanitizer Insect repellent Lotion

Parent Agreement

I agree to pay the non-refundable registration fee. I agree to pay fees on the first of each month. I understand late fees will apply for overdue payments. I understand NSF fees will be charged for returned payments. I understand care may be suspended for non-payment. I agree to the sick day policy (full payment required). I will provide 4 weeks written notice for withdrawal. I acknowledge holiday closure dates (no fee reduction). I agree to overtime charges for late pickups.

Parent 1 Signature *

Parent 2 Signature

Date

Review & Submit

Child

— DOB:

Care: | Group:

Enrollment Application

Child Information

Parent / Guardian Information

Emergency Contacts & Custody

Health Information

Allergies & Dietary

Dietary Information

Sleep & Physical Care

Infant Addendum

Consents

Photo Permissions

Skin Products Authorization

Parent Agreement

Review & Submit

Child

Parents

Emergency Contacts