Common use of Hours ECE Clause in Contracts

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. Parent/Guardian Signature: Date: / / Dual Enrolment Declaration I hereby declare that my child is / is not enrolled at another early childhood institution at the same time that he / she is enrolled at Toi Ohomai Childcare Centre. Parent/Guardian Signature: Date: / / Health Child’s Doctor Phone Number: Does your child have any Illness/allergies/Reaction to food or medication: Is your child immunised Tick One Yes □ No □ Is your child up-to-date with immunisations? Tick One Yes □ No □ (Please attach verification or a copy of immunisation certificate) Immunisations record sighted and details recorded: (Office Use) Tick One Yes □ No □ Medicine

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. Parent/Guardian Signature: Date: / / Dual Enrolment Declaration I hereby declare that my child is / is not enrolled at another early childhood institution at the same time that he / she is enrolled at Toi Ohomai Childcare Centre. Parent/Guardian Signature: Date: / / Health Child’s Doctor Phone Number: Does your child have any Illness/allergies/Reaction to food or medication: Is your child immunised Tick One Yes □ 🞏 No □ 🞏 Is your child up-to-date with immunisations? Tick One Yes □ 🞏 No □ 🞏 (Please attach verification or a copy of immunisation certificate) Immunisations record sighted and details recorded: (Office Use) Tick One Yes □ 🞏 No □ 🞏 Medicine

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. Parent/Guardian Signature: Date: / / Dual Enrolment Declaration I hereby declare that my child is / is not enrolled at another early childhood institution at the same time that he / she is enrolled at Toi Ohomai Childcare Centre. Parent/Guardian Signature: Date: / / Health Child’s Doctor Medical Centre Phone Number: Does your child have any Illness/allergies/Reaction to food or medication: Is your child immunised Tick One Yes □ 🞏 No □ 🞏 Is your child up-to-date with immunisations? Tick One Yes □ 🞏 No □ 🞏 (Please attach verification or a copy of immunisation certificate) Immunisations record sighted and details recorded: (Office Use) Tick One Yes □ 🞏 No □ 🞏 Medicine

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. Parent/Guardian Signature: Date: / / Dual Enrolment Declaration I hereby declare that my child is / is/ is not enrolled at another early childhood institution at the same time that he / she is enrolled at Toi Ohomai Childcare Centre. Parent/Guardian Signature: Date: / / Health Child’s Doctor Phone Number: Does your child have any Illness/allergies/Reaction to food or medication: Is your child immunised Tick One Yes □ No □ Is your child up-to-date with immunisations? Tick One Yes □ No □ (Please attach verification or a copy of immunisation certificate) Immunisations record sighted and details recorded: (Office Use) Tick One Yes □ No □ Medicine