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: / / 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: / / Childβs Doctor Medical Centre Phone Number: Does your child have any Illness/allergies/Reaction to food or medication: Is your child immunised Tick One Yes π No π Is your child up-to-date with immunisations? Tick One Yes π No π (Please attach verification or a copy of immunisation certificate) Immunisations record sighted and details recorded: (Office Use) Tick One Yes π No π
Appears in 4 contracts
Samples: Enrolment Agreement, Enrolment Agreement, Enrolment Agreement
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: / / 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: / / Childβs Doctor Medical Centre Phone Number: Does your child have any Illness/allergies/Reaction to food or medication: Is your child immunised Tick One Yes πβ‘ No οΏ½β‘ οΏ½ Is your child up-to-date with immunisations? Tick One Yes β‘ π Noβ‘ π (Please attach verification or a copy of immunisation certificate) Immunisations record sighted and details recorded: (Office Use) Tick One Yeβ‘ s οΏ½οΏ½β‘ No π
Appears in 3 contracts
Samples: Enrolment Agreement, Enrolment Agreement, Enrolment Agreement
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: / / 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: / / Childβs Doctor Medical Centre Phone Number: Does your child have any Illness/allergies/Reaction to food or medication: Is your child immunised Tick One Yes π No π Is your child up-to-date with immunisations? Tick One Yes π No π (Please attach verification or a copy of immunisation certificate) Immunisations record sighted and details recorded: (Office Use) Tick One Yes π No π
Appears in 2 contracts
Samples: Enrolment Agreement, Enrolment Agreement
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: / / 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: / / Childβs Doctor Medical Centre Phone Number: Does your child have any Illness/allergies/Reaction to food or medication: Is your child immunised Tick One Yes πβ‘ No οΏ½β‘ οΏ½ Is your child up-to-date with immunisations? Tick One Yes β‘ π Noβ‘ π (Please attach verification or a copy of immunisation certificate) Immunisations record sighted and details recorded: (Office Use) Tick One Yeβ‘ s οΏ½οΏ½β‘ No π
Appears in 1 contract
Samples: Enrolment Agreement