Child Details

Register

Have you created an enquiry account on our website before, or have another child at the centre?
Please enter your email address and we will load your previous details.

Contact(s)

Parent(s) / Guardian(s)

Add Parents / Guardians
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Emergency contact(s)

Add emergency contact(s) other than Parent/Guardian - must be able to pickup your child.
Emergency Contacts

Additional contact(s)

Do you have any additional people that can pickup your child? If so, please enter them here and press Next when you are done.
Contact Details

Pickups prohibited by

Important - are there people who specifically cannot pickup your child? If so, please enter their details here.
Contacts who can not pickup your child
Please note: A copy of any court document/custody order and details of any custodial arrangements will be required to keep on file for staff to sight.

Health

Child's Doctor
Health
Medicines
A category (i) medicine is a non-prescription preparation (such as arnica cream, antiseptic liquid, insect bite treatment) that is not ingested, used for the ‘first aid’ treatment of minor injuries and provided by the service and kept in the ‘first aid’ cabinet.
Note: The service must provide specific information (including brands names) about the category (i) preparations that will be used.
To be filled in if your child requires medication as part of an individual health plan, for example for an on-going condition such as asthma or eczema etc. and is for the use of that child only.

Permissions

Permissions
Please indicate below whether you give permission for your child to:
Can Attend Walks PIKOPIKO Ratio 1:2 KOWHAI Ratio 1:6 NIKAU Ratio 1:6
Can Attend Internal Areas of the Centre: PIKOPIKO Ratio 1:5 KOWHAI Ratio 1:10 NIKAU Ratio 1:10
Can attend activities in the Car Park Space: PIKOPIKO Ratio 1:5, KOWHAI Ratio 1:10, NIKAU Ratio 1:10
Community Posts
Can Use Image For Planning
I consent to the use of Cancer Society Sunscreen, Kids Pure 50+ applied to my child. (provided during the periods of September through to April)
I acknowledge that I have been given a copy of The Ministry of Health Guidelines & have read and understand those guidelines.

Enrolment

Enrolment
Child has to be enrolled for a minimum of one day.
Please choose the dates and days below. Note the service may require you to enrol a certain number of days.

STATUTORY HOLIDAYS/ TERM BREAKS

This enrolment agreement is inclusive of school term breaks.
Our services does not operate on Statutory Holidays therefore not open. 

Enrolment Uploads

Infectious Diseases 
I will not bring my child to the Centre in the event of any sickness or any infectious illness such as chicken pox, vomiting, diarrhoea, head lice etc. 
I will not bring my child to Preschool if they are unwell or if they have had vomiting or diarrhoea in the past 48 hours. I will immediately pick up or arrange the pick up of my child if they become unwell at Preschool. 
Parent Signature:____________________Signing Date: _____ / ______ / ______
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