Online Child Registration

Child Info

Child Name *

First

Last

Date Of Birth *

Gender *

Male
Female

Custody Info *

(If YES must provide legal document)

Program Information at Start Date *

Full Time
Part time

Campus *

Preferred Start Date (DD/MM/YYY) *

Parental Acknowledgement *

I have read and fully understand the Lullaboo Nursery and Childcare Policies and Parent Handbook available at www.lullaboo.ca, and I agree with these policies. I understand that neither the child care program or the Lullaboo Nursery and Childcare Center can accept responsibility for the loss of any personal belongings my child may bring to the program. I agree to inform the supervisor of any changes to the information in this registration package. I understand that emergency contact and authorized pick-up other than the guardians do not have the authority to alter the child's registration package in terms of guardian and authorized pick ups. I understand that guardians can not be removed without mutual consent I understand that when custody issues arise this document over rules until a mutual agreement is made or a court order is submitted

Pre Authorized Payment Authorization *

As the parent/guardian of the above child, I hereby authorize Lullaboo Nursery and Childcare Center to debit the amount indicated for each bi-weekly payment and to treat each payment as if I had personally issued a cheque. I acknowledge that this constitutes delivery of the authorization by me to my financial institution. I agree to the terms and conditions listed below.

Registration fee with application form

$150 for the first child and $100 per each additional child.

Registration fees are non refundable and must be paid online or by cash or cheque.

Registration fee guarantees care within Lullaboo on the date agreed to and confirmed by the Supervisor.

Every effort will be made to accommodate requested start date.

Changes to the first day of care needs to be acknowledged in writing by supervisor and parent. Any changes may result in loss of preferred start date.

Registration fees cover the cost of enrolling a child as well as one key fob for building access. Additional key fobs may be purchased for $50.

Student enrolment package, immunizations and a void cheque must be provided at least 30 days prior to care. Failure to do so may result in loss of the start date requested.

Please make the Registration payment online by clicking the following link: http://lullaboo.square.site/

(The link will open in new window)

Online Payment (Square) *

Terms and Conditions *

I, the undersigned, acknowledge that the above information is correct and that I understand and agree to the stated terms and conditions.

Terms and Conditions

1. I (the customer) will notify Lullaboo Nursery and Childcare Center of any changes to the account information I have provided.

2. I (the customer) understand that pre-authorized payment will be withdrawn bi-weekly to cover payment(s) due on account.

3. Lullaboo Nursery and Childcare Center relies on the representation constituted by this authorization that the customer’s financial institution account is, and shall be, during the currency of this authorization, in good standing with sufficient funds to cover such pre-authorized withdrawals as they become due and payable.

4. I (the customer) agree to waive the requirement for pre-notification of changes to my regular bi-weekly payment.

5. This authorization may be terminated at any time by I (the customer) or Lullaboo Nursery and Childcare Center upon written notice (30 DAYS). Upon termination, any balance due thereafter shall be payable directly to Lullaboo Nursery and Childcare Center

Policy Review *

I have reviewed the policies listed below with the supervisor or delegate prior to registration at Lullaboo. Additionally, by signing and submitting this registration form, I accept and agree to act according to the policies listed below and all of Lullaboo’s policies, provisions and procedures listed (but not limited to) Lullaboo’s Parent Manual. I understand that it is my sole responsibility to refer to Lullaboo’s Parent Manual and to stay informed of any revisions posted to it on the website at: www.lullaboo.ca/parents.

Withdrawal/Discharge Policy

Parent Code of Conduct

Nutrition and Food Policy

Medication Policy

Illness Policy

Suspected Child Abuse Policy

Sleep Policy

Weather and Temperature Policy

Program Statement

Complaint Resolution Policy

Policy Review Date *

Submission Agreement *

As the parent/guardian of the above child, I understand and agree to the following: *

An Electronic Signature Authorization form must be completed with an original signature and filed with the center supervisor before a person may use their electronic signature at Lullaboo. This form does not need to be submitted again unless the parent, guardian, or authorized pickup has legally changed his or her name.

Parents, guardians, and/or authorized pick-ups shall use electronic signatures to authorize applicable forms, designated records and release consent. Examples include but are not limited to child registration packages, financial commitments, bank withdrawal authorization, medication forms, illness reports, accident reports, emergency cards, etc. In no event shall Lullaboo, or any author of the content entered, be responsible or liable for errors, omissions or damages of any kind resulting from use of the content.

I, THE UNDERSIGNED, REQUEST TO UTILIZE MY ELECTRONIC SIGNATURE ON LULLABOO DOCUMENTATION.
I understand that this involves the use of a computer/iPad to sign documents electronically.
I understand that my Electronic Signature is equivalent to my written signature and I shall be held responsible and legally liable for all entries made bearing this Electronic Signature. If I have reason to believe that the confidentiality of my Electronic Signature has been compromised, I will contact Lullaboo immediately.I understand that any unauthorized use or disclosure of my Electronic Signature is a breach of my confidentiality obligations and that disciplinary action may be taken which may include termination of childcare.

***Any person listed as authorized pickup can sign child's reports

Online Child Registration

Child Info

Parent/Guardian Info

Parent/Guardian Info (2)

Emergency Contact and Authorized Pick-up

Health Information

Health History

Physical Activities Needs

Authorizations

Please make the Registration payment online by clicking the following link: http://lullaboo.square.site/

About Lullaboo

Contact Us

Richmond Hill - Elgin Mills

Mississauga - Heartland

Mississauga - West

Vaughan - Maple

Bradford

Brampton Center - Queen

Brampton South - Churchill

Toronto - Beaches

Cambridge