Online Child Registration

Child Info

Child Name *

First

Last

Date Of Birth *

Gender *

Male
Female

Custody Order *

Program Information at Start Date *

Full Time
Part time

Campus *

Preferred Start Date (DD/MM/YYY) *

Would you like to be notified if an earlier start date is available? *

Parent consent: Financial *

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.

There is a $150 registration fee for the first child and $100 registration fee per each additional child that is non-refundable to be paid upon registration. 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 parent and supervisor; any changes may result in loss of preferred start date. All forms, including registration package, void cheque and immunization forms must be completed at least 30 days prior to your child's start date. Failure to do so may result in loss of the start date you’ve requested.

Each registration fee includes one key fob allowing you access to the Lullaboo centre that your child is enrolled in. If families would like an additional key, the cost is $50.00 per additional key which is non-refundable. There is a $50.00 replacement fee should you lose your key and require a replacement. These keys must also be returned if you decide to leave or withdraw from Lullaboo to avoid the replacement fee charge.

Fee payments include statutory holidays and days your child may be absent due to illness or vacation days. No deduction will be made for any of these days in order to guarantee your spot upon return. There is no break in your child care fee at any time of the year. Fees are due in advance as per our fee biweekly schedule, any payment returned NSF or stop payments will be subject to a $50.00 charge. Failure to provide payment prior to start date does not guarantee your spot. No other forms of payment will be accepted. Centre specific fee charts and payment schedules are available in every centre or can be emailed to you upon request at any time as they do vary in every region.

Lullaboo requires a void cheque for auto-withdrawal; payments are on bi-weekly schedule. Lullaboo will debit the account provided with each biweekly payment and to treat each payment as parent had personally issued a cheque. This constitutes delivery of authorization by parent to his/her financial institution. The terms and conditions are listed below:

“Terms and Conditions”

Parents are to notify Lullaboo of any changes to account information provided.
Lullaboo will withdraw pre-authorized payment bi-weekly to cover payment due on account.
Lullaboo Nursery and Childcare Center relies on the representation constituted by the authorization provided 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.
This authorization may be terminated at any time by parent or Lullaboo upon written notice (30 DAYS in advance). Upon termination, any balance due thereafter shall be payable directly to Lullaboo Nursery and Childcare Center. Parents are to notify Lullaboo of any changes to account information.
Lullaboo is not required to provide pre-notification to parents, of any changes to the bi-weekly payment.

In the case of a missed payment, the following payment and NSF fee ($50.00) will be applied to the next billing cycle, amounting in a double payment plus all applicable NSF fees. If an NSF fee is incurred in the following billing cycle, all outstanding fees (regular bi-weekly payments plus NSF fees) must be paid via certified cheque within 3 business days of billing date. If a certified cheque is not submitted immediate termination will follow and a letter informing parents of the last day of care will be sent. If payments are continuously missed it is at the discretion of Lullaboo to determine whether or not to terminate service.

If you choose to change the program of your child, i.e. moving from full-time to part-time enrolment, no guarantee is made that the previous program will be available to you in the future. For example, a student that is reduced to 2 days per week for summer months is not guaranteed a full-time spot in the month of September.

A late fee of $1.00 per minute per child will be charged to those arriving after 6:30 p.m. on the next billing period.

You will be charged bi-weekly once enrolment commences at the rate of the program in which your child begins the cycle in. Mid-week transitions to another classroom will not be prorated for fee credits.

In case of an outstanding balance with Lullaboo, your tax receipt may be withheld until the account is paid to date. At any time if a tax recipient is to be reissued a $45 administration fee will be charged for a second copy.

For information on Fee Subsidy and eligibility in Peel Region visit: http://peelregion.ca/hsapply, in York Region visit: http://www.york.ca/wps/portal/yorkhome/support/yr/childrenservices/. In Simcoe County visit : https://www.simcoe.ca/ChildrenandCommunityServices/Pages/fee-assistance.aspx In Waterloo Region visit: https://www.regionofwaterloo.ca/en/living-here/child-care-subsidy-calculator.aspx

If Lullaboo becomes aware of any information that could affect a client’s ongoing eligibility for child care fee subsidy, this information will be shared with their Child Care Representative i.e. living arrangements or employment/school status.

Name On Account *

Billing Amount

Selected Amount: 100%

Branch Transit Number *

This is a 5 digit number which identify your bank branch

Institution Number *

This is a unique 3 digit number that identify your Bank

Bank Account Number *

This is your account number at the bank. It is usually a minimum 7 digit long.

Void Cheque

Click or drag a file to this area to upload.

You can also upload a Void Cheque to confirm the information provided above.

Pay Registration Fee For *

Payment Options *

Pay registration fee
I already made the registration fee payment

PARENTAL ACKNOWLEDGEMENT REGARDING COVID-19 and the CORONAVIRUS *

The undersigned(s) parent(s) assume(s) all risk of injury or harm to this child, associated with participation in Lullaboo Nursery and Childcare Center and agree(s) to release, indemnify, defend and forever discharge Lullaboo Nursery and Childcare Center and its owners, staff, employees and agents of and from all liability, claims, demands, damages, costs, expenses, actions, causes of action in respect of death, injury, loss of damages to the child or by the child, and SPECIFICALLY AS IT MAY RELATE TO THE TRANSMISSION OR CONTRACTING OF COVID-19 OR THE CORONAVIRUS through the child’s attendance at Lullaboo Nursery and Childcare Center, howsoever caused, arising or to arise by reason of or during the child’s participation at Lullaboo Nursery and Childcare Center. I acknowledge that by initialing the above paragraph, that I have reviewed and understood the above paragraph.

Signature *

General Acknowledgement *

I, the undersigned, acknowledge that the above information is correct and that I understand and agree to the following statement.

I have read, fully understand and acknowledge Lullaboo Nursery and Child Care (Lullaboo) Parent Manual available at www.lullaboo.ca and I agree with these policies and procedures. By signing and providing payment and engaging in services provided by Lullaboo, I further confirm my acceptance and acknowledgement of the Parent Manual in its entirety.

I acknowledge that all information provided on my child’s registration package is truthful and accurate and I understand that it is my responsibility to inform Lullaboo in regards to any updates to the provided information in registration package.

I understand that any person listed as Emergency Contact or Authorized Pick-up listed in my child’s profile do not have the authority to alter the child's profile information whatsoever.

In the event of medical emergency, while every possible effort will be made to reach parents, we require your permission to authorize any doctor of a necessary treatment in the event of such an emergency. Lullaboo may be required to contact emergency help before attempting to reach parents. Lullaboo will take and follow direction from emergency personal, such as 911 operator as required. Parents will be immediately notified after emergency help is notified first. I hereby consent to medical treatment being given to my child, if at any time such treatment is necessary due to circumstances such as accident, sudden illness or emergency. Lullaboo Nursery and Childcare Center and all staff members are hereby released from any liability due to circumstances and medical treatment received, as a result of such emergency.

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.

Date *

Signature *

Online Child Registration

Child Info

Parent/Guardian Info

Parent/Guardian Info (2)

Emergency Contact and Authorized Pick-up

Allergy and Food Restrictions

Health History

Physical Activities Needs

Authorizations

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