Child’s Name:

ENROLMENT BOOKLET 2019

HAPPY LITTLE BUTTERFLY PTY LTDTrading as:

Happy Little Butterfly Early Learning Centre 6 George Street, Campbelltown NSW 2560

Ph: 4628 2888E: info@happylittlebutterfly.com

Start Date:

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Enrolment Procedures 2019- Contact the Family Assistance Office (Centrelink) to apply for Child Care Subsidy (CCS)

- To confirm your childcare position, you will need to make an initial payment equivalent to 2 weeks child care fees. Fees must be maintained one week in advance and paid on time.

- Supply a current immunisation status and copy of your child’s Birth Certificate.

- Like Happy Little Butterfly Early Learning Centre on Facebook

- This form must be completed, and all documentation provided prior to your child’s first day of care with us. This information must be completed by one of the child’s parents or a guardian who has lawful authority in relation to the child.

Enrolment Checklist

□ Birth Certificate Supplied□ Immunisation Records Supplied□ Enrolling Parent CRN and Child CRN Supplied□ Eligibility Percentage Supplied□ Contract/Agreement Signed

Are you eligible for the Child Care Subsidy?

Some basic requirements must be satisfied for an individual to be eligible to receive Child Care Subsidy for a child. These include:

the age of the child (must be aged 13 or under and not attending secondary school, except in certain circumstances where an individual may be eligible for a child who does not meet the criteria, such as children with a disability or medical condition in certain circumstances)

the child meeting immunisation requirements the individual, or their partner, meeting the residency requirements listed in the

legislation.

In addition, to be eligible for Child Care Subsidy the individual must be liable to pay for care provided, the care must be delivered in Australia by an approved child care provider, and not be part of a compulsory education program.

There are three factors that determine a family's level of Child Care Subsidy. These are:

Combined annual family income Activity test  – the activity level of both parents Service type  – type of child care service and whether the child attends school

The Child Care Subsidy is generally paid directly to service providers to be passed on to families as a fee reduction. Families make a co-contribution to their child care fees and pay to the provider the difference between the fee charged and the subsidy amount.

There is also targeted additional fee assistance for vulnerable families through the Child Care Safety Net.

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Families can get an estimate of what they may be entitled to by entering their details into the Department of Human Services Payment and Service Finder.

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CHILD DETAILS

Child’s CRN:

First Name(s): Middle Name:

Surname:

Date of Birth: Gender: Female / Male

Country of Birth: Language(s) Spoken at Home:

Cultural Heritage:

Aboriginal / Torres Strait Islander? Y / N

Home Address:

PARENT/GUARDIAN DETAILS

PRIMARY PARENT (PARENT CLAIMING CCS)

Parent’s CRN:

Name:

Relationship to Child:

Date of Birth: Country of Birth:

Does the child live with you? YES NO Shared Care

Comments/Details:

Home Address:

Home Phone: Mobile Phone:

Work Phone: Email:

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SECONDARY PARENT

Name:

Relationship to Child:

Date of Birth: Country of Birth:

Does the child live with you? YES NO Shared Care

Comments/Details:

Home Address:

Home Phone: Mobile Phone:

Work Phone: Email:

EMERGENCY/AUTHORISED PERSON CONTACTS

In case of an emergency, Happy Little Butterfly ELC will attempt to contact the parents/guardians initially. The below nominees will only be contacted in instances where all attempts to contact the parents/guardians have failed.

AUTHORISED NOMINEE 1

Full Name:

Relationship to Child: Date of Birth:

Home Phone: Mobile Phone:

Work Phone: Email:

Home Address:

Work Address:

I authorise this nominee to:□ Collect my child from the service / authorise an educator to take my child from the service (eg:excursions)□ Consent to medical treatment / administration of medication to my child during times of illnessor emergency

Parent/Guardian Signature:

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AUTHORISED NOMINEE 2

Full Name:

Relationship to Child: Date of Birth:

Home Phone: Mobile Phone:

Work Phone: Email:

Home Address:

Work Address:

I authorise this nominee to:□ Collect my child from the service / authorise an educator to take my child from the service (eg:excursions)□ Consent to medical treatment / administration of medication to my child during times of illness or emergency

Parent/Guardian Signature:

AUTHORISED NOMINEE 3

Full Name:

Relationship to Child: Date of Birth:

Home Phone: Mobile Phone:

Work Phone: Email:

Home Address:

Work Address:

I authorise this nominee to:□ Collect my child from the service / authorise an educator to take my child from the service (eg: excursions)□ Consent to medical treatment / administration of medication to my child during times of illnessor emergency

Parent/Guardian Signature:

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COURT/CUSTODIAL ORDERS

Are there any court orders, parenting orders, or parenting plans relating to the powers, duties and responsibilities or authorities of any person in relation to the child or access to the child? YES / NO

Are there any other court orders relating to the child’s residence or the child’s contact with a parentor another person? YES / NO

If YES, please attach a copy of all relevant documentation. Without copies of current court ordersor documentation, staff cannot enforce parents’ requests.

MEDICAL INFORMATION

Medicare Number: Ambulance Cover: YES / NO

Health Insurance Fund: YES / NO Insurance Number:

Insurance Fund Name:

Family Doctor: Practice Name:

Address:

Contact Phone:

Family Dentist: Practice Name:

Address:

Contact Phone:

CHILD HEALTH INFORMATION

Does your child suffer from: Asthma: Yes / No Diabetes: Yes / No Anaphylaxis: Yes / No

If you have circled “yes” to any of the above, specific policies and procedures may apply to the individual care of your child. The Nominated Supervisor will provide you with the relevant policies and procedures and assist you to complete any documentation required.

I am aware that Happy Little Butterfly Early Learning Centre has policies for its staff and families and that these are accessible through the centre’s website (www.happylittlebutterfly.com) or on the foyer of the service.

Name: Signature: Date:

Name: Signature: Date:

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Does your child suffer from any allergies? YES / NO If yes, please provide relevant details below including your child’s allergy, side effects, treatment details:

Does your child have a disability, medical condition or specific health care needs? YES / NO If yes, please provide relevant details below:

Does your child take prescribed medication or treatment on a regular basis? YES / NO If yes, please provide relevant details below:

Does your child have any additional needs/challenging behaviours? YES / NO Please provide details if necessary:

Does your child regularly visit a specialist (eg: speech/occupational therapist)? YES / NO Please provide details if necessary:

Immunisation Record (Please note that the blue book is no longer sufficient proof of immunisation)

Please attach an up to date copy of your child’s immunisation records. These records can be downloaded obtained online through the website: https://my.gov.au or through Centrelink in person.

To be eligible for CCS, your child must meet the immunisation requirements. To meet these requirements, your child must be:

Fully up to date according to the Australian Standard Vaccination Schedule OR On a catch-up vaccination schedule OR Have an approved medical exemption

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Is your child fully immunised? YES / NO Please complete the below table.

Child’s Age (per Schedule) Immunisation Type Date ReceivedBirth Hep B

2 Months DTPA Hep B/Hib OPV

4 Months DTPA Hep B/Hib OPV

6 Months DTPA OPV

12 Months MMR Hep B/Hib

18 Months MMR Chicken Pox

4 Years DTPA Hep B/Hib OPV

CENTRELINK INFORMATION

Centre Name: Happy Little Butterfly Pty Ltd

Start Date: Percentage from F.A.O:

Registering Parent Name: Eligible Hours:

Days/Hours Required

Monday Tuesday Wednesday Thursday Friday

eg: 9am-3pm

Does your child attend another child care service? Y / N

Name of Service:

Does your child have a sibling attending another child care service? Y / N

Name of Service:

DIETARY REQUIREMENTS

Does your child have any special dietary or cultural restrictions? If yes, please provide relevant details below:

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Does your child have any particular food likes/dislikes? If yes, please provide relevant details below:

MORE ABOUT YOUR CHILD

Can your child speak/understand English? YES / NO

Are there any religious or cultural practices we should be aware of or that you would like your child to be involved in? YES / NOPlease provide details if necessary:

Has your child previously been in childcare? YES / NO

Does your child wear nappies during the day? YES / NO

Does your child have any siblings? YES / NOPlease provide names and ages:

What are your child’s likes and dislikes?

What are your goals/wishes for your child while in care?

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HAPPY LITTLE BUTTERFLY ENROLMENT/CONSENT FORMS

Permission for Staff to Act in case of Emergency or Accident:

In case of an accident or illness requiring emergency treatment, the team member in charge will call an ambulance if required. Parents/guardians will be notified as soon as practically possible.

Please complete and sign the following:

I / we authorise the staff of the centre to seek/provide urgent medical, dental, hospital treatment or ambulance service for my child should this be considered necessary. Furthermore, I / we have read and agree to abide by the conditions of the use of the centre and to accept such responsibility as enrolment at the centre imposes.

Signature: Date:

General Consent:I / we give permission for our child to:

Participate in outings to places of interest (permission slip must still be signed before child can leave the centre)

YES / NO

Have SPF30+/SPF50+ sunscreen applied prior to sun exposure (if NO, please provide a letter releasing the centre from any liability)

YES / NOBe given an age appropriate dose of Panadol (one dose only) in the event of a temperature above 38 degrees Celsius accompanied by pain or discomfort (Parent permission will be sought, and child will be sent home in this instance)

YES / NO

Photos and Video Footage:I / we give permission:

For photos and video footage to be taken of my/our child for centre use (will not leave centre)

YES / NO

For photos and video footage of my/our child to be used in Daily Reflections YES / NO

For photos and video footage of my/our child to be used for student trainingpurposes (may be presented to lecturer/class for viewing and marking)

YES / NO

For photos and video footage of my/our child to be used on the Centre’s website,social media, and other internet purposes such as advertisement YES / NO

I / we:

Have viewed the Happy Little Butterfly Early Learning Centre and agree to abide by all centre policies. The policy book is available in the Parent Information area of my child’s room.

Give permission for my child’s developmental records and enrolment details to be viewed by representatives from the Department of Education and Communities for centre licensing, assessment and rating purposes.

Understand that the person/s nominated as parent/guardian are the authorised parties to enroll, cancel enrolment, release and authorise release of the child.

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Understand that the person/s nominated as parent/guardian are the authorised parties whom have full responsibilities for the account and fees charged.

Have received and read the Centre’s parent handbook and understand that any changes to such will be displayed on the Centre’s website.

Understand that there may be times when medical attention is required by my child during his/her time in care and give permission to the Director or delegated staff member to attend to my child’s medical concerns on my behalf.

Understand that children who are third priority under the Priority of Access Guidelines may be required to alter their days or give up their place at the centre in order to provide a place for a higher priority child. The priorities are as follows:

- First Priority: Child at serious risk of abuse or neglect- Second Priority: Children whose parents satisfy work/training/study test under section 14

of the Family Assistance Act- Third Priority: Any other child

Are aware that our child will be excluded from care at the Centre if he/she has contracted a contagious disease or condition and will be accepted back into the Centre upon provision of a Clearance Certificate for the child from a medical practitioner.

Are aware that a temperature of 38 degrees Celsius or over will warrant my/our child being sent home from the service, as will more than one instance of vomiting or two instances of diarrhea.

Are aware that I/we must keep our child home from care if they have exhibited a temperature of 38 degrees Celsius or more less than 24 hours prior to attending the service or had an occurrence of vomiting or diarrhea more than twice less than 24 hours prior to attending the service. We agree to not send our child to the service with Panadol or Nurofen in their system and will exclude them if they have had either medication less than 24 hours before care.

Agree to excluding my/our child if they have begun a course of antibiotics for a period of 24 hours from the time, they began the medication and understand that educators cannot provide my/our child with this medication if the 24-hour period hasn’t passed.

Understand that should my child require urgent medical attention, an ambulance may be called, and the cost of the ambulance is to be covered by me as the parent/guardian.

Agree to provide the Centre with all relevant information regarding the health of my/our child. Including a medical management plan provided by my child’s doctor. should my/our child have a preexisting condition

Understand that Happy little Butterfly reserves the right to terminate the enrolment of any child at any time should we believe that their continued care is not in the best interest of the child, other children in our care or the staff at the Service.

Understand that the Centre may be used as a training and observation centre by students aiming to/already working with young children.

Are aware that the Centre may occasionally have visitors or volunteers and consent to my/our child being in the presence of volunteers or visitors with the Centre’s appropriate supervision.

Understand that fees must always be kept one week in advance. Two or more weeks of unpaid fees may result in suspension of enrolment until full payment is received.

Are aware that to cancel childcare we are required to give notice in writing two weeks prior to the date of withdrawal; otherwise fees will continue to be charged. During this period, we are aware that if our child does not attend, we are liable to pay full fees.

Understand that a system of payment for late collection operates at the Centre to cover overtime payments to staff and that any late collection will result in a fee of $20 for each 10-minute interval I/we are late to collect our child and that this fee is to be paid on the spot.

Understand that Happy Little Butterfly is a NUT FREE CENTRE.

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I/We have read, understood, and agree to abide by the conditions of this contract.Name(s): Signature(s): Date:

OFFICE USE ONLY

□ Initial payment received □ CRN for child □ CRN for parent□ Handbook supplied □ CCS% received □ Immunisation on file

□ Birth Certificate on file □ Court Order on file (if applicable)

How did you hear about Happy Little Butterfly?Word of mouth □Facebook □Internet Search □

Flyer/advertisement □Driving past □

Other (Please specify):