Childminding Registration for Peer to Peer Groups - 1 form per child yearly

Nanaimo Child Development Centre appreciates that all children have differing needs.  Childminding here is a social and networking opportunity for your child(ren) as well.  We will have play time, crafts, games and healthy snacks during all childminding sessions. 
If you are needing childminding in order to support your attendance at one of our weekly Families Supporting Families peer to peer groups, please:
  • Complete one form for each child you will have attending childminding
  • Identify which group(s) you would like to attend
  • Complete this form with as much detail as possible
    • so our childminding staff can support your child in enjoying their time with us
  • Check the N/A box or write in each box N/A if a question is not relevant to your child 
  • Make sure we are aware of any dietary restrictions or allergies to food - as healthy snacks will be provided during childminding time
    • Please do not bring private snacks unless your child is on a very specific diet as this does create challenges for childminder with other children.
    • We are a nut and peanut free zone please remember to not bring these items into centre
  • Arrive 10 to 15 minutes a head of group start time, to assist with settling your child into childminding prior to joining your group.
  • Make sure to sign your child in to each and every group session that you attend. 

Thank you for completing this form, you are now registered for childminding during your selected group(s).  If there is a space issue with the group you have selected the Family Resource Navigator Program at the NCDC will give you a call to let you know that you are on the waitlist for childminding.  If you do not get a call saying that you are waitlisted, please assume that there is space in the child minding room.
If you decide not to make use of the space(s) you have registered for please let us know, by contacting Kimberlee at 250-753-0251 ext. 259 or email her at Kimberlee@nanaimocdc.com. See you soon. 

Note: This information is collected solely to support childminding during parent sessions, information will not be shared with anyone or other organizations outside of the staff of the Nanaimo Child Development Centre, working within the Family Resource Navigator Programs.  You only have to fill this form out once per year, and if at anytime you'd like us to delete this information please send an email to Kimberlee@nanaimocdc.com with this request.

 

Question Title

* 1. Parents first and last name (as recorded on registration)

Question Title

* 2. Contact phone number

Question Title

* 3. Please let us know any and all of the 'Families Supporting Families' group(s) you will be possibly attending and will need childminding for (you are welcome to attend multiply groups if they fit your families needs - we just want to make sure that we will have a childminding space if you are looking at attending)

Question Title

* 4. Child's Age

Question Title

* 5. Child's first letter in their first name.  (If you have two children with the same first letter in their name please add second letter of their first name, on each form completed as we need one form per child filled out please)

Question Title

* 6. Does your child have any allergies?

Question Title

* 7. Any health issues or conditions we should be aware of (ie. medications, seizures, asthma, in contact with communicable diseases, etc): 
Please let us know if any of this information changes so we can update your child's info.

Question Title

* 8. Diet conditions or requirements, favourite snacks (Please comment after which is which ie: Diet Condition / Favourite snacks)?

Question Title

* 9. Is your child a flight risk.  (ie: if door is open or we are outside will they climb the fence and run)  Our outdoor area is fully fenced but is chain linked fencing, so children can still climb.

Question Title

* 10. In regards to toileting:

  Yes No N/A
Does your child use diapers or pull ups?
If yes to diapers, can the childminders change your child?
If yes to diapers, would you prefer to have a childminder come get you to change your child?
Is your child in the process of toilet training and needs reminders?
Does your child independently go to the bathroom?

Question Title

* 11. Has your child attended daycare/ preschool/school/recreation programs before and have they needed additional support will attending any of those groups? If yes please describe type / level of support?

Question Title

* 12. Please list any calming techniques used at home to help support your child with transitions or during an emotional breakdown/outburst?

Question Title

* 13. Please list any additional special instructions concerning your child, you think is important for childminders to know to help them in creating an enjoyable and fun time for your child while in a childminding session.  This may include: behaviour, sensory concerns, likes and dislikes etc.?

T