NCDC Child Minding Registration - Families Supporting Families 2018

Childminding Registration for NCDC Knowledge Sessions

Nanaimo Child Development Centre appreciates that all children have differing needs.
Once you have registered for a knowledge session and identified that you are looking for childminding while attending, please complete this form, with as much detail as possible, so our childminding staff can support your child in enjoying their time with us while you are attending a Family Knowledge Session. (If question is not relevant please just check the N/A box or write in each box N/A.) You will need to sign your child into childminding at the beginning of each session so please arrive 10 - 15 minutes a head of workshop start time.
Childminding here is a social and networking opportunity for your child (ren) as well; and a healthy snack will also be provided so please make sure that we are aware of any diet restrictions and/or allergies.
Please fill out one information sheet per child, and you only need to fill this out once per year.

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

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* 2. Contact phone number

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* 3. Please let us know which group or event you will be needing childminding for?

Families Supporting Families - Peer to Peer Group

Family Knowledge Session - list actual name in comment box below

Name of Knowledge Session you will be attending:

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* 4. Child's Age

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* 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, as we need one form per child filled out please)

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* 6. Does your child have an allergies?

Yes

If yes, please describe all

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* 7. Diet conditions or requirements, favourite snacks?

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* 8. Any health issues or conditions we should be aware of (ie. medications, seizures, asthma, in contact with communicable diseases, etc):

Yes

If Yes, Please list with details on how to address:

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* 9. In regards to toileting:

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

Please expand if there is any special instructions childminders should be aware of:

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* 10. 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?

Yes

If Yes, Please describe type and level of support

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* 11. 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.

Yes

If yes, please expand with more details:

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

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* 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.?