permission

PERMISSION FORM AND PARENT'S AGREEMENT

Areas Marked With An * Must Be Filled Out - (Information is kept confidential)

I give permission for my child to take part in the following:

Please place a check in each applicable space below *

Class Photographs (Teachers take pictures within class for program purposes) Pictures of my child to appear on Next Level Childcare website or Facebook page participating in various classroom activities (children are not named or tagged) Occasional Supervised Field Trips on School Bus (When Applicable). All outside trips will be noted in each monthly newsletter Community Walks around Neighbourhood

Please place a check in each applicable space below *

I give my consent to have my child treated by a physician for medical care and to be transported to hospital by ambulance should an emergency arise. I understand that every effort will be made to contact my spouse or me before such action is take. In case of injury to my child while in care of Next Level Childcare, I hereby waive all claims against the school in excess of public liability insurance ($5,000,000) carried by Next Level Childcare, a division of Next Level Childcare Inc. I agree to submit one void cheque by the month my child starts to process an automatic withdrawal from my banking account to Next Level Childcare and to give one full month (30 days) written notice, given before the start of the following month for withdrawal of my child from Next Level Childcare. After the 30-day notice has been received, we will cancel all automatic withdrawals from your account. There will be a $25.00 charge on all returned (N.S.F.) fees. A $75.00 registration fee is required to ensure your child a place and is not refundable. There will be no refund on monthly fees or any portion thereof, regardless of sickness, school holidays or family vacations. I have read and understood the policies and procedures as set forth in the Next Level Childcare Parent Handbook.

Parent Name *

Date Signed & Submitted *