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Heavenly Cradle Day Care Registered with the ECD Olifantsfontein Forum Registered as Non Profit Organisation Reg. Nr: 149-742NPO 32 Major Road, Clayville Extension 7, Olifantsfontein, 1665 Contact details: Cell 0711159936 Tel: 011 316 0136 E-Mail: [email protected] Initial_________ Page 1 REGISTRATION NEED TO KNOW Dear Parent / Guardian Please take note of the addiction documentation required for registration 1. Complete and sign all required registration documentation and return to Heavenly Cradle as soon as possible 2. The following documentation has been included for your convenience to complete at home and make copies of when and if required and to be handed over to Heavenly Cradle when bringing your child to the daycare a. Permission to administer Non-Prescription Medication b. Permission to administer Prescription Medication 3. The following additional documentation need to be given to Heavenly Cradle with the registration documentation. a. Copies of ID documentation for Mother, Father, Guardian and persons who would have your permission to pick up or drop off your child b. Copy of child’s Birth Certificate c. Copy of child’s Immunization Chart d. Photo of child (as resent as possible) If you need additional information and or advice, please do not hesitate to contact me. Kind Regards Anneke van Heerden Owner and Manager Cell: 0711159936

Heavenly Cradle Day Care Admission.pdf · 4.6 Heavenly Cradle Baby nursery will only be closed between 16 December and first working day of January the next year. 5. SICK LEAVE The

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Page 1: Heavenly Cradle Day Care Admission.pdf · 4.6 Heavenly Cradle Baby nursery will only be closed between 16 December and first working day of January the next year. 5. SICK LEAVE The

Heavenly Cradle Day Care Registered with the ECD Olifantsfontein Forum

Registered as Non Profit Organisation Reg. Nr: 149-742NPO 32 Major Road, Clayville Extension 7, Olifantsfontein, 1665

Contact details: Cell 0711159936 Tel: 011 316 0136 E-Mail: [email protected]

Initial_________ Page 1

REGISTRATION NEED TO KNOW

Dear Parent / Guardian

Please take note of the addiction documentation required for registration

1. Complete and sign all required registration documentation and return to Heavenly

Cradle as soon as possible

2. The following documentation has been included for your convenience to complete at

home and make copies of when and if required and to be handed over to Heavenly

Cradle when bringing your child to the daycare

a. Permission to administer Non-Prescription Medication

b. Permission to administer Prescription Medication

3. The following additional documentation need to be given to Heavenly Cradle with the

registration documentation.

a. Copies of ID documentation for Mother, Father, Guardian and persons who

would have your permission to pick up or drop off your child

b. Copy of child’s Birth Certificate

c. Copy of child’s Immunization Chart

d. Photo of child (as resent as possible)

If you need additional information and or advice, please do not hesitate to contact me.

Kind Regards

Anneke van Heerden

Owner and Manager

Cell: 0711159936

Page 2: Heavenly Cradle Day Care Admission.pdf · 4.6 Heavenly Cradle Baby nursery will only be closed between 16 December and first working day of January the next year. 5. SICK LEAVE The

Heavenly Cradle Day Care Registered with the ECD Olifantsfontein Forum

Registered as Non Profit Organisation Reg. Nr: 149-742NPO 32 Major Road, Clayville Extension 7, Olifantsfontein, 1665

Contact details: Cell 0711159936 Tel: 011 316 0136 E-Mail: [email protected]

Initial_________ Page 2

AGREEMENT / ENROLMENT FORM

NAME OF CHILD: ____________________SURNAME:_______________________

DATE OF BIRTH___________________NUMBER OF CHILDREN IN FAMILY_____

HOME TEL NO: ______________________

HOME ADDRESS: ____________________________________________________

RELIGION: _________________________________________________________

NAME OF FATHER: __________________ TEL NO: ________________________

NAME OF MOTHER: __________________TEL NO: ________________________

OCCUPATION OF FATHER_____________________________________________

OCCUPATION OF MOTHER____________________________________________

NEIGHBOURS, FAMILY OR FRIEND TEL NO: _____________________________

PREVIOUS ILLNESSES: _______________________________________________

OTHER SPECIFIC PROBLEMS (e.g. Epilepsy, Reflux, Asthma etc.)

NAME AND TEL NO. OF FAMILY DOCTOR________________________________

NAME OF MEDICAL AID: _________________MEDICAL AID NO: ______________

ANY SPECIAL PRESCRIPTIONS IN RESPECT OF THE CHILDS CARE: ________

___________________________________________________________________

TOILET HABITS______________________________________________________

SIGNED AT_____________ON THIS________ DAY OF ______________201_____

_____________________ ______________________

SIGNATURE OF FATHER SIGNATURE OF MOTHER

___________________________

Page 3: Heavenly Cradle Day Care Admission.pdf · 4.6 Heavenly Cradle Baby nursery will only be closed between 16 December and first working day of January the next year. 5. SICK LEAVE The

Heavenly Cradle Day Care Registered with the ECD Olifantsfontein Forum

Registered as Non Profit Organisation Reg. Nr: 149-742NPO 32 Major Road, Clayville Extension 7, Olifantsfontein, 1665

Contact details: Cell 0711159936 Tel: 011 316 0136 E-Mail: [email protected]

Initial_________ Page 3

SIGNATURE OF DAY MOTHER

AGREEMENT

THIS IS AN AGREEMENT ENTERED INTO BY AND BETWEEN:

NAME NURSERY: Heavenly Cradle Baby Nursery

RESIDENTIAL ADDRESS: 32 Major Road, Clayville East, Olifantsfontein,1666

(Hereinafter called “the Baby Nursery”)

AND

NAME, SURNAME & ID#_______________________________________________

RESIDENTIAL ADDRESS: _____________________________________________

(Hereinafter called “the Parent”)

THE BABY NURSERY TAKES____________________________________________

(Hereinafter called “the Child”) FROM_______________________________ (date)

IN THEIR CARE, SUBJECT TO THE FOLLOWING CONDITIONS:

REMUNERATION

1. REMUNERATION FOR CARE The remuneration for the care of the Child is: Full day R1050.00 per month, Yes Half day R750.00 per month and Yes Part time R120 per hour Yes (Please tick “YES” on the service you require) Subject to increase from time to time agreed upon. Fees are payable in advance in cash or EFT on the first day of every month. No cheques are accepted. If the Parent does not comply timorously with the conditions of this clause, the Baby Nursery is entitled to charge a penalty of 5% on each and every payment which is late and may also refuse to take the Child into her care until such monies and penalties have been paid. No refunds will be allowed for such periods during which the Child is not placed in the care of the Baby Nursery, during the existence of this agreement. 2. TERMINATION

Page 4: Heavenly Cradle Day Care Admission.pdf · 4.6 Heavenly Cradle Baby nursery will only be closed between 16 December and first working day of January the next year. 5. SICK LEAVE The

Heavenly Cradle Day Care Registered with the ECD Olifantsfontein Forum

Registered as Non Profit Organisation Reg. Nr: 149-742NPO 32 Major Road, Clayville Extension 7, Olifantsfontein, 1665

Contact details: Cell 0711159936 Tel: 011 316 0136 E-Mail: [email protected]

Initial_________ Page 4

This agreement can be terminated by either party giving one calendar months’ notice, which must be given on the last working day of the preceding month. 3. REGISTRATION FEE The Parent shall pay a non refundable registration fee of R500 for Full Day and registration fee of R250.00 for Half Day. Registration fee could be paid over the 1st 2 months that the Child is placed in the care of the Baby Nursery. 4. LEAVE 4.1 The Baby Nursery Owner/Manager is entitled to twenty two (22) working days paid leave per annum. A minimum of ten continuous days must be taken in one session, unless otherwise agreed to by the Parent. The Parent will be notified three (3) months in advance prior to the Day mother taking leave. The Parent hereby agrees to pay the Day mother for twelve (12) months of the year. 4.2 The Baby Nursery Owner/Manager may decide herself when such leave shall be taken during the year but this will usually be in accordance with school holidays. 4.3 Should this agreement be terminated for any reason whatsoever, the Baby Nursery Owner/Manager shall be compensated for any leave due to her, subject to a maximum of twenty two (22) days. The compensation for such twenty two working days leave shall be calculated in proportion to the remuneration per month as set out in clause 1 above. 4.4 If an emergency arises relating to the family of the Baby Nursery Owner/Manager or the Day mother herself, the Baby Nursery Owner/Manager shall be entitled to take the necessary compassionate leave. Compassionate leave will be paid for by the Parent. 4.5 If an extreme emergency or serious illness or death arises, the Nursery will remain open and the parent do not have to make alternative arrangements for the care of their child. 4.6 Heavenly Cradle Baby nursery will only be closed between 16 December and first working day of January the next year. 5. SICK LEAVE The Baby Nursery Owner/Manager is entitled to fifteen (15) days paid sick leave per annum, subject to the condition that such sickness is a serious contagious disease certified by a medical practitioner or in the case of hospitalization and recuperation. During this period, the Parent do not have to arrange for alternative care for the Child / Children as supervision would be in place. 6. TIME OF CARE From Monday to Friday, with the exclusion of public holidays when no service shall be rendered, the Child will remain in the care of the Baby Nursery Owner/Manager from 06:30 to 17:30. A penalty of R50

Page 5: Heavenly Cradle Day Care Admission.pdf · 4.6 Heavenly Cradle Baby nursery will only be closed between 16 December and first working day of January the next year. 5. SICK LEAVE The

Heavenly Cradle Day Care Registered with the ECD Olifantsfontein Forum

Registered as Non Profit Organisation Reg. Nr: 149-742NPO 32 Major Road, Clayville Extension 7, Olifantsfontein, 1665

Contact details: Cell 0711159936 Tel: 011 316 0136 E-Mail: [email protected]

Initial_________ Page 5

per hour or part thereof shall be charged and shall be payable immediately should the Child be collected late, unless sufficient prior arrangement to the contrary have been made with the Baby Nursery Owner/Manager . The latest time to fetch the Child is 17:30. The Parent to state here hours of care:______________________________

Page 6: Heavenly Cradle Day Care Admission.pdf · 4.6 Heavenly Cradle Baby nursery will only be closed between 16 December and first working day of January the next year. 5. SICK LEAVE The

Heavenly Cradle Day Care Registered with the ECD Olifantsfontein Forum

Registered as Non Profit Organisation Reg. Nr: 149-742NPO 32 Major Road, Clayville Extension 7, Olifantsfontein, 1665

Contact details: Cell 0711159936 Tel: 011 316 0136 E-Mail: [email protected]

Initial_________ Page 6

7. DAILY NECESSITIES All clothes and possessions of the Child must be clearly marked. Sufficient alternative clothing and all daily necessities not included in the care option and necessities as determined by the Baby Nursery Owner/Manager must be supplied. Should the Parent not comply with these provisions the Baby Nursery Owner/Manager may refuse to receive the Child for such care. 8. HEALTH RULES The following health rules shall be applicable: 8.1 If the Child suffers from any ailment, or incurable illness the Parent shall inform the Baby Nursery Owner/Manager thereof and arrangements in respect of the administration of medicine shall be made in accordance with the provisions of clause 8.7 hereof. 8.2 If the Child contracts a children’s disease or any contagious sickness including any contagious alimentary canal disorder, the Parent shall remove the Child immediately from the care of the Baby Nursery Owner/Manager and further arrangements shall be made in accordance with the legislation of the applicable health regulations. A Child’s recovery from the above mentioned sickness or disorder must be confirmed by a medical practitioner, before the Child is once again placed in the care of the Baby Nursery Owner/Manager. 8.3 If the Baby Nursery Owner/Manager own children contract a contagious sickness as described above, they shall be separated from other children. The Parent will be notified of such sickness as soon as possible. 8.4 Immunization and vaccination must be done in accordance with the prescribed laws and the Parent must present the necessary certificates at the request of the Baby Nursery Owner/Manager. 8.5 If the Child is sick, the Parent shall inform the Baby Nursery Owner/Manager as soon as possible that the Child will not be brought for care. 8.6 The Baby Nursery Owner/Manager shall inform the Parent immediately should the Child, while he/she is in the care of the Baby Nursery Owner/Manager, fall ill or be injured. If the Baby Nursery Owner/Manager is reasonably of the opinion that the Child is at any stage too ill to be accepted for care, the Baby Nursery Owner/Manager may refuse to receive such Child for care. 8.7 All medicines to be administered to the Child must be provided and recorded by the Parent in the daily report diary, which shall be supplied by the Baby Nursery Owner/Manager. Instructions regarding the type of medicines and the quantity to be administered to be included. 8.8 In the event of an emergency, the Baby Nursery Owner/Manager shall be entitled to refer the Child for the necessary medical treatment at the expense of the Parent.

Page 7: Heavenly Cradle Day Care Admission.pdf · 4.6 Heavenly Cradle Baby nursery will only be closed between 16 December and first working day of January the next year. 5. SICK LEAVE The

Heavenly Cradle Day Care Registered with the ECD Olifantsfontein Forum

Registered as Non Profit Organisation Reg. Nr: 149-742NPO 32 Major Road, Clayville Extension 7, Olifantsfontein, 1665

Contact details: Cell 0711159936 Tel: 011 316 0136 E-Mail: [email protected]

Initial_________ Page 7

9. FOOD The Baby Nursery Owner/Manager shall provide such food to the Child as prescribed by the Health Department. If the Child is in any way allergic to specific foods, the Baby Nursery Owner/Manager must be notified thereof and the Parent must supply such special food as is necessary. Baby milk, special cereals, and bottled food shall be supplied by the Parent to the Day mother. 10. CONTROL 10.1 The Parent consents hereto that the Child be released to: FULL NAME & ID#:________________________________________________ FULL NAME & ID#:________________________________________________ FULL NAME & ID#:________________________________________________ 10.2 Apart from the person listed in paragraph 10.1 above, the Baby Nursery Owner/Manager shall not release the Child into the custody of any other person unless the Parent has given prior written consent thereto and that person must supply an identity document when collecting. 10.3 If a dispute between divorced parents regarding the above-mentioned aspect arises, the Child shall immediately be returned to the care of the Parent. 11. VISITORS Unless otherwise arranged with the Baby Nursery Owner/Manager, the Parent and relatives shall not visit the Day mother and / or the Child during the hours of care as this may upset the Child and prohibits the Baby Nursery Owner/Manager from performing her duties. SIGNED AT___________________ON THIS____________DAY OF____201_____

_____________

DAY MOTHER

____________ _______________

FATHER I.D. NUMBER

____________ _______________

MOTHER I.D. NUMBER

____________________________

Page 8: Heavenly Cradle Day Care Admission.pdf · 4.6 Heavenly Cradle Baby nursery will only be closed between 16 December and first working day of January the next year. 5. SICK LEAVE The

Heavenly Cradle Day Care Registered with the ECD Olifantsfontein Forum

Registered as Non Profit Organisation Reg. Nr: 149-742NPO 32 Major Road, Clayville Extension 7, Olifantsfontein, 1665

Contact details: Cell 0711159936 Tel: 011 316 0136 E-Mail: [email protected]

Initial_________ Page 8

WITNESS ___________________

Page 9: Heavenly Cradle Day Care Admission.pdf · 4.6 Heavenly Cradle Baby nursery will only be closed between 16 December and first working day of January the next year. 5. SICK LEAVE The

Heavenly Cradle Day Care Registered with the ECD Olifantsfontein Forum

Registered as Non Profit Organisation Reg. Nr: 149-742NPO 32 Major Road, Clayville Extension 7, Olifantsfontein, 1665

Contact details: Cell 0711159936 Tel: 011 316 0136 E-Mail: [email protected]

Initial_________ Page 9

CONSENT AND INDEMNITY FORM

I, _____________________________________________________

(Full Name and Surname of legal Parent/Guardian) Parent/Guardian of

________________________________________

(Full Name and Surname of Child)

Hereby grant permission for him/her to participate in all activities of Heavenly Cradle Baby Nursery,

including sports, games, as well as to make use of any educational and play equipment at the school,

plus any other activities which may arise.

I accept that all reasonable precautions will l be taken to ensure the safety of my Child and that I shall be

held responsible for the payment of medical and/or hospital accounts, where applicable, should an

injury be sustained at the day care.

I therefore undertake on behalf of myself, the Executors, my wife/husband and my Child aforesaid to

indemnify and absolve the owner, helpers and paid or unpaid temporary staff/ assistants against and

from any or all claims whatsoever that may arise in connection with any loss or damage to the property

or injury to the person of my Child aforesaid in the course of such activities.

I cede my powers as Parent/guardian to the owner of the school or representatives should medical

treatment be deemed necessary for my Child. As far as I know, he/she is in good health.

This general indemnity shall remain in force for the full duration of my Child’s enrolment at Heavenly

Cradle Baby Nursery. I further undertake to furnish the school with the relevant information should any

details alter or change.

Signed at___________________________on this_________day of .______201__

Signature of Parent/ Legal Guardian_________________________

Witness 1: ____________________________ Witness 2: ____________________________

Page 10: Heavenly Cradle Day Care Admission.pdf · 4.6 Heavenly Cradle Baby nursery will only be closed between 16 December and first working day of January the next year. 5. SICK LEAVE The

Heavenly Cradle Day Care Registered with the ECD Olifantsfontein Forum

Registered as Non Profit Organisation Reg. Nr: 149-742NPO 32 Major Road, Clayville Extension 7, Olifantsfontein, 1665

Contact details: Cell 0711159936 Tel: 011 316 0136 E-Mail: [email protected]

Initial_________ Page 10

HEAVENLY CRADLE BABY NURSERY MEDICAL INFORMATION Child’s

Name: ____________________________________________________________

Medical Aid

Name: ____________________________________________________________

Medical Aid

Number: __________________________________________________________

Principal Member:

__________________________________________________________________

Family Doctor:

__________________________________________________________________

Telephone Number:__________________________________________________

Address: __________________________________________________________

Name of

Pediatrician: ______________________________________________________

Telephone Number__________________________________________________

Address: __________________________________________________________

Does your Child have any allergies to specific medications?

__________________________________________________________________

__________________________________________________________________

Does your Child have any other allergies (hay fever, bees, plasters, food)?

__________________________________________________________________

__________________________________________________________________

Page 11: Heavenly Cradle Day Care Admission.pdf · 4.6 Heavenly Cradle Baby nursery will only be closed between 16 December and first working day of January the next year. 5. SICK LEAVE The

Heavenly Cradle Day Care Registered with the ECD Olifantsfontein Forum

Registered as Non Profit Organisation Reg. Nr: 149-742NPO 32 Major Road, Clayville Extension 7, Olifantsfontein, 1665

Contact details: Cell 0711159936 Tel: 011 316 0136 E-Mail: [email protected]

Initial_________ Page 11

Does your Child have any physical problems?

__________________________________________________________________

Does your Child have any nervous or health problems (epilepsy, convulsions, diabetes, abnormal

bleeding, asthma)?

___________________________________________________________________

___________________________________________________________________

I hereby give permission to staff members of Heavenly Cradle Baby Nursery to:

Attend to any minor injuries my Child might sustain at the School

Take my Child to a registered medical practitioner in the neighborhood in the event of the Child needing

immediate medical attention other than hospitalization.

Take my Child to hospital in the event of an occurrence where my Child needs hospitalization.

Procure the services of an ambulance to transport my Child to hospital in the

Event of my Child being too sick/injured to be transported by a member of staff.

Administer basic first aid until emergency / ambulance

I am aware that:

A written note needs to be sent to school with any medication to be administered, clearly stating the

dosage, times to be administered and duration of arrangement.

Signed: __________________________________

Date: ____________________________________

Page 12: Heavenly Cradle Day Care Admission.pdf · 4.6 Heavenly Cradle Baby nursery will only be closed between 16 December and first working day of January the next year. 5. SICK LEAVE The

Heavenly Cradle Day Care Registered with the ECD Olifantsfontein Forum

Registered as Non Profit Organisation Reg. Nr: 149-742NPO 32 Major Road, Clayville Extension 7, Olifantsfontein, 1665

Contact details: Cell 0711159936 Tel: 011 316 0136 E-Mail: [email protected]

Initial_________ Page 12

CHILD INTRODUCTION FORM

Please help me get to know your Child. What are his/her routines, likes, dislikes etc.

Eating______________________________________________________________

Sleeping____________________________________________________________

Toileting____________________________________________________________

Daily Activities_______________________________________________________

Fears_______________________________________________________________

Likes_______________________________________________________________

Dislikes_____________________________________________________________

Habits______________________________________________________________

Favourites__________________________________________________________

Tell me a little about where your Child is developmentally

___________________________________________________________________

What other information should I know/be aware of to care for your Child as an individual? Events at

home often influence your Child's behavior. I am better able to help your Child when you inform me of

situations and/or events that might influence his/her overall behavior such as:

special attention, understanding, and care.

The information you give me will remain confidential. Has anything happened recently in your Child’s

life that might have an effect on her/him? ____________________________________

Page 13: Heavenly Cradle Day Care Admission.pdf · 4.6 Heavenly Cradle Baby nursery will only be closed between 16 December and first working day of January the next year. 5. SICK LEAVE The

Heavenly Cradle Day Care Registered with the ECD Olifantsfontein Forum

Registered as Non Profit Organisation Reg. Nr: 149-742NPO 32 Major Road, Clayville Extension 7, Olifantsfontein, 1665

Contact details: Cell 0711159936 Tel: 011 316 0136 E-Mail: [email protected]

Initial_________ Page 13

DAILY NECESSITIES

FEEDING

and towel

FOOD

CLOTHES

labeled with your Child's name in case of any accidents

NAPPIES ETC

Aqueous cream to apply after meals

SLEEPING GEAR

TOYS

you’re Child has a comfort toy he/she may like it with him at the day care

MEDICINE

NB: Remember to provide the Baby Nursery with the completed and appropriate medication

administration document when your child needs to receive medication (Documents: Administering

non- prescribed and prescribed medication)

Page 14: Heavenly Cradle Day Care Admission.pdf · 4.6 Heavenly Cradle Baby nursery will only be closed between 16 December and first working day of January the next year. 5. SICK LEAVE The

Heavenly Cradle Day Care Registered with the ECD Olifantsfontein Forum

Registered as Non Profit Organisation Reg. Nr: 149-742NPO 32 Major Road, Clayville Extension 7, Olifantsfontein, 1665

Contact details: Cell 0711159936 Tel: 011 316 0136 E-Mail: [email protected]

Initial_________ Page 14

Banking Details:

Name of Account: Heavenly Cradle Day Care Name of Bank: ABSA Account Number: 9301509037 Branch Code: 632005 Reference Number: Childs’ Name until account number generated on Heavenly Cradle System

DAYCARE FEE STRUCTURE 2016

FULL-TIME (MONTHLY) HALF-DAY (MONTHLY)

DAY VISITORS (PMNT PRIOR TO SERVICE)

REGISTRATION ONCE OFF PER YEAR R500.00 R500.00

AFTER SCHOOL CARE R300.00

BABIES AND TODDLERS R1050.00 R750.00 R120.00

TWO-CHILD FAMILY R1890.00 (10% Discount) R945.00 (10% Discount) R180.00

THREE-CHILED FAMILY R28350.00 (10% Discount) R1430.00 (10% Discount) R270.00

LATE PICK UP FEE R50.00 Per half an hour R50.00 Per half an hour As above per hour

PENALTY FEE LATE PAYMENT

5% on amount outstanding

5% on amount outstanding

Registration Fee R500.00 All payments should be received not later than the 2nd of each month for full-time and half-day care

A penalty of 5% will be raised on any late payments

Payments for Drop Off's should be paid prior to service rendered

Rates will increase yearly on the 1 January (rate will be communicated prior to increase)

Advanced payment for 12 months (15% discount)