Parent Scheme & Child Enrolment Collective FDC Family Day Care

Fees

CFDCS

I understand that I must sign my child in and out of care every day and I must record the actual times of attendance (either by paper-based timesheet or electronic e-signature). I understand that my child’s attendance record is submitted for payment of Child Care Subsidy and therefore must be a true reflection of my child’s attendance.

CFDCS

I understand that I have a direct commercial relationship between myself who is paying for the care, and Collective family Day Care Scheme who is providing the care

CFDCS

I agree to pay fees on the first day of attendance for the care period.

CFDCS

I understand Collective FDC requires a $20 administration fee upon enrolment

Bonds & Notice

I understand I am required to pay __________ weeks bond prior to commencement of care

This bond being $___________

CFDCS

I also understand that if I am in receipt of Child Care Subsidy and I have advised the scheme that my child will leave the service on a day, but my child does not attend their last sessions of care for any reason other than an additional absence (e.g. illness with a doctor certificate) CCS will not be paid for the days my child was absent. Initial 42 days absences may not be claimed for those days.

CFDCS

I understand any payments of CCS I have been paid that is found I was not entitled to will be repaid to the Department

CFDCS

I understand that any monies owing to Collective Family Day Care Scheme will be billed to me

CFDCS

I understand any monies owing to me (eg: Bond) will be fully refunded once my account (eg. fees and CCS) has been paid in full

I understand I am required to give __________ weeks’ notice when terminating my child from Collective FDC.

Child Care Subsidy

CFDCS

I acknowledge that CFDCS is not responsible for the calculation of my CCS entitlements.

CFDCS

I understand that it is my responsibility to contact the Australian Department of Human Services if I have any concerns relating to my CCS

CFDCS

Should I be in receipt of CCS, I understand that in some circumstances I will be ineligible for CCS payment for absences on the first and last day/s of care. Payments of CCS will only be paid to the last physical attendance. For more information refer to the current Child Care Services Handbook or visit here.

CFDCS

I acknowledge that CCS will only be paid on the number of absences as specified in the current Child Care Services Handbook

CFDCS

It is my responsibility to inform the CFDCS office of any changes to my CCS information or status. E.g. If my child commences school whilst using CFDCS or if I have another child attending an approved service

CFDCS

I understand that CCS applies to children who are fully immunised or have an approved exemption from immunisation

Sickness/ Illness

CFDCS

In the event of my child contracting an infectious condition, or disease, I agree to exclude him/her from Family Day Care as per the Policies relating to illness

CFDCS

If required by the educator or CFDCS, I will provide a medical clearance by a doctor or health authority, which must state that the child is not at risk of infecting the educator or others at the service

CFDCS

I understand that if my child’s immunisation is not up to date, my child will be excluded from the service if there is an outbreak of a disease which is preventable by immunisation. I understand that I will still be required to pay fees during these absences and I understand that I may not be eligible for CCS payments

CFDCS

I understand that I must notify CFDCS office and provide copies of my child’s immunisation updates (Educators may collect this information on behalf of the scheme and forward it to the office)

CFDCS

In the event of an emergency I agree to pay the cost for the treatment and/or transport of my child by ambulance

Changes to care

CFDCS

I acknowledge that should my child’s day and hours of care change, I must complete a CFDCS ‘Change to Care Arrangements ‘form

CFDCS

I acknowledge that should my child terminates care with CFDCS I must complete a CFDCS ‘Termination of Care’ form

Enquires and concerns

CFDCS

I understand that for administrative matters and fee enquiries I am to contact Collective Family Day Care Scheme office on 1300992858

CFDCS

I understand that I can contact the Scheme’s Nominated Supervisor in relation to any concerns I have about my child or the educator

Mandatory reporting

CFDCS

I understand that Collective Family Day Care Scheme staff and educators are mandatory reporters and are obliged to report to the Child Protection Helpline, any known or suspected incidents of child abuse or mistreatment. CFDCS staff and educators will not be held accountable for any action taken by third party agencies with regard to the matter

Privacy ACT

CFDCS

The personal information collected on this form may be provided where required by legislation to other State and Commonwealth Agencies and Departments. The supply of personal information is voluntary/required by Law (whichever is appropriate), failure to provide the requested information could result in the delay to, or the non-supply of the requested service.

If I am found to be in breach of any of this term of this agreement, I understand that care may be suspended or terminated with or without notice

Parent/Guardian signature:

Date:

Step 1 of 16

Priority of Access

Families are to sign below to acknowledge they understand the priority of access guidelines.

General

Fees

Bonds & Notice

Child Care Subsidy

Sickness/ Illness

Changes to care

Enquires and concerns

Mandatory reporting

Privacy ACT

Family Enrolment details
Please complete all details on the Enrolment Form below
PARENT/GUARDIAN 1 (Details of the parent registered with the FAO)

PARENT /GUARDIAN 2

Medial Information

Emergency contact other than parent/guardian

Is there any other person that has permission to collect your child from care?

Other Children living at home

Are there any other adults living at your residence?

You need to complete all details on the Enrolment Form before we can register your child with CFDCS.

Regular Care

Before/After School Care

Vacation Care

About Your Child

Health information

Special needs

Child’s Routines Toileting

Food and meal times

Sleep

Other important information

CUSTODY OR ACCESS ARRANGEMENTS

Immunisation Records

Collective Family Day Care
PERMISSION FOR PHOTOS AND / OR VIDEO TAPING

Sunscreen Permission

ADMINISTRATION OF
PARACETAMOL / IBUPROFEN
IN CASE OF
AN EMERGENCY

PARENTAL PERMISSION TO
ADMINISTER OF PARACETAMOL / IBUPROFEN IN CASE OF
AN EMERGENCY

I give my permission for Collective Family Day Care staff/educator to administer one dose of liquid PARACETAMOL / IBUPROFEN to my child according to the above conditions / directions.

Parent/Guardian Authorisation to Consent to Medical Treatment

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Step 1 of 16

Priority of Access

Families are to sign below to acknowledge they understand the priority of access guidelines.

General

Fees

Bonds & Notice

Child Care Subsidy

Sickness/ Illness

Changes to care

Enquires and concerns

Mandatory reporting

Privacy ACT

Family Enrolment details Please complete all details on the Enrolment Form below PARENT/GUARDIAN 1 (Details of the parent registered with the FAO)

PARENT /GUARDIAN 2

Medial Information

Emergency contact other than parent/guardian

Is there any other person that has permission to collect your child from care?

Other Children living at home

Are there any other adults living at your residence?

You need to complete all details on the Enrolment Form before we can register your child with CFDCS.

Regular Care

Before/After School Care

Vacation Care

About Your Child

Health information

Special needs

Child’s Routines Toileting

Food and meal times

Sleep

Other important information

CUSTODY OR ACCESS ARRANGEMENTS

Immunisation Records

Collective Family Day Care PERMISSION FOR PHOTOS AND / OR VIDEO TAPING

Sunscreen Permission

ADMINISTRATION OF PARACETAMOL / IBUPROFEN IN CASE OF AN EMERGENCY

PARENTAL PERMISSION TO ADMINISTER OF PARACETAMOL / IBUPROFEN IN CASE OF AN EMERGENCY I give my permission for Collective Family Day Care staff/educator to administer one dose of liquid PARACETAMOL / IBUPROFEN to my child according to the above conditions / directions.

Parent/Guardian Authorisation to Consent to Medical Treatment

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Family Enrolment details
Please complete all details on the Enrolment Form below
PARENT/GUARDIAN 1 (Details of the parent registered with the FAO)

Collective Family Day Care
PERMISSION FOR PHOTOS AND / OR VIDEO TAPING

ADMINISTRATION OF
PARACETAMOL / IBUPROFEN
IN CASE OF
AN EMERGENCY

PARENTAL PERMISSION TO
ADMINISTER OF PARACETAMOL / IBUPROFEN IN CASE OF
AN EMERGENCY

I give my permission for Collective Family Day Care staff/educator to administer one dose of liquid PARACETAMOL / IBUPROFEN to my child according to the above conditions / directions.