Citizen Services Project
Chief and Council
Authorized Pick Up List Person must be 19 years of age or older and I authorize the following people: (In addition to the Parent/Guardian 1 & 2 information) already listed on page 1) to pick up my child and/or be contacted in case of emergency
The Following People are NOT Authorised to pick up my child
Please note that we will ONLY release a child to the people LISTED on this form/emergency permission card. A child will only be released to people not listed, when a staff has received WRITTEN OR VERBAL CONSENT FROM THE PARENT/GUARDIAN confirming that the person is permitted to take the child PRIOR to pick up.
If an allergy exists you must request the required consent forms for any medication your child may need (ex. EpiPen, Benadryl)
For medication to be administered at the centre, you must request the required medication consent forms
When filling out this section we encourage parents to give us as much information as possible. Knowing about your child’s social and behaviour requirements before hand allows us to take a proactive approach to their individual needs and therefore help to ensure that they are successful and enjoy the program.
It is the Child Care’s policy to notify a parent when a child is ill or in need of medical attention. Occasionally we are unable to contact parents and we need to get immediate help for the child. Our procedure is to have the child taken to the nearest emergency service by ambulance If an ambulance is not available, the caregiver/staff of the childcare will transport the child.