Creche Enrolment Form (the Rise)

Name of Child/Children(Required)
First Name
Last Name
Date of Birth
 

Parent's Name(Required)

Emergency Contact (Second Adult)

Does your child have any medical, heath, developmental, or physical condition that we should we aware of?

To help us provide a safe and appropriate environment for your child, we ask parents/guardians to provide relevant health and medical information that may impact their participation, care, or safety while attending our crèche. Where applicable, parents/guardians must provide current Medical Management Plans, Action Plans, or any other relevant information necessary to support their child’s individual needs. Please discuss these with crèche staff prior to attendance.

PLEASE INCLUDE DETAILS OF LIKES/DISLIKES, ROUTINES, COMFORT TOYS OR DUMMY USE, LANGUAGES SPOKEN AT HOME BESIDES ENGLISH, ANYTHING ELSE THAT YOU WANT US TO KNOW.

Photo Permission

I agree to photos of my child/children being taken.
I agree for these to be occasionally displayed in the Crèche.
I agree for these to be used for advertising.

Privacy Notice

Information is collected by City of Bayswater. Information collected includes; a name; date of birth; address; contact information. Enquiries on information collection can be directed to; Recreation Facilities Manager, wavesmanager@bayswater.wa.gov.au , (08) 9276 6538. Information is collected through print or digital forms. The information collected on this form is used for the purpose of supporting your child’s care, safety, and wellbeing while attending our crèche. Information not provided may impact your ability to book into our service. The Privacy and Information Handling Policy can be found on the City’s website: https://www.bayswater.wa.gov.au/city-and-council/management-and-governance/privacy. Personal information collected under this notice will not be transferred to any location or disclosed to any person or organisation outside Australia. Personal information collected under this process will not be used to support any form of automated decision-making. Information collected will be retained in accordance with the recordkeeping requirements of the Local Government Act 1995 (WA).

ACCEPTANCE OF CONDITIONS OF USE - PARENT RESPONSIBILITIES

THE CITY OF BAYSWATER OPERATES UNLICENSED CRÈCHE FACILITIES AT BAYSWATER WAVES AND THE RISE, WHICH IN ORDER TO PROVIDE SAFE AND AFFORDABLE CHILD MINDING SERVICES FOR ALL MEMBERS, ARE EXEMPT FROM THE EDUCATION AND CARE SERVICES NATIONAL REGULATIONS 2012. THE CRÈCHE IS EXCLUDED FROM THE MEANING OF CHILD CARE AND IS NOT SUBJECTED TO THE CHILDREN AND COMMUNITY SERVICES ACT 2004. FOR CRÈCHES TO BE EXCLUDED FROM LICENSING REQUIREMENTS, PARENTS MUST REMAIN ON THE PREMISES, NEARBY AND ABLE TO ATTEND TO THEIR CHILDREN’S IMMEDIATE PHYSICAL NEEDS, SUCH AS COMFORTING, FEEDING OR NAPPY CHANGES IF REQUIRED/REQUESTED BY STAFF.

  • I accept that I must stay on the premises and within close proximity of the Crèche while my child attends.
  • I understand that if my child is unwell they are not to attend Crèche.
  • I understand that the Parent/Guardian who signs a child in MUST be the same Parent/Guardian to pick up and sign out.
  • I understand that my child is recommended to be immunised before using crèche facilities.
  • Children with Anaphylaxis or Allergies must have the crèche supplied orange wrist band applied by parents before they begin their Crèche session.
  • I understand that I am at all times responsible for my child/children while he/she attends the Crèche.
  • I understand that I must immediately return to the Crèche to attend to my child should I be requested to do so by Crèche staff.
  • I give consent to medical treatment being administered for my child in an emergency.
  • I declare that I will notify the Crèche staff of any changes of my child’s circumstances.
  • I accept that although every care will be taken, Crèche Staff are free from all responsibility for accidents or loss of property in connection with any child’s participation.
  • The City of Bayswater reserves the right to exclude child/children from the Crèche for misbehaviour that is deemed inappropriate.
  • The City of Bayswater reserves the right to refuse any child or person entry to the Crèche.
  • I agree to pay all fees and/or charges in full.

If you’re having difficulties with our online booking enquiry please contact the Crèche on 9276 6538 or at wavescreche@bayswater.wa.gov.au