maranatha christian school early learning centres

Maranatha Christian School EARLY LEARNING CENTRES

Child’s Name ____________________________ Child’s Surname________________________________ Confidential Information Form Emergency Evacuation Back Pack

Given Names:

Date of Birth: Gender:

Home Address (Unit/No & Street):

Suburb: Postcode:

Parent 1 Parent 2 Name:

Name:

Surname: Surname:

Home Phone No:

Home Phone No:

Work Phone No: Work Phone No:

Mobile Phone No: Mobile Phone No:

Does the child live with this parent?

Yes No


Yes No

Court Order:

Yes No

Court Order:

Yes No

Guardian 1 Guardian 2 Name:

Name:

Surname: Surname:

Home Phone No:

Home Phone No:

Work Phone No: Work Phone No:

Mobile Phone No: Mobile Phone No:

Does the child live with this guardian?

Yes No


Yes No

Court Order:

Yes No

Court Order:

Yes No

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Child’s Medical Information

Name of Medical Practitioner (Doctor):__________________________________________________ Medical Service:___________________________________________________________________ Medical Service Phone No:___________________________________________________________ Ambulance Subscription No:__________________________________________________________ Does your child have any special (additional) needs or medical condition (eg. allergies, asthma, epilepsy, diabetes etc.) that are relevant to the care of your child. Yes or No Diagnosed condition _______________________________________________________________ If yes, please provide specific details and/or management procedures to be followed. (attach copy of detailed management plan) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________

Other Persons to be Notified in an Emergency There may be times when the child has an incident, injury, trauma or illness and the parents or guardians cannot be contacted. To deal with these situations the education and care service should notify one of the following people who are authorised to collect and care (including consent to medical treatment and requesting or permitting the administration of medication) for the child, after incident, injury, trauma or illness. They are also authorised to authorise an educator to take the child outside the education and care service premises. Name:

Name:

Surname: Surname:

Address (Unit/No): Address (Unit/No): Street: Street: Suburb: Suburb: Postcode: Postcode: Home Phone: Home Phone: Work Phone: Work Phone: Mobile: Mobile: Relationship to child:

Relationship to child:

Declaration and Consent

, I, _______________________________________________________________________________ (Print full name of person/s with lawful authority in relation to the child referred to)

declare that the information included on this form is true and correct and that I will inform Maranatha Early Learning Centre Staff immediately in the event that any of the information changes. I understand that in an emergency situation or fire drill where evacuation is necessary that my child may need to leave the Early Learning Centre premises under the direction and supervision of the staff.

Date:Signature: ………………………………………………………………….. ______________________

Maranatha Christian School EARLY LEARNING CENTRE OFFICER

Regular Outing Permission Form Child’s Name ________________________________

Child’ Surname __________________________________

Ongoing outings within the school premises are planned to extend the educational program and further develop the current interests of children. Maranatha Christian School Early Learning Centre acknowledges the importance of accessing the school premises to incorporate extra curriculum activities including sport and physical activity, music and library.

This form allows educators and children to access the school premises with parental permission. Term 1 to 4 Proposed Location: Maranatha Officer – 62 Rix Road, Officer, 3809 Transportation: Walking Proposed activities: 4 Year Olds - Library, Music, P.E, Garden, special assemblies, Prep transitional classes, picnics and walks. 3 Year Olds – Library visits, garden, walks & picnics

* Children will be away from the Early Learning Centre for approximately 1½ hours or less. There will be a notification sign on our ELC door, outlining where we are and what time we will be due back.

Consent:

* Parents are aware of the risk assessment management form. * In signing this form parents are agreeing to the information above.

Signature: ……………………………………………. Date:

Parent Guardian’s Full name:

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Child’s Name _________________________

Child’s Surname ________________________

Authority for staff to administer sunscreen

I give permission for the staff at Maranatha Early Learning Centres to apply, as appropriate, SPF 30+, broad-spectrum, water-resistant sunscreen to all exposed parts of my child’s body.

Yes No

Authority for staff to administer sunscreen provided by the parent/guardian I give permission for the staff at Maranatha Early Learning Centres to apply, as appropriate, to all exposed parts of my child’s body the sunscreen that I have supplied and labelled with my child/children’s name. This sunscreen is an SPF 30+, broad-spectrum, water-resistant sunscreen. I understand that this sunscreen will be kept at the service.

I understand that It is my responsibility to ensure there is always an adequate supply of this sunscreen at the service. Yes No Parent/Guardian Name: ________________________________________________

__……………………………………………….. ____________

Signature (parent/guardian) Date

Maranatha Christian School EARLY LEARNING CENTRES Child’s Name _____________________________

Child’s Surname ______________________________

Consent Form to Conduct Head Lice Inspections Attention: Parent/Guardians Maranatha Christian School is aware that head lice infestation can be a sensitive issue, and is committed to maintaining children’s confidentiality and avoiding stigmatisation at all times. However, management of head lice infestation is most effective when all children and their families actively support our policy and participate in our screening program.

All inspections will be conducted in a sensitive manner, and information about why the inspections are conducted and the benefits of preventing infestations will be explained to children prior to conducting the inspections.

Only the Early Learning Centre educators will be permitted to carry out inspections on children at the service. Each child’s hair will be inspected for the presence of head lice or lice eggs.

If live head lice are found, Maranatha Christian School will notify the parents/guardians when the child is collected from the service and will provide them with relevant information about the treatment of head lice. Other families will be provided with a notice to inform them that head lice has been detected in the group and to encourage them to be vigilant and carry out regular inspections of their own child.

Please note that while head lice do not spread disease, they are included in the Department of Health’s exclusion table which defines the minimum period of exclusion from a children’s service for children with infectious diseases. According to this table, where a child has head lice, that child must be excluded until the day after appropriate treatment has commenced.

I hereby give my consent for Maranatha Christian School, or a person approved by Maranatha Christian School, to inspect my child’s head when an infestation of head lice is suspected in the service.

Full name of parent/guardian: _________________________________________________

Signature of parent/guardian: ________________________ Date: __________________

I do not give consent for my child’s head to be inspected. I request that staff contact me when an infestation of head lice is suspected at the service, and I agree to come to the service to complete the inspection myself.

Full name of parent/guardian: _________________________________________________

Signature of parent/guardian: ________________________ Date: __________________


Child’s Name _____________________________________

Child’s Surname _____________________________________

Permission form for photographs and videos Background information Photographs and videos are now classified as ‘personal information’ under the Information Privacy Act 2000.

The purpose of this permission form is to: • comply with the privacy legislation in relation to all photographs/videos taken at the service,

whether by the Approved Provider, Nominated Supervisor, Certified Supervisor, educators, staff, parents/guardians, volunteers or students on placement

• enable photographs/videos of children to be taken as part of the program delivered by the service, whether group photos, videos or photos at special events and excursions etc.

• notify parents/guardians as to who will be permitted to take photographs/videos, where these will be taken and how they will be used.

Photographs/videos taken by staff Staff at the service may take photographs/videos of children as part of the program. These may be displayed at the service, on the Maranatha Christian School website, Storypark, Maranatha Christian School Facebook page or placed in the service’s publications or promotional material to promote the service, or for any other purpose aligned to the service’s business operations. Some staff may use learning journals in which photographs are included.

When the photographs/videos are no longer being used, the service will destroy them if they are no longer required, or otherwise store them securely at the service. It is important to note that while the service can nominate the use and disposal of photographs they organise, the service has no control over those photographs taken by parents/guardians of children attending the service program or activity.

Group photographs/videos taken by parents/guardians Parents/guardians may take group photographs/videos of their own child/children at special service events such as birthdays, excursions and other activities. Parents must ensure that where the photographs/videos include other children at the service they are sensitive to and respectful of the privacy of those children and families in using and disposing of the photographs/videos.

Photographs taken by a photographer engaged by the service A photographer may be engaged by the service to take individual and/or group photographs of children. Information will be provided in written form to parents/guardians prior to the event, and will include the date and the photographer’s details.

Photographs/videos for use in newspapers, Maranatha Christian School website and other external publications The permission of parents/guardians of children will be obtained prior to a child’s photograph being taken to appear in any newspaper/media publication.

Photographs/videos taken by students on placement Students at the service may take photographs/videos of children as part of their placement requirements.

Access to photographs/videos Access to any photographs or videos, like other personal information, is set out in the service’s Privacy and Confidentiality Policy, which is displayed at the service and available on request.

Confirmation of consent I consent to the arrangements for the use of photographs and/or videos, as stated in this permission form.

Parent’s/guardian’s name: ________________________________________________

……………………………………………….. __________________ Signature (parent/guardian) Date

Maranatha Christian School EARLY LEARNING CENTRE Child’s Name ___________________________________

Child’s Surname __________________________________

Parent/Teacher Child Information Form

Parents are their children’s first educator and we really value the knowledge you have about your child as well as what areas you see as important in your child’s education and care. The information you provide in this form assists us in compiling goals for your child’s learning this year. This information will greatly assist us in getting to know your child and will be recorded and documented in your child’s Storypark profile

Questions to be answered by Parents … What are your child’s interests? What are your child’s strengths?

What are your child’s support needs or areas of challenge? What opportunities would you like to be made available for your child within the Early Learning Program this year? Please list two (or more) goals you would like to see met for your child in Terms 1 and 2? Is there any other information you would like to share to help us learn more about your child? Please record your child’s responses to the following questions… What are you really good at? What are you interested in? Is there anything you need help with? Is there anything you would like to learn more about?


Privacy Statement We believe your privacy is important.

Maranatha Christian School Early Learning Centres have developed a Privacy and Confidentiality Policy that illustrates how we collect, use, disclose, manage and transfer personal information, including health information. This policy is available on request.

To ensure ongoing funding and licensing, our service is required to comply with the requirements of privacy legislation in relation to the collection and use of personal information. If we need to collect health information, our procedures are subject to the Health Records Act 2001.

Purpose for which information is collected The reasons for which we generally collect personal information are given in the table below.

Personal information and health information collected in relation to:

Primary purpose for which information will be used:

Children and parents/guardians To enable us to provide for the education and care of the child attending the service

To manage and administer the service as required The Approved Provider For the management of the service

To comply with relevant legislation requirements Job applicants, employees, contractors, volunteers and students

To assess and (if necessary) to engage employees, contractors, volunteers or students

To administer the individual’s employment, contracts or placement of students and volunteers

Please note that under relevant privacy legislation, other uses and disclosures of personal information may be permitted, as set out in that legislation.

Disclosure of personal information, including health information Some personal information, including health information, held about an individual may be disclosed to: government departments or agencies, as part of our legal and funding obligations local government authorities, for planning purposes organisations providing services related to employee entitlements and employment insurance providers, in relation to specific claims or for obtaining cover law enforcement agencies health organisations and/or families in circumstances where the person requires urgent

medical assistance and is incapable of giving permission anyone to whom the individual authorises us to disclose information.

Laws that require us to collect specific information The Education and Care Services National Law Act 2010 and the Education and Care Services National Regulations 2011, Associations Incorporation Act 1981 and employment-related laws and agreements require us to collect specific information about individuals from time-to-time. Failure to provide the required information could affect: a child’s enrolment at the service a person’s employment with the service the ability to function as an incorporated association.

Access to information Individuals about whom we hold personal or health information are able to gain access to this information in accordance with applicable legislation. The procedure for doing this is set out in our Privacy and Confidentiality Policy, which is available on request.

For information on the Privacy and Confidentiality Policy, please refer to the copy available at the service or contact the Approved Provider/Nominated Supervisor.

maranatha christian school early learning centres

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