• Whitney Child Centre Permission Form

  • 1) Diaper Cream (non-prescription) – to be supplied by the parent in the original container and labelled with the name of the child. A medication form must be filled in for prescription creams (For children in diapers only). I give consent to the staff of the Whitney Child Centre to apply diaper cream to my child. I understand that if I would like diaper cream to be applied I will supply the cream in it’s original container, labelled with my child’s name.
  • 2) Hand Sanitizer (Hand sanitizer is only used with toddler, preschool and kindergarten children when regular hand washing is unavailable.) Hand sanitizer is used daily by the school age children in room 104 as the room has no sink. The hand sanitizer is placed on the tables to be accessible to all children.
    • I give consent to the Whitney Child Centre to use hand sanitizer on my child’s hands.
    • I give consent to the school age children (grades one to six) to use hand sanitizer independently.
  • 3) Class List
    • I give consent to having parents’ name, phone number, email address and home address to be included on the class list that will be distributed to each family with a child in the class.
    Only one email and phone number can be included on the list. Parents can be listed individually if this is requested. The information provided on the application form are used to compile the information.
  • 4) Participation
    • I give consent to my child’s use of all of the play equipment at the Centre and to his/her participation in all of the activities of the Centre.
  • 5) Neighbourhood Excursions I give consent to having my child leave the WCC premises under the supervision of a staff member or members and accompanying parents or caregivers for neighbourhood walks, including but not limited to walks to Moorevale Park, Rosedale Park and stores on Summerhill Avenue. For field trips using the TTC or a school bus an additional permission form will be required.
  • Signature