Authorization Form


Discovery Child Care of Peterborough Parent / Guardian Agreement:

I, ____________________________________, have read the Discovery Child Care of Peterborough Parent Handbook. I understand that the enrollment of my child, ____________________________________, depends upon my agreement and adherence to the policies and procedures, terms and conditions in the Handbook. I agree to adhere to these policies and procedures, terms and conditions.
Signed: _____________________________________     Dated: ________________________________

Nap Exemption Request:

I, ___________________________________, parent/guardian of __________________________________, request that he/she be exempt from the Rest Period that is required by the Day Nurseries Act if my child attends Discovery Child Care of Peterborough more than six hours per day.
Signed: _____________________________________     Dated: ________________________________

Off-Site Permission:

I, ___________________________________, give the staff of Discovery Child Care of Peterborough permission to include my child, _____________________________________, in group walks on the Morrow Park grounds.
Signed: _____________________________________     Dated: ________________________________

First Aid Treatment:

I, ____________________________________, give the staff of Discovery Child Care of Peterborough permission to administer First Aid Treatment to my child, _____________________________________.
Signed: _____________________________________     Dated: ________________________________

Photographs, Names, And/Or Images:

I, __________________________________, parent/guardian of __________________________________, grant the following permissions to Discovery Child Care of Peterborough for the use of the child's photograph, name, quotes, and/or other identifying images as applicable.

Photographs - such as group photos that will be sent home with other children  YES   NO
Photographs - as may appear in a newspaper, brochure, web site, etc.             YES   NO
Name - First and last, as may accompany a photograph, editorial, etc.             YES   NO
Other - such as quotes, photos showing toys, artwork, clothing, etc.                YES   NO

Comments (i.e. use of first name acceptable, etc.): ____________________________________________
Signed: _____________________________________     Dated: _________________________________