Office Use Only: Pmnt □ Conf □ ______________________________________
Turoa Yeti Childcare Centre Registration Form
Children aged 2 to 5 years
This is a permanent fixed term agreement for the following dates:
Start Date:
______ / ______ / 2014
Total Days Booked:
Finish Date:
______ / ______ / 2014
Parent Signature:
All we need to know about your child:
Child’s Name:
Date of Birth:
Cubs $80 (2 to 5yrs) □
Skiwee $110 (3 to 5yrs) □
Skiwee+ $140 (3 to 5 yrs) □
Lunch Supervision $15 □
Licensed Childcare
Licensed Childcare & Beginner Ski
Lesson
Licensed Childcare & Intermediate
Ski Lesson
Lunch Provided
First Language:
Ethnicity:
Maori Iwi:
For Skiwee / Skiwee+ Only:
Weight:
Height:
Shoe Size:
All we need to know about you:
Parent’s Names:
Home Address:
Home Phone:
Mobile Phone:
Email:
If your child will be collected by another person, please list name (s):
Please Note: Pick up times are 12:00pm (lunch) and 4:00pm. Please ensure you are here. A penalty fee of $20 per each
10 minutes will be applied if children are not picked up on time.
Medical and Health Information:
Doctor / Medical Service Name:
Phone:
Allergies / Dietary Requirements:
Other Special Needs:
Any illness in the last 24 hours? (to be completed on the day)
Any medication given in the past 24 hours? If so, what and how much?
Is your child immunised?
Yes □
No □
Please provide immunisation record if possible
Booking Deposit:
To confirm your booking and secure your child’s place in the Yeti Childcare Centre, we require 50% deposit per day
each child is attending. Bookings will not be confirmed without payment details.
Please charge to my:
Card Number:
MasterCard*

Amex*

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Name on Card:
*Use of credit card will incur a 2% processing fee
Visa Credit*

Expiry Date: _ _ /_ _
Visa Debit

CSV: _ _ _ _
Signature:
Cancellation Policy:
48 hours notice: Deposit Refund
2 to 24 hours notice: 50% Charge
Less than 2 hours notice: 100% Charge
Mountain Fully Closed: 100% Refund / Reschedule
If the Alpine Meadow is operating, the Yeti Centre will be OPEN, even if the upper mountain is on hold / closed.
Court Orders Relating to Your Children:
Are there any Court Orders relating to persons who have denied access to your child?
YES (A copy must be sighted) □
NO □
If YES, please give details:
Emergency Contacts Off Mountain:
Who can assume responsibility or sign out your child, other than the parents named above? Who should be notified in
the event of illness, accident or injury?
Name:
Home Phone:
Relationship to child:
Mobile Phone:
In the Event of an Emergency:
We will first attempt to contact the parents, if unobtainable, we will endeavour to contact the emergency listed above.
I give the emergency contact on this registration form, Turoa Yeti Childcare Centre management and persons
responsible permission to decide on a safe location e.g. Police or teacher’s home, for my child / children in the event I
am unable to collect them. This is in alignment with the Turoa Yeti Childcare Centre Health and Substance abuse
policies.
I understand and accept:
Our Policies: Please read carefully and initial as read, understood and accepted.
I _________________________________________ (Print Full Names) declare that the information in this registration
form is true and correct and undertake to immediately inform the centre in the event of any changes. I have read and
understand and agree to the centre’s policies.
Signed:
1
2
Date:
I acknowledge that the Turoa Yeti Childcare Centre does not have staff or facilities to care for sick children. It is
not fair to expose a sick child to others.
I agree to collect or make arrangements for the collection of my child if he/she becomes unwell or is suffering
from any condition deemed contagious. Turoa Yeti Childcare Centre will refuse to accept or will send home any
child who is suffering from diarrhoea / gastro-enteritis, green runny noses, conjunctivitis or any other potentially
contagious illness.
I understand and accept:
3
I authorise Turoa Yeti Childcare Centre staff to seek medical advice as they may think necessary. It may be
necessary for your child to be taken to the medical centre and placed with staff there.
I authorise the administration of “Category (i) medicines” – a non-prescription preparation (such as arnica cream,
antiseptic liquid, insect bite treatment spray etc).
I understand and accept:
4
The Turoa Yeti Childcare Centre receives government funding. I hereby declare that my child is not enrolled in
another Early Childhood Institute at the same time as he/she is enrolled at Turoa Yeti Childcare Centre.
I understand and accept:
5
I give permission for the staff to make written observations and for photographs to be taken of my child while
participating in the centre’s programme.
I understand and accept:
6
I authorise Turoa Yeti Childcare Centre’s staff or instructors to take my child outside the centre for short walks,
snow play and ski lessons. I have seen the risk assessment completed by centre staff.
I understand and accept:
7
I give permission for staff to apply sun block to my child on a regular basis.
I understand and accept:
Please return completed form to:
Yeti Childcare Centre, C/O Turoa Snow School, Ruapehu Alpine Lifts Ltd, PO Box 46, Ohakune
Tel: 06 385 8456 ext. 5603 Fax: 06 385 8992 Email: turoachildcare@mtruapehu.com