OUT OF SCHOOL CARE REGISTRATION 2024-25

Dear Parents and Guardians:

Children are natural learners and creation enjoyers of God’s world. Our mission at Surrey Christian Early Learning Centres is to offer safe, diverse, experiential learning opportunities to recognize the full potential and individuality of each child. We believe each child is created in the image of God and has an important and unique role to play in sharing His redeeming love with the world around them.

We want to thank you for partnering with us, for entrusting your child to us as they begin their educational journey and for allowing us to speak truth and love into your child’s life. Our promise to all our parents is to educate for wholeness by engaging God’s world in the servant way of Jesus. Our hope is that your child begins to unpack all the gifts that make them completely unique as they become fully alive in God’s story at Surrey Christian School.

We invite you to submit this registration form as soon as possible as space is limited.

Director of Early Learning Programs, Ingrid Fritsch
Principal Tom Williams, Fleetwood Campus

Out of School Care - Kindergarten

	2 days		3 days		5 days
	Fee before government reduction	Parent portion	Fee before government reduction	Parent portion	Fee before government reduction	Parent portion
Mornings	$83	$56	$111	$81	$167	$117
Afternoons	$155	$105	$213	$137	$307	$181
Both	$225	$124	$310	$159	$452	$200

Out of School Care – Grade 1 and up

	2 days		3 days		5 days
	Fee before government reduction	Parent portion	Fee before government reduction	Parent portion	Fee before government reduction	Parent portion
Mornings	$83	$60	$111	$84	$167	$140
Afternoons	$155	$132	$213	$179	$307	$250
Both	$225	$179	$310	$241	$452	$337

STUDENT DETAILS

Today's date * +

Student's start date for out of school care. (First full day of school is September 4, 2024). * +

Student's legal first name *

Student's middle name

Student's last name *

Student's preferred first name (if different than legal first name)

Student's date of birth * +

Gender *

Grade level in September 2024 *

Registering for *

Number of days required *

Days my child requires care (2 or 3 days only) *

Drop off time *

Pick up time *

HOUSEHOLD INFORMATION

The student will lives with *

Other *

Language spoken at home *

Other language *

If a court order has been made concerning the care/custody of the child please attach a copy when you get to the section that allows attachments to be uploaded.

PRIMARY PARENT/GUARDIAN INFORMATION

Primary parent/guardian first name *

Primary parent/guardian last name *

Relationship to the student *

Other relative relationship *

Primary parent/guardian email address *

Add a secondary parent/guardian

SECONDARY PARENT/GUARDIAN INFORMATION

Secondary parent / guardian first name *

Secondary parent / guardian last name *

Relationship to the student *

Other relative relationship *

Secondary parent/guardian email address *

HEALTH

BC Personal Health Number *

Name of family doctor or walk in clinic *

Phone number of family doctor or walk in clinic *

Does your child have a life threatening condition? If yes, please provide details. *

Life threatening condition details *

Is your child currently taking any medication on a regular basis? If yes, please provide details. *

Medication details *

ADDITIONAL INFORMATION

What are your child's interests? *

Is there anything else you want us to know about your child? (Health concerns, speech, hearing or vision problems etc.) If yes, please provide details. *

Please provide details of any concerns *

Are there any special family circumstances the school should know about? *

Please provide details of any special family circumstances *

Does your child have an IEP or additional EA support at school? If yes, please provide details. *

Please provide details *

IMMUNIZATION RECORDS

Community Care Facilities (CCF) licensed to provide care to children or youth are required to have a copy of the immunization record on file for each person in care in the event that an outbreak of a communicable disease should occur.

In recent years, CCF's appear to be having difficulty in acquiring a copy of the immunization record from families and facilities are being coded for being in non-compliance with the legislation.

Although Licensing expects a copy of the immunization record to be on file for each person in care, this form has been provided to:

Assist in identifying those children who are not fully immunized and
Assist CCF's in meeting Section 21 (1) (a) of the Child Care Licensing Regulation

Vaccination Status *

If your child's vaccinations are COMPLETE choose one of the following *

If your child's vaccinations are INCOMPLETE choose one of the following *

Year of last vaccine *

Received in (city, province, country) *

CONSENTS

FIELD TRIP CONSENT

Acknowledgment of Risk

Students occasionally go on a walk through the neighborhood. I have read the school's Acknowledgement of Risk form (link above) and consent to having my child go on supervised walks during out of school care. *

Yes

No

PHOTOGRAPH PUBLISHING CONSENT

I consent to have the student’s picture published in the school newsletter, on SCS social media, on our website or other school related publications/marketing. The school only publishes first names of students. *

Yes

No

EMERGENCY MEDICAL TREATMENT CONSENT

In case of an emergency where parents cannot be contacted I authorize the principal or school representative to contact the family doctor or take the necessary steps to ensure the health and safety of my child. *

Yes

No

HANDBOOK

Please read through the Parent Handbook. Click on the link below and scroll to the bottom of the page to download.

Parent Handbook

I have read and understand the Parent Handbook. *

Yes

PROTECTING YOUR PERSONAL INFORMATION

Surrey Christian School collects and uses personal information for the sole purpose of maintaining accurate student records in the administrative offices, and to respond immediately to an emergency. SCS commits to using and storing this information responsibly and will not release this information to a third party without your verbal or written consent unless permitted under the PIPA (Personal Information Privacy Act) legislation. Please note that your personal data stored in our online student information system, MySchool Management, is housed in the European Union, not in Canada. If you have questions about SCS’s use, storage or disclosure of personal information, please contact our privacy officer.

I consent to having SCS collect, use and disclose this personal information as outlined above. *

Yes

FINANCIAL COMMITMENT

Financial Obligation

I acknowledge my financial obligation to the school. If during the course of the school year I intend to withdraw my child, one month’s notice at month’s end is required, or I must pay one month tuition in lieu of notice. *

Yes

I understand that changes to my registration for the 2024/2025 school year can be made up until July 31, 2024. Any changes to a child’s registration thereafter (i.e., number of days/hours attending) will be subject to a $75 change fee. One month’s notice at month’s end is required for the change to be processed. *

Yes

Using the dropdown menu please chose the applicable monthly fee. All prices reflect the government reduction initiative program. *

As part of the government opt-in program, families will receive a monthly discount. The amount will be determined by September.

Fee payment *

I will pay the fees monthly on the first of the month by pre-authorized payments

Fees are withdrawn on the first of the month from the bank account on file. Please click on the link below to complete the pre-authorized debit form if you would like it to be processed from a different bank account.

Link to Pre-authorized Debit Form

Who will be paying the fees? *

Parent

Government subsidy (note there is always a parent portion that is required to be paid)

Other (please specify name, phone number and email address) Other (please specify name, phone number and email address)