Kinderm8 Consent Form

Service

Child's Name

Date of Birth

Days in Attendance

(1st) Parent's Name

(1st) Parent's Mobile Number

(1st) Parent's Email

(1st) Parent's Address

(2nd) Parent's Name

(2nd) Parent's Mobile Number

(2nd) Parent's Email

(2nd) Parent's Address

I give permission for my child’s data (which includes, but is not limited to, Full Name, Date of Birth, Address, Telephone Number and Parent’s Details) to be entered into the Kinder m8 Software for use in creating an online portfolio and information management. This portfolio will only be viewable by myself, Staff employed at Teenie Weenies Learning Centre and the Department of Community services upon request.

I agree that any registration information provided for use on Kinder m8 will always be accurate, correct and up to date. I acknowledge that I am responsible for keeping all usernames and passwords required to access the Application secure and confidential.

I give permission for photographs of group activities, which may include images of my child, to be included in Learning Journals, which will be posted on the Kinderm8 site and may be emailed to other parents or guardians of children who attend this centre.

Name

Date

Comply Written Agreement

Care will be provided on a routine basis under the arrangement.

Days of care include but are not limited to:

Care Provided

In addition to routine Care, care may also be provided on a casual or flexible basis under the arrangement.

Start and end times for these sessions of care are 7am to 6pm.

Fees charged for these session times are per session (per day).

Please refer to our Fees policy and Family Handbook for more information on Fees,

and be aware that these fees may vary from time to time in which notice will be given.

Name

Date arrangement Commenced

Signature

Office Use Only

Provider Name

Date Arrangement commenced:

Social Media Permission Form

Photo Video Audio Social Media

I authorise Teenie Weenies Learning Centre to use any photographs, video or sound recordings of my child and any materials such as art works

____________________________________________________________________________________________________________________________________

Do you give Teenie Weenies Learning Centre permission to take the above action?

Information for the Parent/Primary Caregiver
I understand that the above forms of media may be accompanied by my child’s first name. I understand that it is my responsibility to update this form in the event that I no longer wish to authorise one or more of the above uses.

Parent/Primary Caregivers Name:

Date