HomeMy WebLinkAboutOCDSB 226 Extended Day ELP Confirmation of Registration July 2010
Extended Day Program -
Child Registration Confirmation
Further to your Extended Day Program Child Registration Application dated ____________________________,
we are now asking you to confirm your child’s registration in the program.
The following information was previously provided in the Child Registration Application. However, it is
Please complete and return the signed form, as
necessary to confirm the information and final registration.
well as the required $100.00 deposit fee, to
: Ms. Eleanor Heap
Manager, Early Learning Program
Ottawa-Carleton District School Board
440 Albert Street
Ottawa, ON K1R 5B5
Child’s Name: Start Date:
Program Choice:
School Name / Location: ____________________________________________________
Morning (7:00 a.m. until start of school day) (Daily fee to be determined based on site)
Afternoon (end of school day until 6:00 p.m.) (Daily fee to be determined based on site)
Both morning and afternoon ($23.30 per month set fee)
Payment Choice:
Money order (payable to the Ottawa-Carleton District School Board)
Cheque (payable to the Ottawa-Carleton District School Board)
Credit Card (Visa or MasterCard)
Card Type: Card Number:
Expiry Date: Month Year Cardholder Name:
Cardholder Signature:
Child Care Subsidy:
Extended Program fees are the responsibility of the parents/guardians. Subsidies may be available to qualifying
families living in Ottawa, based on financial need.
Yes, I currently receive a City of Ottawa child care subsidized space at the following facility:
_____________________________________________________________________________
(Name of current child care provider / facility)
No, I do not currently receive a City of Ottawa child care subsidized space but I will be applying to
the City for a subsidy.
No, I do not currently receive a City of Ottawa child care subsidized space and will be solely
responsible for the costs of the extended day program fees.
I/we, the parents/guardians of _____________________________ have reviewed and agree to terms of the OCDSB
Extended Day program as outlined above and by signing below provide final confirmation of registration and
enrollment.
Name of Parent/Guardian
Signature
Name of Parent/Guardian
Signature
Dated
The personal information on this form is collected under the authority of the Education Act and will be used by the extended day / OCDSB staff for the purposes
of confirming registration in the OCDSB’s Extended Day Program. Access to this information will be limited to those who have an administrative or programming
need, to the student to whom the information relates and the parent(s) / guardian (s) of a student who is under 18 years of age. If you wish to review this
information or have questions regarding its collection, please contact the Manager, Early Learning Program, OCDSB, 133 Greenbank Road, Ottawa, ON K2H
6L3. Please keep the school advised of any changes in the information as soon as possible. Confidential When Complete.
Questions may be directed to Eleanor Heap, Manager, Early Learning Program,
at eleanor.heap@ocdsb.ca or (613) 239-2378.
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OCDSB 226 Planning (July 2010)
Distribution: Original - Manager, ELP / Copy - Parent