Winter Play Space Registration Form 2017
St. Mary - St. Catherine of Siena
46 Winthrop Street, Charlestown
617-242-4664
Child's First Name
Your answer
Child's Last Name
Your answer
Date of Birth
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Gender
Second Child's First Name (if applicable)
Your answer
Second Child's Last Name (if applicable)
Your answer
Date of Birth
MM
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DD
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YYYY
Gender
Parent's First Name
Your answer
Parent's Last Name
Your answer
Address
Your answer
Cell Phone
Your answer
Email
We will use email to share Winter Play Space information as well as snow cancelations
Your answer
Caregiver/Nanny
Your answer
Would you be interested in receiving information regarding Good Shepherd School?
I have read and agree with the Winter Play Space Rules and Guidelines:
Winter Play Space Rules and Guidelines 1. Please do not bring your child to playgroup if you suspect he/she might be ill. Your child must be free of any of these symptoms 24 hours prior to attending a playgroup that week: Temperature of 100 degrees or higher, vomiting, diarrhea, red or swollen eyes, pink eye, runny nose with green or yellow discharge, questionable rashes, persistent coughing, or exposure to any contagious illness. If your child is being treated with antibiotics, he/she should be on the drug for at least 24 hours before attending a playgroup as well. Your cooperation in adhering to these guidelines is for the health of all children. 2. Children often act out in social situations. Therefore, hitting, biting, pushing, or other play that may injure another child cannot be tolerated. If your child is having a particularly bad day, you may consider removing the child from the play area for a short time, or even leaving early and rejoining playgroup the following session. Although we are all understanding and tolerant of children’s behavior and phases, recurrent violent actions (such as biting) are not acceptable. If your child is going through one of these phases, you may need to refrain from playgroup for a few weeks until the phase ends. Please watch your child carefully at playgroup to help avoid these occurrences. 3. Children cannot be left at the play space without a parent or caregiver at any time. For your child’s safety, we ask that you be responsible for the supervision of your own child at all times. You can ask another parent to watch your child if you need to leave the room, but it should be for a few minutes. Children should never be unattended. 4. Please do not bring children other that the one registered for the playgroup. 5. Please refrain from bringing highly allergic snack items (i.e. peanuts), consider that other children can suffer an allergic reaction.
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