Parent/Guardian Handbook:

If you have registered in one of our Early Years Programs (2.75 – 5 year old forest friends), please read our Parent/Guardian Handbook prior to filling out our Enrolment Form by clicking the following button (if you have registered in any other program, please skip ahead and complete our Enrolment Form):

Enrolment Form

Please Note: If your form has been successfully completed you will be redirected to another page to confirm your entry. If you remain on this page after clicking 'next' or 'submit' please review your information on the page.

Please select the location your child is registered in.(Required)

Campbell River

Comox

Courtenay

Cumberland

Please select the school year your child is registered in.(Required)

2023/24

2024/25

2025/26

2026/27

2027/28

Please select the Campbell River program your child is registered in.(Required)

Here's a forest friendly reminder that if you are registering your child to attend our current Early Years Program after our September start date, we request that an adult accompanies your child on their first day and until further notice to ensure the utmost success, safety and comfort of everyone in our program.

Early Years Program (3-5 year old forest friends, 9am - 12pm)

Extended Afternoon Hours (3-5 year old forest friends, 12pm - 3pm)

Forest Buds (5 - 8 year old forest friends)

Spring Break Program (3 - 6 year old forest friends)

Summer Camp Program (4 - 8 year old forest friends)

Please select the Comox Program your child is registered in.(Required)

SEEDS (3 year old forest friends, T & TH, 9am - 12pm)

ROOTS (4 year old forest friends, M, W & F, 9am - 12pm)

Extended Afternoon Hours (for ROOTS forest friends, M, W & F, 12pm - 3pm)

Spring Break Program (3 - 6 year old forest friends)

Summer Camp Programs (4 - 8 year old forest friends)

After School Adventures

Please select the Courtenay Program your child is registered in.(Required)

Nestlings (6 - 36 month old forest friends, F, 9:30am - 11am)

SEEDS (3 year old forest friends, T & TH, 9am - 12pm)

ROOTS (4 year old forest friends, M, W & F, 9am - 12pm)

Forest Buds (5 - 9 year old forest friends)

Summer Camp Program (4 - 8 year old forest friends)

Please select the Cumberland program your child is registered in.(Required)

Nestlings (6 - 36 month old forest friends, W, 10am - 11:30am)

SEEDS (3 year old forest friends, T & TH, 9am - 12pm)

ROOTS (4 year old forest friends, M, W & F, 9am - 12pm)

Extended Afternoon Hours (for ROOTS forest friends, M, W & F, 12pm - 3pm)

Forest Buds (5 - 8 year old forest friends, T, 1:30pm - 4pm)

After School Adventures

Curious Bees

Spring Break Program (3 - 7 year old forest friends)

Summer Camp Program (4 - 8 year old forest friends)

Please select all of the day(s) of the week your child is registered in our Forest Buds Program.(Required)

Mondays

Wednesdays

Please select all of the day(s) of the week your child is registered in our Campbell River Early Years Program.(Required)

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Please select all of the day(s) of the week your child is registered in our Campbell River Extended Afternoon Hours.(Required)

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Please select all of the day(s) of the week your child is registered in our Comox Extended Afternoon Hours Program.(Required)

Mondays

Wednesdays

Fridays

Please select all of the day(s) of the week your child is registered in our Cumberland Extended Afternoon Hours Program.(Required)

Mondays

Wednesdays

Fridays

Please select all of the day(s) of the week your child is registered in.(Required)

Tuesdays

CHILD:

Name(Required)

First Middle Last

Name child responds to if different from first name

Gender(Required)

Boy

Girl

Other

Date of Birth(Required)

PARENT/GUARDIAN #1

Name(Required)

First Middle Last

Mailing Address(Required)

Street Address Address Line 2 City Province Postal Code

Place of Work

Personal Email(Required)

Cell Phone(Required)

Home Phone (landline if you have one)

Work Phone

Are you interested in being a Substitute and/or Volunteer(Required)

Please note that Substitutes require a current First Aid Certification and clean and current Criminal Record Check, and Volunteers require a clean and current Criminal Record Check.

Yes

No

Please upload your First Aid Certification and/or clean and current Criminal Record Check

If you don't have your documentation at this time, please send it to us in an email at a later date.

Accepted file types: doc, jpg, png, pdf, Max. file size: 4 MB.

Is there a second parent/guardian for this child?(Required)

Yes

No

PARENT/GUARDIAN #2

Name(Required)

First Middle Last

Mailing Address(Required)

Street Address Address Line 2 City Province Postal Code

Place of Work

Personal Email(Required)

Cell Phone

Home Phone (landline if you have one)

Work Phone

Are you interested in being a Substitute and/or Volunteer(Required)

Please note that Substitutes require a current First Aid Certification and clean and current Criminal Record Check, and Volunteers require a clean and current Criminal Record Check.

Yes

No

Please upload your First Aid Certification and/or clean and current Criminal Record Check

If you don't have your documentation at this time, please send it to us in an email at a later date.

Accepted file types: doc, jpg, png, pdf, Max. file size: 4 MB.

OTHER CHILDREN AT HOME

Please list names and ages.

Name

Age

Please list any adults who may accompany your child (other than you)

Please list any adults.

Name

Phone Number

EMERGENCY CONTACT

Please note that in an emergency we will always try to contact the parents/guardians first. The emergency contact should be someone we can call in case we aren't able to reach either parent/guardian. Please be sure to notify any persons that you list as an emergency contact.

Please list at least one emergency contact (other than a parent/guardian).(Required)

Name

Phone Number

PERSONS AUTHORIZED TO PICK UP CHILD

Please list anyone who is authorized to pick up your child, other than a parent/guardian.(Required)

Name

Phone

MEDICAL INFORMATION

Family Doctor(Required)

First Last

Family Doctor Phone Number(Required)

Family Dentist(Required)

First Last

Family Dentist Phone Number(Required)

Care Card Number(Required)

Immunizations up to date?(Required)

Yes

No

Not Immunized

Allergies and/or sensitivities?(Required)

Yes

No

Please Specify Allergies and/or Sensitivities(Required)

Please attach any special instructions to follow in the event of an allergic and/or sensitive reaction.

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 2 MB, Max. files: 10.

Does Child have any known health problems or medical concerns?(Required)

Yes

No

Please attach documentation.

Accepted file types: doc, jpg, gif, png, pdf, Max. file size: 4 MB.

Has your child been stung by a wasp/bee?(Required)

Yes

No

Unsure

When your child was stung by a wasp/bee, did they have an allergic reaction?(Required)

Yes

No

Unsure

PERMISSION TO ADMINISTER CHILDREN'S BENADRYL(Required)

In the event of an unknown allergic reaction (for example: wasp sting), I give Hand-in-Hand Nature Education permission to administer Children's Benadryl to my child after receiving a verbal confirmation to do so from either a parent/guardian or from 911. The Children's Benadryl will be in its original container, administered by age according to the instructions on the label and dispensed by a Hand-In-Hand Nature Educator. I understand that in the event of a medical emergency due a severe allergic reaction, our Nature Educators will (1) phone the child's parent/guardian and/or 911 and (2) if instructed, administer Benadryl (either orally or topically, as instructed). Do you consent to this administration?

I Consent

I Do Not Consent

REQUIREMENT FOR SUPPLYING OWN CHILDREN'S BENADRYL(Required)

I understand that if I require my child to carry their own Benadryl in their backpack to be administered in the event of an unknown allergic reaction, that I will refer to the Medication section of the HIH Parent/Guardian Handbook.

Yes

No

GET TO KNOW YOU

A Little Bit About You(Required)

Positive relationships are the backbone to a successful program and we would like you to take a moment to share some information about your child so that we have a solid foundation to build on. Please tell us about your child’s personality, their likes and dislikes, favourite activities and especially what makes them unique! You could include information about energy levels, health concerns, abilities/tendencies at transition time, how they play, and their previous experiences in nature and any other indoor childcare center experiences. And while you’re at it, please let us know your wish for your child’s experience at Hand-In-Hand Nature Education, as well as any concerns you might have.

PROGRAM SUPPORT

With the best interest of your child in mind and to set everyone up for the utmost success, please answer the following questions to help us determine if additional program support is needed:

Has your child been assessed and/or diagnosed for a behavior and/or emotional issue?

Yes

No

Please specify assessment and/or diagnostic and upload any necessary forms:(Required)

Please attach documentation.

Accepted file types: doc, jpg, gif, png, pdf, Max. file size: 4 MB.

Does your child presently have support?

Yes

No

Will your child be attending our program with support?

Yes

No

IN-HOUSE SUBSIDY FUND (optional)

In an effort to make our Early Years Programs as accessible to as many families as possible, we have created our own In-House Subsidy Fund to help low-income families register their children in our Nature Education Programs. Although we follow Island Health’s guidelines in our programs, Hand-In-Hand Nature Education does not qualify for government subsidies as currently, Island Health licenses a program’s premise (not the program itself). As Hand-In-Hand meets outside and does not have a building, we are unable to obtain licensing at this time. The HIH In-House Subsidy Fund works in much the same way the government funds work, except that we raise the funds! If you are interested in donating to this fund, please select the frequency of your donation and dollar amount in the next fields.

Donation Frequency

One-Time

Monthly

Annual

Not Interested at this time

Amount of Donation

Please enter the amount you are interested in donating.

PARENT/GUARDIAN CONSENT

I acknowledge the following:(Required)

I hearby give my consent for Hand-In-Hand Nature Education to call a medical practitioner or ambulance for my child in the case of an accident or illness, if I cannot be immediately reached.

I Agree

Photo Consent(Required)

Do you consent to photos being taken of your child and used for purposes relating to Hand-In-Hand Nature Education, such as website, blog, Facebook, etc. ?

I Allow

I Do Not Allow

Internal Use of Photos ONLY(Required)

We respect and support your decision for us to not use photos of your child on public platforms. With that said, each month we send out a Newsletter that contains stories of the exploring and learning we have done that month which contains many photographs, and is sent to that program's registrants only. Would it be okay to use your child's image for this internal use only?

Yes

No

RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT(Required)

TO: Hand-In-Hand Nature Education Inc. (“the Company”) and its directors, officers, employees, representatives and agents (collectively called “the Agents”). Please note that by agreeing to this section, you give up the right to sue for any injury or damages, howsoever caused. I hereby consent to this agreement on behalf of myself, my personal representatives, heirs and assigns. (1) I agree as a precondition to my participation in all events organized by “the Company” and/or “the Agents” (collectively referred to as “the Activities”) and in further consideration of “the Company” allowing me to do so, that I will be strictly bound by the terms of this Release of Liability, Waiver of Claims, Assumption of Risk and Indemnity Agreement (“the Agreement”). (2) I acknowledge that “the Activities” involve inherent risks and dangers that may cause serious injury and possible death to participants. (3) I fully understand the risks and dangers associated with my participation in “the Activities” and accept same entirety at my own risk. (4) I hereby waive any and all claims which I may have against “the Company” and “the Agents” and release “the Company” and “the Agents” from all liability for injury, death, property damage or any other loss sustained by me as a result of my participation in “the Activities”, due to any cause whatsoever; including negligence, breach of contract, or breach of any statuary or other duty of care by “the Company” and/or “the Agents”. (5) I appreciate that “the Agreement” limits the liability of “the Agents” to the same extent as it limits the liability of “the Company”, even though “the Agents” are not formal parties to “the Agreement”. I AM THE PARENT/GUARDIAN AND/OR LEGAL GUARDIAN OF THE PARTICIPANT, I HAVE READ AND UNDERSTAND AND AGREE TO EXECUTE “THE AGREEMENT” ON BEHALF OF CHILD/WARD. I HEREBY AGREE TO INDEMNIFY AND SAVE HARMLESS THE COMPANY AND AGENTS FOR ANY AND ALL CLAIMS, BY OR ON BEHALF OF OUR SAID CHILD IN RESPECT OF, OR ARISING OUT OF, ANY NEGLIGENCE, BREACH OF CONTRACT, BREACH OF STATUTORY DUTY OF CARE AS IT RELATES TO ALL THE EVENTS ORGANIZED BY “THE COMPANY” AND/OR “THE AGENTS”. I UNDERSTAND THAT THIS DOCUMENT CONTAINS A PROMISE NOT TO SUE “THE COMPANY” AND/OR “THE AGENTS” AND THAT IT CONSTITUTES A RELEASE OF LIABILITY AND AN INDEMNITY FOR ALL CLAIMS.

I Agree

I Do Not Agree

Parent/Guardian Handbook Sign-off (for Early Years Program)(Required)

I have read and understand contents of the Parent/Guardian Handbook including the parent/guardian responsibilities and program policies as outlined herein.

I Agree

Completing Your Form

Please Note:(Required)

If your form has been completed correctly, you will be directed to a new page with our "Thanks for contacting us!" message. If there has been an error or omission, you will be returned to the top of this page and have to review your answers and resubmit.

I Understand

Email

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