Enrolment form Preschool Interactive bilingual centre

Enrolment form Preschool • Interactive bilingual centre General Information First and last names of child .............................................
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Enrolment form

Preschool • Interactive bilingual centre

General Information First and last names of child ......................................................................................................... Date and place of child’s birth ...................................................................................................... Nationality and gender of child .................................................................................................... School s/he will be attending after c’Hiboulette ................................................................... Date s/he will be attending regular school ............................................................................. First and last names of parents .................................................................................................... Private Address: ................................................................................................................................ ................................................................................................................................................................... Private tel........................................................... Mobile.................................................................. Email........................................................................................................................................................ Work address of mother: (if applicable) ................................................................................... ................................................................................................................................................................... Work tel.............................................................. Email ................................................................... Work address of father: (if applicable) ...................................................................................... ................................................................................................................................................................... Work tel.............................................................. Email ................................................................... Siblings: name and age: (if applicable)...................................................................................... ...................................................................................................................................................................

Linguistic background Mother tongue and nationality of mother ................................................................................ Mother tongue and nationality of father .................................................................................. Mother tongue of child..................................................................................................................... Other languages spoken at home ............................................................................................... Exposure of the child to the English language: (Please circle the right answer) None

Occasional

With regularity

Exposure of the child to the French language: (Circle the right answer) None

Occasional

With regularity

Rue des Tuillières 1, 1196 Gland • 022 364 77 71 • [email protected] • www.interactive-language.ch • www.c-hiboulette.ch

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Medical information Sickness, allergies or handicap...................................................................................................... Medicine to be taken regularly

yes

no

Name of medicine............................................................................................................................... Comments.............................................................................................................................................. ................................................................................................................................................................... Please kindly sign a discharge below: I authorize the team of c’Hiboulette to administer the above mentioned medication to my child (if applicable). Signature .................................................................................................... Name of doctor .................................................................................................................................. Insurance (sickness and accident ................................................................................................ Diverse and particular diets We kindly ask that you advise us of any particular dietary restrictions your child has to beprovided for (for example: no pork, vegetarian, without gluten, etc) in order for us to make the appropriate order from the caterer ...................................................................................................................................................................

Divers In case of an emergency, the preschool can contact: 1. First and last names ...................................................................................................................... Private tel........................................................... Work tel.............................................................. Mobile.................................................................. 2. First and last names ..................................................................................................................... Private tel........................................................... Work tel.............................................................. Mobile.................................................................. Authorized person to fetch the child after preschool: 1. First and last names ...................................................................................................................... Private tel........................................................... Mobile..................................................................

c’Hiboulette’s schedule and prices Morning attendance, breakfast and snack, 7h30-11h45 .................................57.00 CHF Morning attendance, breakfast, snack, meal and nap, 7h30-13h45 .........89.00 CHF Afternoon attendance lunch, nap time, snack, 11h45-18h00 ......................89.00 CHF Afternoon attendance and snack 13h45-18h00 ............................................... 53.00 CHF Whole day attendance, lunch, nap time and snack, 7h30-18h00 .............131.00 CHF Rue des Tuillières 1, 1196 Gland • 022 364 77 71 • [email protected] • www.interactive-language.ch • www.c-hiboulette.ch

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Please check the boxes of your choices and include one or two other options in case your first choice is no longer available: Heure

Prix CHF

Morning, breakfast, snack and material

7h30 11h45

57.00

Morning, breakfast, snack, lunch, nap and material

7h30 13h45

89.00

Lunch, nap, afternoon, snack and material

11h45 18h00

89.00

Afternoon, snack and material

13h45 18h00

53.00

Whole day, breakfast, snacks, lunch, nap and material

7h30 18h00

131.00

Mon

Tue

Wed

Thu

Fri

Total

Sous-Total

Your schedule Please respect the hours of arrival and departure for the year. The staff is free to leave 5 minutes after the closing time except in case of an emergency call from the parents. The parents have to accompany and pick up their child from the locker room. (Morning arrival time is between 7h30- 8h45. The children coming for the morning should arrive by 8h45 when the activities begin.)

Day

Your approximate arrival time

Your approximate departure time

Monday Tuesday Wednesday Thursday Friday

c’Hiboulette opens the week preceding the official public back-to- school date. The beginning of your child’s attendance at the preschool is planned for........................... ................................................................................................................................................................... Rue des Tuillières 1, 1196 Gland • 022 364 77 71 • [email protected] • www.interactive-language.ch • www.c-hiboulette.ch

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Conditions and regulations Official and Cantonal holidays c’Hiboulette has its official holidays and vacation periods:

• 2 weeks at Christmas



• 3 weeks in the summer



• Cantonal holidays



• Friday following Ascension day.

Une feuille séparée vous sera présentée avec les dates sur l’année courante. Terms of inscription The minimum enrolment is two times a week, for example::

• 2 afternoons or



• 1 mornings and a half-day a week etc.

All documents (with c’Hiboulette’s conditions, discharges and authorisations form signed) are to be brought or sent by post at the time of enrolment. We will send you a written confirmation along with the bill for the enrolment fee. The sum of CHF 395 is paid with the enrolment which accounts for the registration fee, snacks, material and various supplies. This non-refundable amount remains the same, regardless of the month the child starts at c’Hiboulette. A written confirmation will be sent at the same time as this first invoice. The enrolment will be considered accepted upon receipt of payment. Fees The monthly payment is billed in the beginning of the month and is calculated in the following manner: The option that you have chosen is on a weekly basis. To calculate the price of your option on a monthly basis we multiply the weekly rate by 4.25. Example: One afternoon’s attendance is CHF 53. If your child comes 3 afternoons a week, this totals CHF 159 per week. We multiply this amount by 4.25. This totals CHF 675, 75 per month. This amount is due even if your child is sick or on vacation. The holidays at Christmas (2 weeks) and in the summer (3 weeks) as well as the above mentioned holidays are already taken into consideration in the pricing. A number of payment slips shall be sent to you showing our banking coordinates. The payments are to be executed before the beginning of the month. In the event of a delay in payment, there would be a CHF 20 fee charged with the reminder. Discount There is a 20% discount for the second child attending the c’Hiboulette.

Rue des Tuillières 1, 1196 Gland • 022 364 77 71 • [email protected] • www.interactive-language.ch • www.c-hiboulette.ch

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Termination of the contract This contract is valid until c’Hiboulette is advised in writing of the termination request by the parents. Withdrawal from enrolment must be made in writing with two full calendar months’ notice. Even if the child does not come during the two months following this notification, the payments are due under this contract. Adaptations Certain children need more time than others to adapt to a new environment. This is decided according to the child, and with the agreement of the parents. We therefore provide a little flexibility during the child’s first days at c’Hiboulette. After the enrolment, the initial contact with the staff and with the child and his/ her parents takes place for approximately 30 minutes at the school. It is an opportunity for the staff to get to know the habits of the child and to bond with the child and his/her parents. A plan of adaptation is established to make sure that the needs of the child are met in order to facilitate his integration. Confidence between parents/staff is essential, but takes time. We are there to reassure the child as much as the parents during this time of separation. Absences Absences due to family holidays or sickness are not deducted from the school fees nor could be recovered during the current year. In case of prolonged absence, the contract is cancelled. The school vacation periods as well as official holidays cannot be deducted from the school fees or otherwise recovered.

Limitations of liability c’Hiboulette is not responsible for the children outside of class times. Place and Date........................................................................................................................ Signature of parent or of the legal representative ....................................................................................................................................................

Rue des Tuillières 1, 1196 Gland • 022 364 77 71 • [email protected] • www.interactive-language.ch • www.c-hiboulette.ch

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Permission for medical care given in c’Hiboulette in case of need or emergency Would you please give us your permission to administer one or several of these medicines in case of need: • BENURON (Paracetamol solution in case of fever)

yes / no

• DAPHALGAN (Paracetamol suppository in case of fever)

yes / no

• Physiological serum (saline water):

yes / no

• ARNICA (homeopathic granules against pain)

yes / no

• FENISTIL in the form of drops or cream (in case of allergies, itching or sunburn)

yes/ no

• Vaseline or BEPANTHEN cream (skin irritation due to cold weather for example)

yes / no

In case a child falls and bruises himself we usually use a cream with ARNICA or BEPANTHEN (or VITA MERPHEN) + disinfectant spray in case of a wound. • Is your child allergic to one or several of these creams?

yes / no

We ask you to kindly bring us another cream or medicine if you have other preferences. We also inform you that we’ll ask you to fill out a medical form in case your child needs punctual (or permanent) medical care prescribed by your doctor. Name of the child .............................................................................................................................. Date and parent signature .............................................................................................................

Rue des Tuillières 1, 1196 Gland • 022 364 77 71 • [email protected] • www.interactive-language.ch • www.c-hiboulette.ch

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Photos The educational staff of c’Hiboulette requests permission to use video material or photos of your child for the purpose of development or information. No pictures or film will be used for advertising purposes without prior parental consent. I authorize c’Hiboulette and its staff to take and place pictures of my child ................................................................................................................................................................... for internal and private purposes in the daycare Location and date............................................................................................................................... Signature................................................................................................................................................

Transportation of children JI authorize c’Hiboulette and its supervising team to allow my child................................................................. to take transportation with • Public transportation in case of an excursion. If needed I will provide a car seat. • In case of a serious accident requiring transportation to the hospital (provided that the team was unable to reach me). Location and date .............................................................................................................................. Signature................................................................................................................................................

Please take note of the following • We ask you to write the name of your child on his belongings (slippers, jacket, clothes, doudous…). • We’ll take no responsibility for the loss or damage of clothing, toy or doudou inside c’Hiboulette and outside. • We are not responsible in case of an incident caused by jewelry brought from home into c’Hiboulette. • We ask you to bring adequate clothing for our daily activities in the daycare. We remind you that we spend time outside, generally everyday so please consider boots on rainy days, gloves, scarf and hat if it’s snowing and a hat in case of sunny weather. I accept these conditions for my child : ................................................................................................................................................................... Date and signature.............................................................................................................................

Rue des Tuillières 1, 1196 Gland • 022 364 77 71 • [email protected] • www.interactive-language.ch • www.c-hiboulette.ch

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Required documents when registering your child • Enrolment form completed and signed. • Conditions, discharges and authorisations form duly signed. • A photocopy of the health insurance of your child. • A photocopy of his/her vaccination card. Matériel à fournir • Slippers • Toothbrushes (2-3) if the child has lunch at school • A change of clothes • Nappies (if needed) • “Doudou” and/or pacifier for the nap time (if needed)

Rue des Tuillières 1, 1196 Gland • 022 364 77 71 • [email protected] • www.interactive-language.ch • www.c-hiboulette.ch

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Sickness Below, you will find a list of contagious sicknesses, produced by the Ministry of Health, specifically for daycare centres. We also remind you that, every morning, before leaving home, you have the responsibility to make sure that your child does not show signs of infection and does not have a fever above 38° and that s/he is able to participate in class activities. If you child shows signs of infection or fever, s/he will not be allowed to attend school. If your child falls ill during his/her time at the daycare and is not feeling well, a parent will be contacted and asked to come and fetch him/her. These precautions are taken in order to avoid any contagion of other children and to ensure the well being of your child. Administrating medicine: it is mandatory to fill out a medical discharge form for your child. To avoid our giving an extra dose of medicine to your child, please be so kind as to advise us whether s/he has already received a dose on the day. We thank you for your understanding. List of diseases requiring absence from school

Children

Adults

Strep throat (and scarlet fever) Angina

Yes

Yes

Two days of antibiotic treatment (orally) or, in the absence of treatment, clinical cure.

Cholera

Yes

Yes

According to the instructions of the of Public Health Service

Whooping cough

Yes

Yes

5 days of antibiotic treatment (or 21 days without treatment)

Epidemic conjunctivitis

Yes

Yes

Clinical healing

Purulent conjunctivitis

Yes

Yes

Second day of treatment

Diphtheria

Yes

Yes

According to the instructions of the Public health service

Yes

Yes

Clinical healing

Yes Yes

Yes Yes

Clinical healing Clinical healing

Typhoid and paratyphoid

Yes

Yes

Clinical healing

Scabies

Yes

Yes

Start of treatment (Medical certificate required)

Viral hepatitis (Assumed or certified A or E)

Yes

Yes

Clinical healing

Primary herpes (stomatitis)

Yes

Yes

Clinical healing

Enteritis, gastritis et gastroenteritis (Infectious diarrhoea ) : a) Virus/bacteria indeterminate b) Shigella c) Any other source germ than Shigella

Child permitted back at school at the earliest from :

Rue des Tuillières 1, 1196 Gland • 022 364 77 71 • [email protected] • www.interactive-language.ch • www.c-hiboulette.ch

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Meals Breakfast We will be serving breakfast every morning from 7h45-8h30. Breakfast which is generally considered the most important meal of the day could consist of, for example, juice/ fruit, cereal with milk/ bread and cheese and herbal /scented infusions. Snacks A selection of freshly cut fruit, usually seasonal and regional. Lunch Lunch is provided by a professional caterer who works with different schools and daycares. The caterer is “DSR”, a quality label. They work with fresh products and ingredients and also regularly give information about the origins of their products. Every Friday, we put up the daily menus for the coming week on the fridge door, in order for you to know what your child will be having everyday for lunch. Diverse During your child’s enrolment process, we kindly ask that you advise us of any particular dietary restrictions your child has to be provided for (for example: no pork, vegetarian, without gluten, etc) in order for us to make the appropriate order from the caterer.

Creative afternoons Afternoons will be particularly devoted to creative themes, but always in a bilingual setting and for educational purposes. Examples of topics covered : 1. “Music celebration”: Awareness of different instrumental sounds. Creation of instruments with recycling material. Bodily expression with music. 2. “Around the world on a plate”: Encountering through the five senses, of other cultures, festivals, and culinary dishes from around the world. 3. “Stories and puppets”: Introduction to listening to stories with special accompaniment. Creative activities related to stories.

Rue des Tuillières 1, 1196 Gland • 022 364 77 71 • [email protected] • www.interactive-language.ch • www.c-hiboulette.ch

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The following activities would be suggested: painting, working with all sorts of materials, cooking & baking, songs, musical instruments, puppets, mime, dressing-up, age-appropriate educational games, stories, rhymes... This will help your child: • To express him/herself and to learn to share • To develop, discover, socialize (the child learns to function in a group) • To become autonomous • To develop imagination, language, attention, the five senses

Rue des Tuillières 1, 1196 Gland • 022 364 77 71 • [email protected] • www.interactive-language.ch • www.c-hiboulette.ch

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