Drop Off Event Forms | HOMETOWN HIDEOUT IND

HOME

Hometown Hideout's
Drop Off Form

Child's First name

Child's Last name

Child's Living Address

Child's Birth Date

Year

Month

Day

Health Card Number

In the unlikely event of an emergency:

Anything non- life threating event emergency contact will be contacted.

In the event of a life threating event (ie: choking) 911 will be contacted first, followed by emergency contact.

Allergies/ Sensitives/ Behaviours/ Anything we need to know about your child to be able to provide the best care possible.

Emergency Contact First & Last Name

Emergency Contact Phone Number

Alternative Emergency Contact First and Last Name

Alternative Emergency Contact phone Number

Hometown Hideout is a unlicensed Childcare Facility with unregistered staff. In booking you agree to everything stated above. Please place initials below in agreement to this.

Hometown Hideout staff is unable to assist with any kind of toileting, all children must be fully potty trained that are left in our care. Please initial below acknowledging and agree to all stated above.

Drop Off Form and Playroom Waiver is mandatory
for all children attending a Drop Off Event.

Hometown Hideout Indoor Children's Playroom INC. Waiver

Waiver Agreement Guardian Signature -By signing you agree to our waiver making this a legal binding document.

Hometown Hideout's Drop Off Form

Drop Off Form and Playroom Waiver is mandatory for all children attending a Drop Off Event.

Hometown Hideout Indoor Children's Playroom INC. Waiver

Hometown Hideout's
Drop Off Form

Drop Off Form and Playroom Waiver is mandatory
for all children attending a Drop Off Event.