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Temple Sinai Community Preschool


Parent/Guardian 1


Parent/Guardian 2

Emergency Contact

Person to be contacted in case of emergency when parent(s) cannot be reached:

Family History
Siblings (living with the child or outside the home):

Your Child's Special Needs

Medical Emergency Consent

Medical treatments may be given to my child at any time due to accident, illness, or other emergency or injury to the above enrolled child, such action will be taken and medical treatment administered as deemed necessary by the centre, or its employees.

I hereby release the Center, its employees and agents from any claim or liability with respect to the same. I give the Centre such authorization that permits any person or hospital to provide such treatment to my child as may be advisable in the circumstance and this shall be sufficient authority for so doing.

The staff of Temple Sinai and/or the physician selected by it may arrange for the transportation of my child to the Emergency Department of the nearest hospital.

Toronto Public Health Immunization Records*
Under the Child Care and Early Years Act, all children who attend a child care centre, must be immunized according to Ontario's Publicly Funded Immunization Schedule. 

Please download the pdf, scan and return to Temple Sinai's Education Office.*

If you answered yes, download our Anaphylaxis form below, scan and return by email, to the education office
Anaphylaxis Plan
Product Application Authorization
I authorize the staff at Temple Sinai Community Preschool to apply the following over-the-counter products to my child, in accordance with the instruction on the label of the product.

If a product is sent to school with your child it needs to be clearly labelled with the child's name before staff will be allowed to apply it.

Child Pick Up Authorization (other than carpool)

Only the following pre-authorized people shall pick up my child from Temple Sinai Early Years Centre.

If someone not named below is to pick up my child, I agree to send a signed note of consent to that effect or I will telephone the school.

Temple Sinai Membership
We are pleased to offer our Preschool families complimentary membership at Temple Sinai, providing access to member only exclusive events and program savings throughout the year.