[mgj-announce] Childcare During COnvergence!

Farah Fosse ffosse at coc.org
Fri Apr 12 15:11:21 EDT 2002


Do you Need Childcare During the Convergence?

The Anti-Authoritarian Babysitters Club (ABC)
is happy to announce that we will be providing childcare from Friday April
19 – Sunday April 21st.  Spread the word.

The ABC is committed to providing Creative and engaging childcare at locally
organized convergences, meetings, and events.

Childcare for Activist Kids Available:

Friday April 19th at American University 9 AM – 7 PM

Saturday April 20th at the Day Care Center at 1844 Mintwood (off Colombia
Rd. in Adams Morgan)

Sunday April 21st at the Day Care center at 1844 Mintwood

Please register now by emailing the information below to:
abcreg2002 at hotmail.com <mailto:abcreg2002 at hotmail.com>
We will need to know how many children to expect in advance!  You can use
the childcare service for part of the day or all day.

Childcare is FREE though donations (toys, arts and craft supplies, blankets,
money, etc) will be gratefully appreciated so that we can offer this service
in the future.

Childcare will be offered by experienced volunteers and there will at least
two volunteers at all times and no more than six children per volunteer. We
will be happy to answer any questions you may have! Check out the website
and contact us at:

Would you like to volunteer to do childcare during the Convergence? You can
sign up for as little as two hours. Contact ryan for more information:
blatass at aol.com <mailto:blatass at aol.com> .



CHILD CARE REGISTRATION

Parent/ Guardian Information:

Parent or Guardian Name:______________________________
Parent/ Guardian Address and Telephone: ________________________________
_____________________________________________________________________
Local Emergency Contact Name and Tel. No.: _____________________________
Additional Emergency Contact Name and Number: __________________________

Information About Your Child:
Name of Child: ________________________________________
Date of Birth: ___________   Blood Type: _________
Primary Physician: [name and contact information] ______________________
__________________________________________________________________
Medical Insurance Information: [name, group plan, identification
number]_____________________________________________________________________
___
Food Preferences and / or Allergies: ___________________________________
Current Medications: _____________________________________________
Directions for Administration: _______________________________
Potty Trained: Yes   No   [please indicate]
Language Needs:
Favorite Game[s] or Toys:
Any other comments:


Authorization for Emergency Medical Treatment:
By signing this agreement, the parent/ guardian affirms that he/she is the
person authorized to enter into this agreement, and authorizes the ABC
volunteer on duty to seek and obtain emergency medical treatment for my
child if circumstances appear to warrant such treatment.  The
parent/guardian agree to reimburse the person or persons who obtain such
emergency medical treatment for any expense reasonably incurred.

The parent/guardian agree to indemnify the person or persons who obtain such
emergency medical treatment from any and all claims for payment by medical
service providers arising from the incurring of reasonable medical expenses.

Liability Disclaimer:
The parent/guardian, on their own behalf and on behalf of the Minor, agree
to hold the providers of childcare and those assisting them harmless from
any and all claims of negligence by the providers which occur during the
course of providing the childcare.

•          If the child will be in childcare over a mealtime please pack a
lunch. Snacks will be provided.
•          We will need you to leave a picture of your child.
•          We will need the same individual to sign the child in, leaving a
specific time that s/he will pick up their child/ren and sign the child out
before leaving.

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