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Fortmill@gigglesdaycareinc.com 

127 Ben Casey Drive.| Fort Mill, SC 29

803.548.7529

www.gigglesdaycareinc.com

Policies and Guidelines

At Giggles, we pride ourselves on providing the best possible environment for your child. Our policies and guidelines are in place to ensure that all children in the center are safe, secure and receive only the highest quality care all while participating in activities that are stimulating and just plain fun!

Security

Our limited entry system means that the doors of the facility are locked at all times and only parents dropping off or picking up children are allowed in.

Parents have free and full access to their children while they are in our center.

We adhere to strict pick-up procedures. Staff check photo I.D. if needed when a child is picked up. Please do not be offended if you are repeatedly asked for I.D. It is for the safety of your child. Children will only be released to those persons listed on the registration form. Please be sure to let the staff know if your child is to be picked up by someone other than the person dropping him/her off.

We utilize a software system to track the entry and exit of all children in the center. This software gives us constant updates as to the number and ages of children in the center.

We have wireless “panic buttons” mounted throughout the center, which will send a call to police in the event of an emergency.

Safety

We closely monitor and inspect all toys to be sure that they are safe and appropriate for the children in our center.

Our custom-made tree house play structure is enclosed with top netting and age appropriate platform heights for children. Approved safety surfacing surrounds the only open areas of the structure. This ensures a safe area for children to play.

Cleanliness

Giggles takes great pride in providing a clean environment for your child. We use bleach sanitizer daily to clean toys and surfaces in the center. We also ask that children use hand sanitizer upon entering and exiting the center. Our staff and children wash their hands on a regular basis, including before and after meals and after every diaper change. The changing tables and toilets are sanitized after each use.

To help ensure the cleanliness and safety of our center, we ask that children please remove their shoes when they visit.

Registration

Upon your first visit to Giggles, we ask that you complete all registration paperwork as well as thoroughly read our policies. It is very important for the health and safety of all children at Giggles that you abide by our policies.

Per the SC DHEC we must have a copy of your child’s immunization records on file no later than 30 days from your child’s first visit.

Please note that the last drop off time is 9pm Thursday-Saturday.

There will be a late fee of $1 every two minutes that a child is picked up after closing.

Please be aware that if a child is not picked up 1 hour after closing and we have not made contact with a parent, the police will be alerted. Please be sure to contact us if you will be late.

Payment is due at the time of services. If a balance is not paid, Management will be forced to take action. We accept cash, Mastercard, Visa and AmEx.

**Please note: We do not offer refunds for services purchased. If you find that you are unable to use the package or program that you purchased, please notify us as soon as possible and we will be happy to exchange your package or program for another service that will better suit your needs.

Reservations are not required to use Giggles but are encouraged.

Giggles meal and snack times are as follows:
10:00 AM snack
12:00-12:30 Lunch
2:30 PM snack
6:00-6:30 Dinner

If you would like us to provide a meal for your child, we must have your meal order by 11:15 AM for lunch and 5:15 PM for dinner. We do not prepare meals on site, and must place your child’s order with our total lunch or dinner order for delivery.

Giggles provides healthy and nutritious snacks for all children. Lunch and dinner will be provided for a charge from local restaurants. Parents are welcome to bring a meal for your child. If your child is going to be with us during meal time, we request that you either bring a meal or purchase one because it is difficult to feed some children and not others.

As many young children are allergic to peanuts, we will never serve any type of peanut products and respectfully ask parents to please not bring any type of peanut products for your child.

Healthy children

In order to provide a safe and clean environment for all children at Giggles, we ask that you please do not bring an ill child to our center. Giggles reserves the right to refuse ill children, and if a staff member notices signs of an ill child, the parent will be called and asked to pick up the child. Children MUST be free of all symptoms listed below 24 hours prior to visiting our center.

The following are guidelines of symptoms of children considered ill:

  • a temperature of 100 degrees or higher
  • Red, watery eyes (pink eye)
  • Undiagnosed rash
  • Excessive runny nose/ sneezing
  • Excessive cough
  • Sore throat
  • Any instance of vomiting within the past 24 hours
  • Three instances of diarrhea

Medication

*****We do not administer medication of any kind******
(except for an EpiPen in case of a life-threatening emergency)

If your child has an EpiPen please let us know and complete an EpiPen Waiver.

Personal Belongings

Baskets are provided for children’s personal belongings such as diapers or change of clothing. Please be Personal Belongings Baskets are provided for children’s personal belongings such as diapers or change of clothing. We ask that all children remove their shoes upon entry to the center. Please be sure to label sippy cups and snacks clearly with your child’s name. We ask that you please do not bring any personal toys as we provide plenty of activities for your child. We do allow children to bring small electronic devices but the devices must have parental controls enabled to ensure that any content that they are viewing is age appropriate. We are not responsible for any toys or electronics that are brought into the center. If your child wants to bring a tablet, they are welcome to, but it is the child's responsibility to take care of the device.

Potty Training

We will assist in potty training with any child, but we need your help. Please bring the necessary supplies (diapers, pull ups, wipes, change of clothing) and let staff members know where your child is in this process. We will do our best to keep the routine and make sure that the child takes frequent potty breaks. There will be a charge for any diapers provided by Giggles.

Emergency procedures

All staff members are CPR and First Aid certified and trained to handle emergencies. We have all emergency numbers posted and a fully stocked first aid kit. Even with all of the safety precautions in place, accidents are possible. Parents will be notified in the event of an accident. If a child has a serious or life-threatening injury, please be advised that emergency personnel will be notified first and the parent second.

Discipline Policy

At Giggles, we promote good behavior through praise, modeling, and positive support. If a child displays poor behavior, he or she will be corrected first through redirection, and if necessary, time out. Time out consists of sitting out of play activities for 1 minute for each year of the child’s age. We do reserve the right to refuse admittance to a child whose behavior compromises the safety and wellbeing of other children.

Children who attend our center MUST be a minimum of 12 months of age.

Confidentiality

All children’s records are private and are kept confidential.

Medical treatment

If a child needs medical treatment, the staff at Giggles Drop-In Childcare will provide treatment to the best of their abilities and training. If an injury occurs that is considered severe, the parent or legal guardian will be contacted immediately, and the course of medical treatment will be determined by the parent. If an injury occurs that is considered life threatening, the staff at Giggles Drop-In Childcare will call 911 prior to calling the parent or guardian. The staff will take any measures necessary as determined to save the child’s life not limited to but including CPR and or the Heimlich maneuver. If the first responders determine that a child needs to be transported to a hospital, a staff member from Giggles Drop-in Childcare will accompany the child if a parent or guardian is unable to. The hospital will be chosen by the first responder or the emergency medical personnel.

Transporting Children

No children will be transported by Giggles Drop-In Childcare without the express written consent of parents in the case of special programs such as After School and Summer Camp Programs.

Evacuation Plan

There is a current evacuation plan posted in our center and all staff is trained on this plan as part of their initial staff training.

Policies and Guidelines Signature Page

All of us here at Giggles understand that when you leave your child with us, you are trusting us with the one that means the most to you. We feel honored and privileged by this, and promise that we will treat your child as if he or she were our own. Please feel free to speak with us at any time about any questions or concerns that you may have.

It is required that the authorized pickup person must be of sound mind and not under the influence of alcohol or drugs. By signing this document, I agree that once my child has been released to the authorized pickup person, that person assumes responsibility of the child and the liability of Giggles Drop-In Childcare ends.

In signing this agreement, I acknowledge and represent that I have read, understand, and agree to abide by Giggles Drop-In Childcare Policies and Guidelines agreement; that I sign it voluntarily and for full and adequate consideration, fully intending to be bound by the same; that I am at least eighteen (18) years of age and fully competent; and that I am the legal guardian of minor child participant.

In signing this agreement, I also am giving consent to Giggles Drop-In Childcare to provide medical treatment in the event of an emergency, however, with the understanding that so long as Giggles Drop-In Childcare has acted in a prudent manner, Giggles Drop-In Childcare is not liable for any injury that may subsequently occur as a result of Giggles Drop-In Childcare administering treatment.

All references to “Giggles” and “Giggles Drop-In Childcare” in this document refer collectively to Giggles Drop-In Childcare, Giggles Daycare Inc., Giggles Franchise Inc. and all Giggles Drop-In Childcare franchise corporations and their officers, directors, employees, representatives, agents and volunteers.

RELEASOR/PARTICIPANT/LEGAL GUARDIAN OF MINOR PARTICIPANT:

Date: January 19, 2021

STATEMENT OF VOLUNTARY CONSENT, GENERAL RELEASE OF LIABILITY, WAIVER OF CLAIMS, EXPRESS ASSUMPTION OF RISKS, AND HOLD HARMLESS AGREEMENT

I hereby agree as follows:

I, for myself and my minor child, and my estate, heirs, administrators, executors and assigns, hereby release, discharge and hold harmless Giggles Franchise Inc, d/b/a Giggles Drop-In Childcare as well as Giggles Daycare Inc. and all Giggles Drop-In Childcare franchise limited liability corporations, including their respective officers, directors, employees, representatives, agents, and volunteers (collectively, “Giggles”), for, from and against any and all liability and responsibility whatsoever, for any and all damages, claims, or causes of action, that my minor child or I may have for any loss, personal injury, or death, arising out of any injury or accident sustained by my child which was not a result of Giggles negligence, including but not limited to, any injury or accident resulting from a food allergy, health issue, disability, or other matter unique to my child unless such food allergy, health issue, disability, or other matter was disclosed to Giggles in the “Registration form”.

In signing this agreement, I acknowledge and represent that I have read and understand this agreement; that I sign it voluntarily and for full and adequate consideration, fully intending to be bound by the same; that I am at least eighteen (18) years of age and fully competent; and that I am the legal guardian of minor child participant registered under my family name.

RELEASOR/PARTICIPANT/LEGAL GUARDIAN OF MINOR PARTICIPANT:

Date: January 19, 2021

First Child Name

First Name*

Middle Name

Last Name*
First Child Date of Birth*
I certify that I am 18 years of age or older
First Child Information
** We would like your permission to photograph your child for display on our website or Facebook page**
Yes! I give my consent to photograph my child.
No! Please do not photograph my child.

South Carolina Department of Social Services Child Care Regulatory Services

GENERAL RECORD AND STATEMENT OF CHILD'S HEALTH FOR ADMISSION TO CHILD CARE FACILITY

This form is to be completed for each child at the time of enrollment in the child care facility, updated as needed when changes occur, and maintained on file at the facility.

GENERAL INFORMATION: (to be completed by Parent or Guardian) 

Name of Facility: Giggles Drop-In Childcare
County: York
Address: 127 Ben Casey Drive, Suite 101 Fort Mill, SC 29708


Enrollment Date

Child's Current Home Address

Parent/Guardian's Full Name *

Home Phone *

Work Phone

Other Phone

Parent/Guardian's Full Name *

Home Phone *

Work Phone

Other Phone

You must have two individuals who have the authority to obtain emergency medical treatment for the child. 


Person responsible if parent/guardian unavailable for emergency medical services. *
Relationship*

Address

Telephone number *

Family Code Word(s):

Person responsible if parent/guardian unavailable for emergency medical services. *
Relationship*

Address

Telephone number *

Family Code Word(s):
Is Child currently enrolled in school? (5K up to 6 years old)*
No
Yes

My Child will regularly attend this facility FROM (am/pm)

TO (am/pm)

If Child is a drop-in, indicate hours of care: FROM (am/pm)

TO (am/pm)
Check all days Child will regularly attend this facility:
Mon
Tue
Wed
Thurs
Fri
Sat
Sun
Check all meals Child will receive daily:
Meals are not offered
Breakfast
Morning Snack
Lunch
Afternoon Snack
Dinner
Evening Snack

HEALTH INFORMATION 


Family Physician or Health Resource

Address

Emergency Care Provider

Address

Dental Care Provider

Address

Health Insurance Provider
Certificate of Immunization:*

Please explain

My child has the following health conditions such as allergies, asthma, diabetes, epilepsy, etc., and/or takes the following medications on a regular basis

Additional Comments

I certify that to the best of my knowledge Minor is in good mental and physical health and able to participate in the child care program

First Child Signature*
Second Child Name

First Name*

Middle Name

Last Name*
Second Child Date of Birth*
Second Child Information
** We would like your permission to photograph your child for display on our website or Facebook page**
Yes! I give my consent to photograph my child.
No! Please do not photograph my child.

South Carolina Department of Social Services Child Care Regulatory Services

GENERAL RECORD AND STATEMENT OF CHILD'S HEALTH FOR ADMISSION TO CHILD CARE FACILITY

This form is to be completed for each child at the time of enrollment in the child care facility, updated as needed when changes occur, and maintained on file at the facility.

GENERAL INFORMATION: (to be completed by Parent or Guardian) 

Name of Facility: Giggles Drop-In Childcare
County: York
Address: 127 Ben Casey Drive, Suite 101 Fort Mill, SC 29708


Enrollment Date

Child's Current Home Address

Parent/Guardian's Full Name *

Home Phone *

Work Phone

Other Phone

Parent/Guardian's Full Name *

Home Phone *

Work Phone

Other Phone

You must have two individuals who have the authority to obtain emergency medical treatment for the child. 


Person responsible if parent/guardian unavailable for emergency medical services. *
Relationship*

Address

Telephone number *

Family Code Word(s):

Person responsible if parent/guardian unavailable for emergency medical services. *
Relationship*

Address

Telephone number *

Family Code Word(s):
Is Child currently enrolled in school? (5K up to 6 years old)*
No
Yes

My Child will regularly attend this facility FROM (am/pm)

TO (am/pm)

If Child is a drop-in, indicate hours of care: FROM (am/pm)

TO (am/pm)
Check all days Child will regularly attend this facility:
Mon
Tue
Wed
Thurs
Fri
Sat
Sun
Check all meals Child will receive daily:
Meals are not offered
Breakfast
Morning Snack
Lunch
Afternoon Snack
Dinner
Evening Snack

HEALTH INFORMATION 


Family Physician or Health Resource

Address

Emergency Care Provider

Address

Dental Care Provider

Address

Health Insurance Provider
Certificate of Immunization:*

Please explain

My child has the following health conditions such as allergies, asthma, diabetes, epilepsy, etc., and/or takes the following medications on a regular basis

Additional Comments

I certify that to the best of my knowledge Minor is in good mental and physical health and able to participate in the child care program

Third Child Name

First Name*

Middle Name

Last Name*
Third Child Date of Birth*
Third Child Information
** We would like your permission to photograph your child for display on our website or Facebook page**
Yes! I give my consent to photograph my child.
No! Please do not photograph my child.

South Carolina Department of Social Services Child Care Regulatory Services

GENERAL RECORD AND STATEMENT OF CHILD'S HEALTH FOR ADMISSION TO CHILD CARE FACILITY

This form is to be completed for each child at the time of enrollment in the child care facility, updated as needed when changes occur, and maintained on file at the facility.

GENERAL INFORMATION: (to be completed by Parent or Guardian) 

Name of Facility: Giggles Drop-In Childcare
County: York
Address: 127 Ben Casey Drive, Suite 101 Fort Mill, SC 29708


Enrollment Date

Child's Current Home Address

Parent/Guardian's Full Name *

Home Phone *

Work Phone

Other Phone

Parent/Guardian's Full Name *

Home Phone *

Work Phone

Other Phone

You must have two individuals who have the authority to obtain emergency medical treatment for the child. 


Person responsible if parent/guardian unavailable for emergency medical services. *
Relationship*

Address

Telephone number *

Family Code Word(s):

Person responsible if parent/guardian unavailable for emergency medical services. *
Relationship*

Address

Telephone number *

Family Code Word(s):
Is Child currently enrolled in school? (5K up to 6 years old)*
No
Yes

My Child will regularly attend this facility FROM (am/pm)

TO (am/pm)

If Child is a drop-in, indicate hours of care: FROM (am/pm)

TO (am/pm)
Check all days Child will regularly attend this facility:
Mon
Tue
Wed
Thurs
Fri
Sat
Sun
Check all meals Child will receive daily:
Meals are not offered
Breakfast
Morning Snack
Lunch
Afternoon Snack
Dinner
Evening Snack

HEALTH INFORMATION 


Family Physician or Health Resource

Address

Emergency Care Provider

Address

Dental Care Provider

Address

Health Insurance Provider
Certificate of Immunization:*

Please explain

My child has the following health conditions such as allergies, asthma, diabetes, epilepsy, etc., and/or takes the following medications on a regular basis

Additional Comments

I certify that to the best of my knowledge Minor is in good mental and physical health and able to participate in the child care program

Fourth Child Name

First Name*

Middle Name

Last Name*
Fourth Child Date of Birth*
Fourth Child Information
** We would like your permission to photograph your child for display on our website or Facebook page**
Yes! I give my consent to photograph my child.
No! Please do not photograph my child.

South Carolina Department of Social Services Child Care Regulatory Services

GENERAL RECORD AND STATEMENT OF CHILD'S HEALTH FOR ADMISSION TO CHILD CARE FACILITY

This form is to be completed for each child at the time of enrollment in the child care facility, updated as needed when changes occur, and maintained on file at the facility.

GENERAL INFORMATION: (to be completed by Parent or Guardian) 

Name of Facility: Giggles Drop-In Childcare
County: York
Address: 127 Ben Casey Drive, Suite 101 Fort Mill, SC 29708


Enrollment Date

Child's Current Home Address

Parent/Guardian's Full Name *

Home Phone *

Work Phone

Other Phone

Parent/Guardian's Full Name *

Home Phone *

Work Phone

Other Phone

You must have two individuals who have the authority to obtain emergency medical treatment for the child. 


Person responsible if parent/guardian unavailable for emergency medical services. *
Relationship*

Address

Telephone number *

Family Code Word(s):

Person responsible if parent/guardian unavailable for emergency medical services. *
Relationship*

Address

Telephone number *

Family Code Word(s):
Is Child currently enrolled in school? (5K up to 6 years old)*
No
Yes

My Child will regularly attend this facility FROM (am/pm)

TO (am/pm)

If Child is a drop-in, indicate hours of care: FROM (am/pm)

TO (am/pm)
Check all days Child will regularly attend this facility:
Mon
Tue
Wed
Thurs
Fri
Sat
Sun
Check all meals Child will receive daily:
Meals are not offered
Breakfast
Morning Snack
Lunch
Afternoon Snack
Dinner
Evening Snack

HEALTH INFORMATION 


Family Physician or Health Resource

Address

Emergency Care Provider

Address

Dental Care Provider

Address

Health Insurance Provider
Certificate of Immunization:*

Please explain

My child has the following health conditions such as allergies, asthma, diabetes, epilepsy, etc., and/or takes the following medications on a regular basis

Additional Comments

I certify that to the best of my knowledge Minor is in good mental and physical health and able to participate in the child care program

Fifth Child Name

First Name*

Middle Name

Last Name*
Fifth Child Date of Birth*
Fifth Child Information
** We would like your permission to photograph your child for display on our website or Facebook page**
Yes! I give my consent to photograph my child.
No! Please do not photograph my child.

South Carolina Department of Social Services Child Care Regulatory Services

GENERAL RECORD AND STATEMENT OF CHILD'S HEALTH FOR ADMISSION TO CHILD CARE FACILITY

This form is to be completed for each child at the time of enrollment in the child care facility, updated as needed when changes occur, and maintained on file at the facility.

GENERAL INFORMATION: (to be completed by Parent or Guardian) 

Name of Facility: Giggles Drop-In Childcare
County: York
Address: 127 Ben Casey Drive, Suite 101 Fort Mill, SC 29708


Enrollment Date

Child's Current Home Address

Parent/Guardian's Full Name *

Home Phone *

Work Phone

Other Phone

Parent/Guardian's Full Name *

Home Phone *

Work Phone

Other Phone

You must have two individuals who have the authority to obtain emergency medical treatment for the child. 


Person responsible if parent/guardian unavailable for emergency medical services. *
Relationship*

Address

Telephone number *

Family Code Word(s):

Person responsible if parent/guardian unavailable for emergency medical services. *
Relationship*

Address

Telephone number *

Family Code Word(s):
Is Child currently enrolled in school? (5K up to 6 years old)*
No
Yes

My Child will regularly attend this facility FROM (am/pm)

TO (am/pm)

If Child is a drop-in, indicate hours of care: FROM (am/pm)

TO (am/pm)
Check all days Child will regularly attend this facility:
Mon
Tue
Wed
Thurs
Fri
Sat
Sun
Check all meals Child will receive daily:
Meals are not offered
Breakfast
Morning Snack
Lunch
Afternoon Snack
Dinner
Evening Snack

HEALTH INFORMATION 


Family Physician or Health Resource

Address

Emergency Care Provider

Address

Dental Care Provider

Address

Health Insurance Provider
Certificate of Immunization:*

Please explain

My child has the following health conditions such as allergies, asthma, diabetes, epilepsy, etc., and/or takes the following medications on a regular basis

Additional Comments

I certify that to the best of my knowledge Minor is in good mental and physical health and able to participate in the child care program

Sixth Child Name

First Name*

Middle Name

Last Name*
Sixth Child Date of Birth*
Sixth Child Information
** We would like your permission to photograph your child for display on our website or Facebook page**
Yes! I give my consent to photograph my child.
No! Please do not photograph my child.

South Carolina Department of Social Services Child Care Regulatory Services

GENERAL RECORD AND STATEMENT OF CHILD'S HEALTH FOR ADMISSION TO CHILD CARE FACILITY

This form is to be completed for each child at the time of enrollment in the child care facility, updated as needed when changes occur, and maintained on file at the facility.

GENERAL INFORMATION: (to be completed by Parent or Guardian) 

Name of Facility: Giggles Drop-In Childcare
County: York
Address: 127 Ben Casey Drive, Suite 101 Fort Mill, SC 29708


Enrollment Date

Child's Current Home Address

Parent/Guardian's Full Name *

Home Phone *

Work Phone

Other Phone

Parent/Guardian's Full Name *

Home Phone *

Work Phone

Other Phone

You must have two individuals who have the authority to obtain emergency medical treatment for the child. 


Person responsible if parent/guardian unavailable for emergency medical services. *
Relationship*

Address

Telephone number *

Family Code Word(s):

Person responsible if parent/guardian unavailable for emergency medical services. *
Relationship*

Address

Telephone number *

Family Code Word(s):
Is Child currently enrolled in school? (5K up to 6 years old)*
No
Yes

My Child will regularly attend this facility FROM (am/pm)

TO (am/pm)

If Child is a drop-in, indicate hours of care: FROM (am/pm)

TO (am/pm)
Check all days Child will regularly attend this facility:
Mon
Tue
Wed
Thurs
Fri
Sat
Sun
Check all meals Child will receive daily:
Meals are not offered
Breakfast
Morning Snack
Lunch
Afternoon Snack
Dinner
Evening Snack

HEALTH INFORMATION 


Family Physician or Health Resource

Address

Emergency Care Provider

Address

Dental Care Provider

Address

Health Insurance Provider
Certificate of Immunization:*

Please explain

My child has the following health conditions such as allergies, asthma, diabetes, epilepsy, etc., and/or takes the following medications on a regular basis

Additional Comments

I certify that to the best of my knowledge Minor is in good mental and physical health and able to participate in the child care program

Seventh Child Name

First Name*

Middle Name

Last Name*
Seventh Child Date of Birth*
Seventh Child Information
** We would like your permission to photograph your child for display on our website or Facebook page**
Yes! I give my consent to photograph my child.
No! Please do not photograph my child.

South Carolina Department of Social Services Child Care Regulatory Services

GENERAL RECORD AND STATEMENT OF CHILD'S HEALTH FOR ADMISSION TO CHILD CARE FACILITY

This form is to be completed for each child at the time of enrollment in the child care facility, updated as needed when changes occur, and maintained on file at the facility.

GENERAL INFORMATION: (to be completed by Parent or Guardian) 

Name of Facility: Giggles Drop-In Childcare
County: York
Address: 127 Ben Casey Drive, Suite 101 Fort Mill, SC 29708


Enrollment Date

Child's Current Home Address

Parent/Guardian's Full Name *

Home Phone *

Work Phone

Other Phone

Parent/Guardian's Full Name *

Home Phone *

Work Phone

Other Phone

You must have two individuals who have the authority to obtain emergency medical treatment for the child. 


Person responsible if parent/guardian unavailable for emergency medical services. *
Relationship*

Address

Telephone number *

Family Code Word(s):

Person responsible if parent/guardian unavailable for emergency medical services. *
Relationship*

Address

Telephone number *

Family Code Word(s):
Is Child currently enrolled in school? (5K up to 6 years old)*
No
Yes

My Child will regularly attend this facility FROM (am/pm)

TO (am/pm)

If Child is a drop-in, indicate hours of care: FROM (am/pm)

TO (am/pm)
Check all days Child will regularly attend this facility:
Mon
Tue
Wed
Thurs
Fri
Sat
Sun
Check all meals Child will receive daily:
Meals are not offered
Breakfast
Morning Snack
Lunch
Afternoon Snack
Dinner
Evening Snack

HEALTH INFORMATION 


Family Physician or Health Resource

Address

Emergency Care Provider

Address

Dental Care Provider

Address

Health Insurance Provider
Certificate of Immunization:*

Please explain

My child has the following health conditions such as allergies, asthma, diabetes, epilepsy, etc., and/or takes the following medications on a regular basis

Additional Comments

I certify that to the best of my knowledge Minor is in good mental and physical health and able to participate in the child care program

Eighth Child Name

First Name*

Middle Name

Last Name*
Eighth Child Date of Birth*
Eighth Child Information
** We would like your permission to photograph your child for display on our website or Facebook page**
Yes! I give my consent to photograph my child.
No! Please do not photograph my child.

South Carolina Department of Social Services Child Care Regulatory Services

GENERAL RECORD AND STATEMENT OF CHILD'S HEALTH FOR ADMISSION TO CHILD CARE FACILITY

This form is to be completed for each child at the time of enrollment in the child care facility, updated as needed when changes occur, and maintained on file at the facility.

GENERAL INFORMATION: (to be completed by Parent or Guardian) 

Name of Facility: Giggles Drop-In Childcare
County: York
Address: 127 Ben Casey Drive, Suite 101 Fort Mill, SC 29708


Enrollment Date

Child's Current Home Address

Parent/Guardian's Full Name *

Home Phone *

Work Phone

Other Phone

Parent/Guardian's Full Name *

Home Phone *

Work Phone

Other Phone

You must have two individuals who have the authority to obtain emergency medical treatment for the child. 


Person responsible if parent/guardian unavailable for emergency medical services. *
Relationship*

Address

Telephone number *

Family Code Word(s):

Person responsible if parent/guardian unavailable for emergency medical services. *
Relationship*

Address

Telephone number *

Family Code Word(s):
Is Child currently enrolled in school? (5K up to 6 years old)*
No
Yes

My Child will regularly attend this facility FROM (am/pm)

TO (am/pm)

If Child is a drop-in, indicate hours of care: FROM (am/pm)

TO (am/pm)
Check all days Child will regularly attend this facility:
Mon
Tue
Wed
Thurs
Fri
Sat
Sun
Check all meals Child will receive daily:
Meals are not offered
Breakfast
Morning Snack
Lunch
Afternoon Snack
Dinner
Evening Snack

HEALTH INFORMATION 


Family Physician or Health Resource

Address

Emergency Care Provider

Address

Dental Care Provider

Address

Health Insurance Provider
Certificate of Immunization:*

Please explain

My child has the following health conditions such as allergies, asthma, diabetes, epilepsy, etc., and/or takes the following medications on a regular basis

Additional Comments

I certify that to the best of my knowledge Minor is in good mental and physical health and able to participate in the child care program

Ninth Child Name

First Name*

Middle Name

Last Name*
Ninth Child Date of Birth*
Ninth Child Information
** We would like your permission to photograph your child for display on our website or Facebook page**
Yes! I give my consent to photograph my child.
No! Please do not photograph my child.

South Carolina Department of Social Services Child Care Regulatory Services

GENERAL RECORD AND STATEMENT OF CHILD'S HEALTH FOR ADMISSION TO CHILD CARE FACILITY

This form is to be completed for each child at the time of enrollment in the child care facility, updated as needed when changes occur, and maintained on file at the facility.

GENERAL INFORMATION: (to be completed by Parent or Guardian) 

Name of Facility: Giggles Drop-In Childcare
County: York
Address: 127 Ben Casey Drive, Suite 101 Fort Mill, SC 29708


Enrollment Date

Child's Current Home Address

Parent/Guardian's Full Name *

Home Phone *

Work Phone

Other Phone

Parent/Guardian's Full Name *

Home Phone *

Work Phone

Other Phone

You must have two individuals who have the authority to obtain emergency medical treatment for the child. 


Person responsible if parent/guardian unavailable for emergency medical services. *
Relationship*

Address

Telephone number *

Family Code Word(s):

Person responsible if parent/guardian unavailable for emergency medical services. *
Relationship*

Address

Telephone number *

Family Code Word(s):
Is Child currently enrolled in school? (5K up to 6 years old)*
No
Yes

My Child will regularly attend this facility FROM (am/pm)

TO (am/pm)

If Child is a drop-in, indicate hours of care: FROM (am/pm)

TO (am/pm)
Check all days Child will regularly attend this facility:
Mon
Tue
Wed
Thurs
Fri
Sat
Sun
Check all meals Child will receive daily:
Meals are not offered
Breakfast
Morning Snack
Lunch
Afternoon Snack
Dinner
Evening Snack

HEALTH INFORMATION 


Family Physician or Health Resource

Address

Emergency Care Provider

Address

Dental Care Provider

Address

Health Insurance Provider
Certificate of Immunization:*

Please explain

My child has the following health conditions such as allergies, asthma, diabetes, epilepsy, etc., and/or takes the following medications on a regular basis

Additional Comments

I certify that to the best of my knowledge Minor is in good mental and physical health and able to participate in the child care program

Tenth Child Name

First Name*

Middle Name

Last Name*
Tenth Child Date of Birth*
Tenth Child Information
** We would like your permission to photograph your child for display on our website or Facebook page**
Yes! I give my consent to photograph my child.
No! Please do not photograph my child.

South Carolina Department of Social Services Child Care Regulatory Services

GENERAL RECORD AND STATEMENT OF CHILD'S HEALTH FOR ADMISSION TO CHILD CARE FACILITY

This form is to be completed for each child at the time of enrollment in the child care facility, updated as needed when changes occur, and maintained on file at the facility.

GENERAL INFORMATION: (to be completed by Parent or Guardian) 

Name of Facility: Giggles Drop-In Childcare
County: York
Address: 127 Ben Casey Drive, Suite 101 Fort Mill, SC 29708


Enrollment Date

Child's Current Home Address

Parent/Guardian's Full Name *

Home Phone *

Work Phone

Other Phone

Parent/Guardian's Full Name *

Home Phone *

Work Phone

Other Phone

You must have two individuals who have the authority to obtain emergency medical treatment for the child. 


Person responsible if parent/guardian unavailable for emergency medical services. *
Relationship*

Address

Telephone number *

Family Code Word(s):

Person responsible if parent/guardian unavailable for emergency medical services. *
Relationship*

Address

Telephone number *

Family Code Word(s):
Is Child currently enrolled in school? (5K up to 6 years old)*
No
Yes

My Child will regularly attend this facility FROM (am/pm)

TO (am/pm)

If Child is a drop-in, indicate hours of care: FROM (am/pm)

TO (am/pm)
Check all days Child will regularly attend this facility:
Mon
Tue
Wed
Thurs
Fri
Sat
Sun
Check all meals Child will receive daily:
Meals are not offered
Breakfast
Morning Snack
Lunch
Afternoon Snack
Dinner
Evening Snack

HEALTH INFORMATION 


Family Physician or Health Resource

Address

Emergency Care Provider

Address

Dental Care Provider

Address

Health Insurance Provider
Certificate of Immunization:*

Please explain

My child has the following health conditions such as allergies, asthma, diabetes, epilepsy, etc., and/or takes the following medications on a regular basis

Additional Comments

I certify that to the best of my knowledge Minor is in good mental and physical health and able to participate in the child care program

Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information
** We would like your permission to photograph your child for display on our website or Facebook page**
Yes! I give my consent to photograph my child.
No! Please do not photograph my child.

South Carolina Department of Social Services Child Care Regulatory Services

GENERAL RECORD AND STATEMENT OF CHILD'S HEALTH FOR ADMISSION TO CHILD CARE FACILITY

This form is to be completed for each child at the time of enrollment in the child care facility, updated as needed when changes occur, and maintained on file at the facility.

GENERAL INFORMATION: (to be completed by Parent or Guardian) 

Name of Facility: Giggles Drop-In Childcare
County: York
Address: 127 Ben Casey Drive, Suite 101 Fort Mill, SC 29708


Enrollment Date

Child's Current Home Address

Parent/Guardian's Full Name *

Home Phone *

Work Phone

Other Phone

Parent/Guardian's Full Name *

Home Phone *

Work Phone

Other Phone

You must have two individuals who have the authority to obtain emergency medical treatment for the child. 


Person responsible if parent/guardian unavailable for emergency medical services. *
Relationship*

Address

Telephone number *

Family Code Word(s):

Person responsible if parent/guardian unavailable for emergency medical services. *
Relationship*

Address

Telephone number *

Family Code Word(s):
Is Child currently enrolled in school? (5K up to 6 years old)*
No
Yes

My Child will regularly attend this facility FROM (am/pm)

TO (am/pm)

If Child is a drop-in, indicate hours of care: FROM (am/pm)

TO (am/pm)
Check all days Child will regularly attend this facility:
Mon
Tue
Wed
Thurs
Fri
Sat
Sun
Check all meals Child will receive daily:
Meals are not offered
Breakfast
Morning Snack
Lunch
Afternoon Snack
Dinner
Evening Snack

HEALTH INFORMATION 


Family Physician or Health Resource

Address

Emergency Care Provider

Address

Dental Care Provider

Address

Health Insurance Provider
Certificate of Immunization:*

Please explain

My child has the following health conditions such as allergies, asthma, diabetes, epilepsy, etc., and/or takes the following medications on a regular basis

Additional Comments

I certify that to the best of my knowledge Minor is in good mental and physical health and able to participate in the child care program

Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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