EarlyON

Name: Summer Safety with Edward and Andrea
Start: 2020-09-25T13:00:00-04:00
End: 2020-09-25T14:00:00-04:00

EarlyON offers free programs to parents/caregivers and their children from birth to six years of age.
These centers welcome all families to participate in quality programs that:

help strengthen adult-child relationships,
support parent education, and
foster healthy child development.

Qualified professionals can help families and caregivers find support, get advice, make personal
connections and access a network of resources.

EarlyON

Events
EarlyON

List
Month

9:00 am

September 25, 2020 @ 9:00 am - 10:00 am

Fam Jam Yoga

11:00 am

September 25, 2020 @ 11:00 am - 12:00 pm

Story time with Lita

1:00 pm

September 25, 2020 @ 1:00 pm - 2:00 pm

Summer Safety with Edward and Andrea

ENAGB

ENAGB EarlyON Program

16 Phin Toronto, Ontario M4J 3T2
Wandering Spirit School
Basement –Room 25
Phone Number- 416-604-0300

New Baby – Announcements.

Baby Messy Play A messy activity for the kids to enjoy – Please BRING extra set of clothes for child.

Good Food Bag – TBA

EarlyON Program Registration Form

Privacy Statement
All information shared is sent confidentially to ENAGB and is protected by law, Miigwech

Guardian # 1 Information:
Full Name*
Relationship to Child(ren)
Telephone#
Work #
Email Address
Address
Street Address City Province Postal Code
Date of Birth
YYYY slash MM slash DD
Pronoun
Tribal Background First Language
Tribal Background Second Language
Marital Status
- Single
- Married
- Common Law
- Widowed
Guardian # 2 Information
Full Name
Relationship to Child(ren)
Telephone #
Work #
Email Address
Address
Street Address City Province Postal Code
Date of Birth
YYYY slash MM slash DD
Pronoun
Tribal Background First Language
Tribal Background Second Language
Marital Status
- Single
- Married
- Common Law
- Widowed
Childs Information
Full Name
Date of Birth
YYYY slash MM slash DD
Pronoun
School/Daycare Info
Tribal Background
* Press Ctrl + Click to select multiple backgrounds.
First Language
Second Language
Health Number
Allergies
Epi Pen
- Yes
- No
Reactions to Allergies
Family Doctor
Family Doctor #
Additional Children Information: (If more than one)
Full Name Date of Birth School/Daycare Info Health Number Allergies Reactions to Allergies
Emergency Contact Information
Emergency Contact Name
Emergency Contact #
Relationship
Please list any sensitivities your child has (include dietary)
Please list any vision, hearing or speech concerns your child has?
In the event of an emergency, I authorize the ENAGB Early ON’s to assist me in seeking emergency medical attention for my child or me including but not restricted to calling for ambulance service, contacting the above mentioned doctor, or taking my child or me to the local hospital emergency room.
- Yes
- No
Transportation Incentive Put a check mark to which applies based on definition below, either token or Uber if you need assistance to get to the programs
- Tokens
- Uber
Tokens: For caregivers that require less than 30 minutes on TTC services from the programs address of 16 Phin Ave

Uber: For caregivers that require more than 30 minutes on TTC services from the programs address of 16 Phin Ave
- Google Maps will be the ONLY source for confirmation to determine the eligibility.
I understand the policies and procedures and agree to abide by them in order for my family to attend to the ENAGB EarlyON’s.

I understand that I will be notified of any changes to the Policies and Procedures at ENAGB EarlyON’s.

I acknowledge the information provided above and confirm the information I provided was correct at the time of registration and will provide changes when necessary.
Parent/Guardian Signature
Please Print Parent/Guardian Signature
Date
YYYY slash MM slash DD
Name
This field is for validation purposes and should be left unchanged.