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Kinder & Afterschool Care
Registration
- New Registration
- Returning Registration
Parent Handbook
Contact Us

Home
Kinder & Afterschool Care
Registration
- New Registration
- Returning Registration
Parent Handbook
Contact Us

Home
Kinder & Afterschool Care
Registration
- New Registration
- Returning Registration
Parent Handbook
Contact Us

Home
Kinder & Afterschool Care
Registration
- New Registration
- Returning Registration
Parent Handbook
Contact Us

Re-Registration

If you are registering your younger child for Kindercare, please fill out the registration form and emergency card on the “New Family” registration page. Re-registration form for kindercare will not be accepted.

Caboose Club Re-Registration

Basic Information
Emergency Contacts
Consent and Agreement
Emergency and Permission Card

Caboose Club Re-Registration Form

REGISTRATION INFORMATION

Child’s Full Name *

Last Day of Care *

————————

Grade *

School Year for Registration (e.g., YYYY-YYYY) *

————————

Date of Birth *

I, have reviewed my child’s file and agree that there are no changes to be made in any area of the registration form and all information is up-to-date.

Signature *

Do you need to add people to the authorized pick-up list? *

Yes
No

The following people can be added to the authorized pick-up list:

Name

Work Phone

Relation

–

–

–

Emergency Contacts

(if we cannot reach you, who can we call in an emergency, or for advice or pick-up?)

Full Name *

Full Name *

Full Name

Phone *

Phone *

Phone

Work Phone *

Work Phone *

Work Phone

Relation *

Relation *

Relation

Persons NOT Permitted Access to Child

Are there persons who are NOT permitted access to child? *

Yes
No

Persons Not Permitted

Full Name *

Phone *

Consent and Agreement:

The provided information is true and current to the best of my knowledge:

Parent 1 Signature *

Enrollment Date *

Parent 2 Signature *

Enrollment Date *

Emergency Contact and Permissions Card

Childs Photo *

Drop your file here or click here to upload

Parent/Guardian #1 *

Parent/Guardian #2 *

Childs Name *

Date of Birth *

Parent Work Phone #1 *

Parent Work Phone #2 *

Address *

Address Line 1

Sex *

Male
Female

Home Phone *

–

Emergency Contact *

Medical Condition *

Yes
No

Relation *

Childs Doctor *

Childs Dentist *

Work Number *

Doctors Phone *

Dentist Phone *

Describe Medical Conditions *

Date of most recent tetanus shot: *

Child has known allergies? *

Yes
No

Medical Number (PHN) *

Child Allergies *

Blood Type *

Additional Information

Permission Form

1. It is the facility’s policy to notify the parent when a child is ill or requires medical attention. If we are unable to contact the parent and the child needs immediate medical help, parental consent is necessary for facility staff to take appropriate action on behalf of the child. Your consent will accompany the child to the emergency room.

2. I authorize the staff at the CABOOSE CLUB child care facility to call a physician, take my child to the nearest emergency centre or summon an ambulance for emergency medical aid should the person(s) in attendance feel such services are required and I cannot be contacted by phone. If such an emergency should arise, I shall be notified as soon as possible. I agree that any cost incurred for such services shall be the sole responsibility of myself.

Parent/Guardian #1 Signature

Date

Parent/Guardian #2 Signature

Date

Message

We're a non-profit care program run by the Cordova Bay Out of School Society. Every fee goes right back into Caboose Club, funding our amazing staff, fun games, cool art supplies, and our cozy space!

Quick Links

Kinder & Afterschool Care
New Registration
Re-Registration
Parent Handbook
Contact

Contact Us

Caboose Club Out Of School Care,
5238 Cordova Bay Rd, Victoria, BC V8Y 2L2
(250) 658-0548
cabooseclub@shaw.ca

Copyright © 2025 Caboose Club. Designed and Hosted by Blue Fin Web Design.

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