Cochrane- EarlyON Child and Family Centre / Centre ON Y VA- October 2021 Program Registration Form/ octobre 2021 Formulaire d'Inscription au Programme
In order to meet the requirements under the Child Care and Early Years Act, starting September 22, 2021, all EarlyON Child and Family Centres where located in a shared space within a childcare centre will be required to ask participants aged 12 and over for proof of being fully vaccinated. Proof of vaccination will be accepted if the person’s name and date of birth on their identification document matches the vaccination receipt with name and date of birth and if the person is fully vaccinated.

Exemptions
Patrons who provide a written document, completed and supplied by a physician (designated as “MD”) or by a registered nurse in the extended class (designated as “Registered Nurse (Extended Class)”, “RN(EC)”, “Nurse Practitioner” or “NP”) stating that the individual is exempt for a medical reason from being fully vaccinated against COVID-19 and the effective time-period for the medical reason.
Patrons with a medical exemption are required to present identification and a written document stating the individual is exempt for a medical reason to EarlyON Child and Family Centre.
To review proof of a medical reason for not being vaccinated against COVID-19, the EarlyON Child and Family Centre must ensure:
• The name of the person in the written documentation matches the identification provided.
 • The physician’s or registered nurse in the extended class’s information is complete by including: Name and contact information of the physician or registered nurse in the extended class
 •Logo or letterhead identifying the physician or registered nurse in the extended class;
 •Statement that there is a medical reason for the individual’s exemption from being fully vaccinated against COVID-19; and
 •Any effective time-period for the medical reason which includes the date the patron is seeking access to the business or organization.


Regulations in Child Care and Early Years Act require that all EarlyON Centres offering services during the COVID-19 outbreak practice good health and sanitary practices daily.

EarlyON Centre within the Cochrane District under the Cochrane District Social Services Administration Board (CDSSAB) will be expected to comply with guidelines set out in collaboration with the Porcupine Health Unit   (PHU) and The Ministry of Education.

EarlyON Centres will require families to reserve and register in advance to participate in EarlyON programs and services. Please complete this registration form in order to reserve your spot for the desired programming.

Please provide us with contact information (preferably email + phone number) so that our EarlyON Child & Family Centre can contact you in case of a schedule change and so that we may send you the EarlyON Health Screening Check which will need to be completed the day of the desired programming.

We thank you for your patience and accommodation. We look forward to serving our EarlyON Families !!!
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L'ordonnance relative à la garde d'enfants et à la petite enfance exige que tous les centres ON Y Va offrant des services pendant l'épidémie de COVID-19 doivent adopter de bonnes pratiques sanitaires quotidiennement.

Les centres ON Y Va du district de Cochrane sous l'ordre du Conseil D'Administration des Services Sociaux du district de Cochrane (CDSSAB) devront suivres aux directives établies en collaboration avec le Bureau de Santé Porcupine et le Ministère de l'Éducation.

Les Centres ON Y Va exigeront que les familles s'inscrivent et réservent à l'avance aux programmes pour pouvoir y participer. Veuillez remplir le formulaire ci dessous afin de réserver votre place pour la programmation souhaitée.

Veuillez nous fournir vos coordonnées ( email + numéro téléphone) afin que le Centre ON Y Va puisse vous contacter en cas de changement d'horaire. Le Centre On Y Va va vous envoyer un dépistage de santé que vous devez compléter le jour même de la programmation.

Nous vous remerçions pour votre patience et votre collaboration. Les Centres ON Y Va ont hâte de vous acceuillir.  




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Email *
Cochrane
What Program are you registering for/ Quel programme inscrivez-vous ? *
How many family members will be participating in the programming ( This total includes Children + Adults) / Combien de membres de la famille participeront au programme ( ceci comprent le total enfants et adultes) *
Parent/Guardian Name / Nom du parent/guardien *
Please provide us with a phone number so that we may contact you in case of a scheduling change with the program. Your number will only be shared with the  EarlyON Child & Family Centre Staff member. / Veuillez nous fournir un numéro de téléphone afin que nous puissions vous contacter en cas de changement d'horaire avec le programme. Votre numéro ne sera partagé qu'avec le membre du personnel du centre ON Y VA. *
Please provide us with an email address so that our staff may send you the COVID-19 Health Screen Form which will need to be completed on the day or programming prior to arrival. Your email address will only be shared with the EarlyON Child & Family Centre Staff member. / Veuillez nous fournir une address courriel afin que nous puissions vous envoyer le formulaire de dépistage de santé qui devra être rempli le jour de programmation. Votre address courriel ne sera partagée qu'avec le membre du personnel du centre ON Y Va. *
We look forward to seeing you soon !!!/ Nous avons hâte de vous voir beintôt!!!
Please keep in mind that EarlyON Child & Family Centres in the Cochrane District will be encouraging social distancing within our programs. We will have safety measures in place. Masks will need to be worn by Adults and Children 2 years and older in the Centre if/when social distancing cannot be maintained. Masks do not need to be worn during outdoor programming and when social distancing can be maintained. / Veuillez noter que les centres ON Y Va du district de Cochrane encourageront la distanciation sociale au sein de nos programmes. Nous aurons des mesures de sécurité en place ainsi que les masques devront être portés par les adultes et les enfants de 2 ans et plus dans le centre ON Y VA si/quand la distance sociale ne peut pas être maintenu. Les masques ne sont pas requis pendant la programmation extérieure et lorsque la distance sociale peut être maintenue.
Questions/Concerns???
Please do not hesitate to contact Gabriella Desmarais-Brunet, desmarag@cdssab.on.ca Program Manager of EarlyON Child & Family Centre and Quality Assurance should you have further questions or concerns. /
N'hésitez pas à communiquer avec Gabriella Desmarais-Brunet, desmarag@cdssab.on.ca Gestionnaire de programme du Centre ON Y Va si vous avez d'autres questions ou préoccupations.
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