Claremont Summer School Registration


Summer School Registration
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Home Address

Student Address
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Parent 1

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Parent 2

 
 
 
 
 
 
 

Session 1

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Session 2

 

Session 3

 

Total Amount

$
 

Health Information

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Physician

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Physician Address
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Terms: In the event that the contacts listed on the Registration Form are not available or cannot be contacted, I authorize the Principal to authorize such medical attention that may be deemed appropriate.

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Anaphylaxis Emergency Plan

Anaphylaxis Emergency Plan

Emergency Action Plan: (To be filled in by parent/guardian)
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Claremont School Staff Roles and Resposibilities

  • Adhere to Claremont School’s Anaphylactic Policy
  • Staff will conduct a check to confirm child(ren) have their medication with them before each transition, (i.e. moving from the classroom to the gym, leaving for field trip, etc.)
  • Administer medications and/or instructions as set out in child’s Individual Plan and Emergency Procedures.
  • Staff is to remain with child until parent or guardian arrives.
  • Staff will ensure administered epi-pen is given to parents or hospital for disposal.
  • Written report to be filled out by staff dealing with emergency.
  • Serious Occurrence Report to be filed

Parent Agreement

I acknowledge my participation in the development of the preceding Emergency Action Plan and agree to execute reliably the parent commitments listed within it. I give my consent for the staff of the Claremont School to execute the child care commitment as outlined within the plan. In the event of an emergency, I authorize the school staff to administer the designated medication and obtain medical assistance. I agree to assume responsibility for all costs associated with medical treatment and absolve the Claremont School and its employees/volunteers of responsibility for any adverse reaction resulting from administration of the medication.

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Emergency Contact Information in the event of an anaphylaxis reaction

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Parent 1 details will be used with the credit card.

“Neil is a different boy from a year ago, not only because his reading is starting to come along, but because he is enjoying school and, once again, believes he can learn and succeed. Honestly, the Claremont School has been a god-send for Neil.”

 

—Gail Armstrong, Toronto, ON

Our mission is to teach students with dyslexia, so that they may fulfill their considerable potential and gain the skills and self-confidence needed for academic success.

 

—Evelyn Reiss

A warm and exceptional teacher, Evelyn provided a wonderful overview of the Orton-Gillingham approach in her Associate Level course. I consider it a privilege to have been her student.

 

—Avital (Tali) Kellerstein, Speech-Language Pathologist, Toronto, ON

Affiliations

 

Please Contact Us!

Claremont School

70 Silver Birch Avenue
Toronto, ON  M4E 3K9
Phone: 416-778-6336

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