Lending Library Registration - Child and Parent Programs

Client Category (Please check one)

Registered License Not Required (RLNR)
Licensed Family Child Care (LFCC_
Group Child Care
Students - Currently enrolled in ECE program
Informal Provider/LNR
Community Partner/Agency
Parent
Individual

No Cost Core Services: newsletter, access to resource library, networking, drop-in sessions, resources, support visits, and consultations.

Name

First Last

Facility Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number

Fax

Email

By typing your name here you are acknowledging this as your signature.*

As per the Personal Information Protection Act (PIPA), information collected will be used only as necessary to deliver CCRR Services, and will not be disclosed to a third party without your permission. If you have questions, please call 604-985-7138.

I would like to receive the Child Care Resource & Referral (CCRR) newsletter (5 times per year).

Resource Lending Agreement

This resource lending agreement is between you and the North Shore Child Care Resource & Referral Program. Resources included in this lending agreement are the library, equipment, large toys and activity boxes. The borrower agrees to take sole responsibility for all resources borrowed from the North Shore Child Care Resource and Referral Program. It is the borrowers responsibility to use all equipment/materials as per the manufacturer’s guidelines or for the intended purpose. The subscriber must ensure that all resources are returned thoroughly cleaned with disinfectant (a 1 part bleach/10 part water solution) on applicable items and in good working condition. If an item is damaged or lost the borrower is responsible for replacing the damaged, or lost item and will pay the replacement value. The borrowing period is 3 weeks.

All toys and equipment (large box, grab box, tote bags, puzzles, and games) FIVE items total.

Library Books Max of 10 Items Library Music CDs Max of 5 Items Felt Stories Max of 5 Items Puppets Max of 2 Items Loose Parts Max of 1 Bag

The borrower has read and understood the guidelines pertaining to the usage of the resources borrowed. The North Shore Child Care Resource & Referral Program is not responsible for any injury to persons or damage to property that may arise through use of borrowed resources.

Consent

I acknowledge my responsibility and obligation in the resource lending agreement by my signature.

Client Category (group centre, licensed family, LNR, parent, student, etc.)

Municipality

Phone

This field is for validation purposes and should be left unchanged.