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Organic Connections

Childcare Program   

2022 Childcare Form

All areas of this form need to be filled out, if they do not apply for your child please put in n/a.

Please enter the child's name.

Please enter a valid parent/guardian name.

Please enter a valid address.

Please choose a province.

Please choose a country.

Please enter child's age

Please choose if your child is toilet trained.

/ / Invalid Input

Please enter a valid Cell number.

Please enter a valid city.

Please enter a valid postal/zip code.

Please specify your email address.

Please choose if your child needs a nap or not.

Invalid Input

Please choose if your child has allergies. If not please put no or N/A.

Please fill out if your child has any medical conditions. If not please put no or N/A.

Please let us know if there is any other info we need to know. If not please put no or N/A.

Please choose which day(s) you would like to have childcare for:

Please enter which days you would like to have childcare for



The undersigned(s) being the lawful parent(s) and/or guardian(s) of the above child, hereby consent to the participation by the child in all day care activities conducted by Organic Connections childcare program and to the participation of the child in all events related to said activities.

The undersigned(s) hereby further authorize(s) emergency transportation by either day care personnel or if necessary by ambulance or other emergency vehicle.

If there is no medical emergency, the childcare staff will first use reasonable efforts to contact the parent(s) and /or guardian(s) before administering or authorizing any treatment.

The Organic Connections childcare program is consistently well supervised. However, accidents do happen. The undersigned(s) assume(s) all risk of injury or harm to the child associated with participation in the childcare and agree(s) to release, indemnify, defend and forever discharge Organic Connections childcare program and its staff, board, and volunteers of and from all liability, claims, demands, damages, costs, expenses, actions and causes of action in respect of death, injury, loss or damage to the child, or by the child, howsoever caused, arising or to arise by reason of or during the child's participation in the childcare.

Please check that you accept the liability agreement.

Please enter today's date for the liability

Information for Parents/Guardians

Hours/ Cost: 

  • Wednesday 9am - 4pm
  • Thursday 9am - 3pm
  • We will not be offering care for children under 1 year of age.
  • There is NO CARE over LUNCH - Parents/Guardians must pick up children from 12-1pm for lunch and can eat from the main conference food provided
  • Cost is $30 per day per child


  • Parents/guardians are asked to send NUT-FREE snacks for their children, snacks will not be provided
  • Parents/guardians are asked to send water bottles for their children
  • Parents/ Guardians are required to supply breastmilk or already-made formula for babies


  • Activities will be planned by professional childcare staff 
  • Staff/ Volunteers can not administer medicine
  • For the health of all, children with fevers or vomiting, or an illness will not be allowed to attend
  • Children ages 4-10years may go off-site for activities that are within walking distance, weather permitting (see Liability Waiver).
  • Parents/Guardians need to supply strollers/car seats for children that need naps, soothers and blankies and other comfort items their child may need
  • Parents/Guardians will be called to change diapers or the ease of staff in accordance with Plan to Protect
  • Parents/Guardians MUST provide an on-site cell phone number in case of issues
Please choose your method of payment:

If paying by cheque please mail it, made payable to Organic Connections, to the following address: ORGANIC CONNECTIONS PO Box 135 Waldheim, SK S0K 4R0
Please complete the Captcha part of the form.

Meet the Childcare Program Coordinator

Carol BrucksCarol Brucks is a mother of four from Wilcox, Sk. Born and raised in Regina, she attended the U of R and received her Bachelor of Elementary Education in 2007. After many years working as an Assessment coordinator/tutor at Sylvan Learning Center or Private Tutor; Carol became solely focused on home-education for her children all while volunteering as Children’s Church Teacher at her local Church, coordinating Summer Kids Day Camps for the past 5 years in Milestone, Sk, and the Board Chair for the local library. She currently assists with the kids’ summer programming at the library (alongside many others) and volunteered her time at Echo Lake Bible Camp as a “Camp Mom”. She enjoys working with children of all ages and puts their safety above all else.

Carol’s job is to make sure that the children have a great time at this conference, and she will be doing just that! It's not hard for her because each day of fun activities are planned so they can enjoy themselves.