Childcare Forms

 

 

I'm currently in the process of changing from paper to electronic forms. Once the conversion is complete the only paper form needed will be the one with your personal signature authorizing your electronic signature on all childcare forms. Until then, all forms must be completed, signed and initialed by both parents, and returned before I will assume the responsibility of caring for your child. Any document with missing information will be returned to you to complete.  If you have any question regarding any of the documents, please contact me at (603) 893-6385.

Parent Provider Agreement

https://drive.google.com/file/d/0Bz7hFrlJR_EkbVdJQmI5eGU1VVE/view

 

Child Registration and Emergency Information

https://drive.google.com/file/d/0Bz7hFrlJR_EkUXFLcVp1NUYzUTQ/view?usp=sharing

 

Child Health Form

https://drive.google.com/file/d/0Bz7hFrlJR_EkVVpxM1Q5dmU4VXc/view?usp=sharing

 

Medical Authorization

https://drive.google.com/file/d/0Bz7hFrlJR_EkdWxLa01aa242YWM/view?usp=sharing

 

Authorization To Administer Prescription and Nonprescription Medication

https://drive.google.com/file/d/0Bz7hFrlJR_EkaHNmRUFrM2Z2OXM/view?usp=sharing

 

Authorization To Release Child

https://drive.google.com/file/d/0Bz7hFrlJR_EkLXlSLWIzdi1EaHM/view?usp=sharing

 

Authorization To Allow Child To Leave Supervision of Childcare Provider

https://drive.google.com/file/d/0Bz7hFrlJR_EkZ1dMTVRkVllrdW8/view?usp=sharing

 

Authorization For Transportation

https://drive.google.com/file/d/0Bz7hFrlJR_EkWTV0aE9MQ0w5WXM/view?usp=sharing

 

Immunizations Certificate of Religious Exemption In A Childcare Program

https://drive.google.com/file/d/1LoQNe0hfcqOCE591x6WJQNQStikW0oz3/view?usp=sharing

 

Physical Examination Certificate of Religious Exemption In A Childcare Program

https://drive.google.com/file/d/0Bz7hFrlJR_EkSlVPaWJ4QlpWRDA/view?usp=sharing

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