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This document allows parents to formally indicate their choice for their child not to participate in tooth brushing during after school care at the Wellesley Community Children’s Center, as per
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How to fill out after school program oral
How to fill out After School Program Oral Health Non-Participation Form
01
Begin by obtaining the After School Program Oral Health Non-Participation Form from the designated authority.
02
Fill in the child's personal information such as name, age, and grade level at the top of the form.
03
Clearly mark the reasons for non-participation in the specified section of the form.
04
Provide any additional information that may be necessary, such as specific health concerns or objections.
05
Sign and date the form at the bottom to certify the information provided is accurate.
06
Submit the completed form to the appropriate program coordinator or designated official.
Who needs After School Program Oral Health Non-Participation Form?
01
Parents or guardians of children enrolled in the After School Program who do not wish for their child to participate in oral health initiatives.
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What is After School Program Oral Health Non-Participation Form?
The After School Program Oral Health Non-Participation Form is a document that allows parents or guardians to declare that their child will not participate in the oral health services provided by the after-school program.
Who is required to file After School Program Oral Health Non-Participation Form?
Parents or guardians of students who choose not to participate in the oral health services offered by the after-school program are required to file this form.
How to fill out After School Program Oral Health Non-Participation Form?
To fill out the After School Program Oral Health Non-Participation Form, parents or guardians should provide their child's name, the reason for non-participation, and sign the document to confirm their decision.
What is the purpose of After School Program Oral Health Non-Participation Form?
The purpose of the After School Program Oral Health Non-Participation Form is to officially document a parent's or guardian's decision for their child not to partake in the oral health services, ensuring clear communication with the program administrators.
What information must be reported on After School Program Oral Health Non-Participation Form?
The information that must be reported on the After School Program Oral Health Non-Participation Form includes the child's full name, the specific program, reason for non-participation, and the signature of the parent or guardian.
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