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Get the free Child Information Record - ewashtenaw

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This document is used to collect essential information regarding a child's health and personal details for enrollment in the Washtenaw County Head Start program. It includes sections for emergency
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How to fill out child information record

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How to fill out Child Information Record

01
Start by entering the child's full name in the designated field.
02
Fill in the child's date of birth accurately.
03
Provide information about the child's place of birth.
04
List the child's home address, including city and zip code.
05
Add contact details for parents or guardians, including phone numbers and email addresses.
06
Indicate the child's nationality or legal status.
07
Note any medical conditions or allergies the child might have.
08
Include emergency contact information.
09
Sign and date the form once completed.

Who needs Child Information Record?

01
Parents or guardians enrolling their child in a school or daycare.
02
Healthcare providers needing to document a child's health history.
03
Social service agencies requiring information for child welfare assessments.
04
Sports or recreational programs that require emergency contact information.
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People Also Ask about

Michigan Department of Health & Human Services 517-335-8951 (phone) 1-800-942-1636 (toll-free) 517-335-8835 (fax) 517-335-8951 (voc)
Personal information is any information that can be used to identify your child. It includes obvious things like their name and email address, date of birth, or where they live.
Questions? Call 517-335-9700.
Type A violation in child care licensing These can include inadequate supervision and staff-to-child ratios, unsanitary conditions, and unlicensed or unqualified staff members.

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The Child Information Record is a document that collects essential details about a child, typically used in various educational and welfare contexts.
Parents or guardians of the child, as well as educational institutions and child care providers, are generally required to file the Child Information Record.
To fill out the Child Information Record, provide accurate and complete information about the child, including their personal details, health background, and emergency contacts, following the specific guidelines provided.
The purpose of the Child Information Record is to ensure the safety and well-being of the child by maintaining accurate records for health, educational, and emergency situations.
Information that must be reported on the Child Information Record includes the child's name, date of birth, address, emergency contact information, health records, and any special needs or considerations.
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