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Christopher Vaught, MHC 1900 String town Rd., Suite 208C Evansville, IN 47715 (812) 2508680 (812) 2952923 (fax) Child Information Form Today's Date: Completed by: Mother Father Other Child's Name:
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How to fill out a child information form:

01
Start by providing your child's full name, including any nicknames or preferred names they may have.
02
Include their date of birth, gender, and any specific medical conditions or allergies they may have. This information is crucial for ensuring their safety and well-being.
03
Provide the names and contact information of both parents or guardians, including their phone numbers and email addresses. This allows for easy communication and emergency contact if needed.
04
Indicate any authorized individuals who are allowed to pick up or drop off your child. This could include other family members, friends, or caregivers who have permission to transport your child.
05
Include any special instructions or notes regarding your child's dietary restrictions, medication requirements, or behavioral considerations. This ensures that caregivers are aware of any specific needs and can provide appropriate care.
06
If applicable, indicate any previous child care experiences your child has had, such as attending preschool or daycare. This information can help caregivers understand your child's previous routines and experiences.
07
Finally, sign and date the form to indicate that the information provided is accurate and up to date.

Who needs a child information form:

01
Parents or guardians who are enrolling their child in a new school or childcare facility typically need to fill out a child information form. This helps the institution gather important details about the child and ensure a smooth transition.
02
Daycare centers, preschools, and schools need child information forms to have comprehensive records and effectively provide care and support for each child.
03
Babysitters, nannies, or other temporary caregivers may require a child information form to have important details about the child they are looking after, including emergency contact information and any specific instructions or precautions.
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The child information form is a document used to gather information about a child, including personal details and contact information.
Parents or legal guardians of the child are required to file the child information form.
The form can be filled out online or in paper format, providing accurate and up-to-date information about the child.
The purpose of the child information form is to maintain records of children under the care of parents or legal guardians.
Information such as the child's full name, date of birth, address, school information, and emergency contact details must be reported on the child information form.
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