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Print Form FALL 11-12 HAMILTON COUNTY DEPARTMENT OF EDUCATION SCHOOL AGE CHILD CARE PROGRAM (SACK) REGISTRATION FORM 2011-2012 SCHOOL YEAR FOR SITE DIRECTOR USE ONLY Registration Fee Paid Cash Check#
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How to fill out school age child care

How to Fill Out School Age Child Care:
Begin by gathering the necessary information:
01
Contact details of the child and parent/guardian
02
Emergency contact information
03
Medical history and any special needs the child may have
04
School schedule and transportation arrangements
Fill out the personal information section:
01
Provide the child's full name, age, date of birth, and gender
02
Include the parent/guardian's name, phone number, and email address
03
Write down the child's address and any additional relevant details
Indicate the emergency contact person:
01
Include the name, phone number, and relationship of the emergency contact
02
Ensure that the emergency contact is aware of their role and available during the child's care hours
Provide medical information:
01
List any allergies the child has and specify the severity
02
Note any chronic illnesses or medical conditions the child may have
03
Include information about current medications or necessary medical treatments
04
Provide the contact information of the child's healthcare provider
Specify the school schedule:
01
Write down the name of the child's school and their grade level
02
Indicate the specific days and times when the child will require care
03
If applicable, include details about transportation arrangements to and from school
Write any additional notes or special instructions:
01
Mention any dietary restrictions or preferences the child may have
02
Provide information about any behavioral or emotional concerns
03
Include details about any specific activities the child enjoys or dislikes
Who Needs School Age Child Care:
01
Working parents who have children of elementary or middle school age
02
Parents who have busy schedules and cannot personally supervise their child after school
03
Families with multiple children who require supervision and care while parents are at work
04
Parents who need a safe and structured environment for their child during non-school hours
05
Individuals who want their child to participate in enriching activities, socialize with peers, and receive homework support
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What is school age child care?
School age child care refers to programs that provide supervised care for children before and after school hours, as well as during school holidays and breaks.
Who is required to file school age child care?
Anyone who operates a school age child care program or facility is required to file school age child care.
How to fill out school age child care?
To fill out school age child care, providers must gather and report information on the children in their care, staff qualifications, program schedules, and more.
What is the purpose of school age child care?
The purpose of school age child care is to provide a safe and enriching environment for children outside of school hours, allowing parents to work or attend to other responsibilities.
What information must be reported on school age child care?
Information that must be reported on school age child care includes children's names and ages, staff certifications, program activities, and safety protocols.
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