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20172018 EXTENDED CARE AGREEMENT Names of Student: (Student): 201718 Grade: We, the Students parents/legal guardians (Applicant), by signing this contract (Extended Care Agreement), request that Aspen
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How to fill out 2017-2018 extended care agreement

How to fill out 2017-2018 extended care agreement
01
Start by obtaining the 2017-2018 extended care agreement form from the designated authority.
02
Carefully read through the entire form to understand the terms and conditions.
03
Fill in your personal information accurately, including your full name, address, contact details, and any other required information.
04
Enter the required details about your child, such as their name, age, medical information, and any specific requirements they may have.
05
Review the schedule of the extended care program and indicate the days and times your child will be attending.
06
Pay attention to any additional services offered and select the ones required for your child.
07
Read and understand the fee structure for the extended care program and accurately calculate the total amount due.
08
Specify the mode of payment you will be using and provide the necessary details.
09
Sign and date the agreement at the designated space.
10
Submit the filled-out agreement form along with any required supporting documents to the appropriate authority.
Who needs 2017-2018 extended care agreement?
01
Parents or legal guardians of children attending a specific extended care program for the year 2017-2018 need to fill out the 2017-2018 extended care agreement.
02
This agreement is necessary to ensure that the child's information, any medical requirements, and attendance schedule are properly recorded and acknowledged by both the parents and the extended care program authority.
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What is extended care agreement?
An extended care agreement is a contract or agreement between a provider and a patient specifying the terms and conditions of additional care services.
Who is required to file extended care agreement?
Healthcare providers and patients are required to file extended care agreements.
How to fill out extended care agreement?
Extended care agreements can be filled out by including the necessary information such as the provider's name, patient's name, details of services provided, duration of care, and signatures of both parties.
What is the purpose of extended care agreement?
The purpose of an extended care agreement is to establish clear expectations and guidelines for additional care services provided by a healthcare provider to a patient.
What information must be reported on extended care agreement?
Extended care agreements must include details of services provided, duration of care, fees, payment terms, and signatures of both parties.
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