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I certify that I accurately completed this form and if anything changes I will notify the provider by updating this form. Signature of Parent or Guardian Date Card Reviewed Date Signed Parent or Legal Guardian Initials AUTHORITY 1973 PA 116 LARA is an equal opportunity employer/program. COMPLETION Required PENALTY Rule Violation PARENT NOTIFICATION OF THE LICENSING NOTEBOOK Child Care Organizations Act 1973 Public Act 116 Michigan Department of Licensing and Regulatory Affairs All child care...
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What is parent/legal guardian's name (optional)?
Parent/legal guardian's name is not required, but can be provided if applicable.
Who is required to file parent/legal guardian's name (optional)?
No one is required to file parent/legal guardian's name, as it is optional.
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If you choose to provide parent/legal guardian's name, simply write it in the designated space on the form.
What is the purpose of parent/legal guardian's name (optional)?
The purpose of providing parent/legal guardian's name is to provide additional contact information or identification if needed.
What information must be reported on parent/legal guardian's name (optional)?
If provided, parent/legal guardian's name should include first and last name.
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