Get the free EXTENDED CARE REGISTRATION FORM - episcopalbr.org

20182019 EXTENDED CARE Enrollment Form PreK8th Extended Care hours will be from 3:20 p.m. 6:00 p.m. on regular school days. Student Name(s): Please select Annual service or Drop In: PRE Annual Program

How to fill out extended care registration form

How to fill out extended care registration form

1. Start by downloading the extended care registration form from the official website.
2. Read the instructions and gather all the required documents and information.
3. Fill out the personal details section including your full name, address, phone number, and email.
4. Provide information about the child including their name, age, date of birth, and any allergies or medical conditions.
5. Indicate the desired days and times for extended care services.
6. Fill out the emergency contact details section, including the names and phone numbers of individuals who can be reached in case of an emergency.
7. Sign and date the form to confirm that all the information provided is accurate.
8. Submit the completed form along with any required fees to the designated office or online platform.
9. Await confirmation of extended care registration from the relevant authorities.

Who needs extended care registration form?

1. Anyone who requires extended care services for their child needs to fill out the extended care registration form. This includes working parents who need supervision for their children before or after school hours, as well as parents who require extended care during school breaks or vacations.

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What is extended care registration form?

The extended care registration form is a document used by healthcare providers to register for participation in extended care programs, ensuring compliance with federal and state regulations.

Who is required to file extended care registration form?

Healthcare providers, including nursing homes and assisted living facilities, that wish to participate in extended care programs must file the extended care registration form.

How to fill out extended care registration form?

To fill out the extended care registration form, providers need to provide their business details, licensing information, and any relevant certifications, ensuring all required fields are completed accurately.

What is the purpose of extended care registration form?

The purpose of the extended care registration form is to formally register healthcare facilities for participation in extended care programs, facilitating access to necessary funding and resources.

What information must be reported on extended care registration form?

The extended care registration form typically requires information such as facility name, address, contact information, type of services offered, and details of licensure and accreditation.