
Get the free Extended Care Registration Form 09-10- - rrls
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CHILD S MEDICAL STATEMENT Child s Name (print or type) Date of Birth Parent s Name Teacher/Class A. This is to certify that I have examined this child and their health records and found that: 1) This
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How to fill out extended care registration form

How to fill out an extended care registration form:
01
Start by reading through the entire form to familiarize yourself with the information and sections required.
02
Begin by filling out your personal details, such as your full name, address, phone number, and email address. Make sure to provide accurate and up-to-date information.
03
If applicable, enter the name and contact information of the child who will be attending the extended care program.
04
Provide any necessary emergency contact information, including names, phone numbers, and relationships to the child.
05
Indicate the days and times you will require extended care services. Some forms may ask you to specify specific dates or recurring days of the week.
06
If there are any specific medical or dietary considerations for the child, ensure to provide accurate information to enable the staff to cater to their needs.
07
Read and understand the payment and refund policy mentioned in the form. Fill in the necessary sections with your preferred method of payment and any relevant details.
08
If there is a section for additional comments or requests, you can use it to provide any specific information or ask questions regarding the extended care program.
09
Once you have completed filling out all the required sections, review the form carefully to ensure all information is accurate and complete.
10
Sign and date the form, if necessary, and submit it as instructed by the organization offering the extended care program.
Who needs an extended care registration form?
01
Parents or guardians who require extended care services for their child outside of regular school hours or during designated program sessions.
02
Organizers or administrators of extended care programs who need to collect necessary information and ensure they can accommodate the child's needs.
03
Schools or educational institutions that provide extended care programs as part of their offerings to students and families.
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What is extended care registration form?
Extended care registration form is a document that must be filled out by individuals or organizations providing extended care services.
Who is required to file extended care registration form?
Any individual or organization offering extended care services is required to file the extended care registration form.
How to fill out extended care registration form?
Extended care registration form can be filled out by providing all necessary information about the extended care services being offered, along with any supporting documents.
What is the purpose of extended care registration form?
The purpose of the extended care registration form is to register and regulate extended care services in order to ensure the safety and well-being of those receiving the services.
What information must be reported on extended care registration form?
Information such as the name and contact information of the individual or organization providing extended care services, the type of services offered, any qualifications or certifications held by the provider, and any relevant policies and procedures.
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