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This document is a Child Information Record to be filled out for children in early childhood programs in Michigan. It gathers essential information about the child, parents or guardians, emergency
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How to fill out child information record

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How to fill out Child Information Record

01
Begin by providing the child's full name.
02
Fill in the child's date of birth.
03
Include the child's gender.
04
Enter the child's home address.
05
Provide the parent's or guardian's contact information.
06
Include any emergency contact details.
07
Note down any medical information relevant to the child.
08
Sign and date the form to certify its accuracy.

Who needs Child Information Record?

01
Child Information Record is needed by schools, daycare centers, pediatricians, and childcare providers.
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People Also Ask about

Michigan Department of Health & Human Services 517-335-8951 (phone) 1-800-942-1636 (toll-free) 517-335-8835 (fax) 517-335-8951 (voc)
Personal information is any information that can be used to identify your child. It includes obvious things like their name and email address, date of birth, or where they live.
Questions? Call 517-335-9700.
Type A violation in child care licensing These can include inadequate supervision and staff-to-child ratios, unsanitary conditions, and unlicensed or unqualified staff members.

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A Child Information Record is a document that collects essential data regarding a child's personal and educational background, often required for school enrollment or for services like child care.
Parents or guardians of children enrolling in school or participating in certain programs are typically required to file a Child Information Record.
To fill out a Child Information Record, you should provide accurate details about the child's personal information, including name, date of birth, address, emergency contacts, and medical history as required by the specific form.
The purpose of the Child Information Record is to ensure that schools and child service providers have the necessary information to effectively support and protect the child's well-being and to comply with regulatory requirements.
The information typically required includes the child's name, date of birth, address, parent or guardian contact information, emergency contacts, and health information relevant to the child's care.
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