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MARYLAND STATE DEPARTMENT OF EDUCATION
Office of Child Telehealth HISTORY FORM
For Use in Drop In Child Care Centers*
Child's Name: ___ Birth Date: ___
Parent/Guardian Name: ___ Relationship: ___
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How to fill out child enrollment ampamp emergency
How to fill out child enrollment ampamp emergency
01
Obtain the child enrollment amp;amp emergency form
02
Fill out the child's personal information such as name, date of birth, address, and contact information
03
Provide emergency contact information including names, phone numbers, and their relationship to the child
04
Indicate any allergies, medical conditions, or special needs the child may have
05
Sign and date the form as the legal guardian or parent
Who needs child enrollment ampamp emergency?
01
Parents or legal guardians of children who are enrolling in a school, daycare, or similar educational facility
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What is child enrollment ampamp emergency?
Child enrollment ampamp emergency refers to the process of enrolling a child in a school or program while also ensuring that proper emergency contact information is provided.
Who is required to file child enrollment ampamp emergency?
Parents or legal guardians are typically required to file child enrollment ampamp emergency for their child.
How to fill out child enrollment ampamp emergency?
Child enrollment ampamp emergency forms can usually be filled out online or in person at the child's school or program.
What is the purpose of child enrollment ampamp emergency?
The purpose of child enrollment ampamp emergency is to ensure that schools and programs have up-to-date contact information in case of emergencies involving the child.
What information must be reported on child enrollment ampamp emergency?
Child enrollment ampamp emergency forms typically require information such as the child's name, date of birth, emergency contacts, and any medical conditions or allergies.
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