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This form collects essential information about a child for use by childcare providers in Michigan. It includes details such as personal information, emergency contacts, health information, and permissions regarding medical treatment and self-application of topical substances.
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How to fill out child information record

01
Gather the child's basic information including full name, date of birth, and address.
02
Collect emergency contact details, including names and phone numbers of guardians or caregivers.
03
Document any medical conditions or allergies the child may have.
04
Include the child's school information if applicable, such as school name and grade.
05
Gather information about the child's ethnicity and language spoken at home.
06
Review the completed record for accuracy before submitting.

Who needs child information record?

01
Parents or guardians of the child.
02
Childcare providers or daycare centers.
03
Schools that require health and demographic information.
04
Social services or welfare organizations working with children.
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The child information record is a formal document that collects and reports information about a child, typically for purposes related to educational enrollment, health assessments, or social services.
Parents or legal guardians of the child, as well as educational institutions or social service agencies, are usually required to file the child information record.
To fill out the child information record, provide accurate personal details about the child, including name, date of birth, address, and relevant health information, and ensure that all sections of the form are completed according to the instructions provided.
The purpose of the child information record is to compile essential data to support the child's enrollment in educational programs, assess health or developmental needs, and ensure compliance with legal or regulatory requirements.
Information that must be reported includes the child's full name, date of birth, address, emergency contacts, health history, and any special education needs or services required.
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