Julie's Home Daycare Annual Update Form
Once your child has been in care for a year, the provider must have you review this form and update any incorrect information. The provider is also required to have you sign several of the permission forms again.
Please review the information contained in this record and make any corrections. By signing this form, you are stating that you give the provider permission to:
1. Transport your child to a medical facility and receive emergency medical treatment: YES NO
2. Perform first aid and/or CPR on your child: YES NO
3. Take your child off the premises of the family child care home for the specified excursion (Parks, Rail Trail, Supermarkets/local stores, gym, library, local museums, walks/hikes): YES NO
4. Apply the topical medications listed on the applicable permission form: YES NO
5. Permission to Photograph child in activities while in Daycare and on Field Trips, permission to post in FDC home, newsletter, website, Facebook Social Network Business Page or have publish by local newspapers: YES NO
_________________________________________________ ____________________
Parent’s/Guardian’s Signature Date
_________________________________________________ ____________________
Provider's Signature Date
Once your child has been in care for a year, the provider must have you review this form and update any incorrect information. The provider is also required to have you sign several of the permission forms again.
Please review the information contained in this record and make any corrections. By signing this form, you are stating that you give the provider permission to:
1. Transport your child to a medical facility and receive emergency medical treatment: YES NO
2. Perform first aid and/or CPR on your child: YES NO
3. Take your child off the premises of the family child care home for the specified excursion (Parks, Rail Trail, Supermarkets/local stores, gym, library, local museums, walks/hikes): YES NO
4. Apply the topical medications listed on the applicable permission form: YES NO
5. Permission to Photograph child in activities while in Daycare and on Field Trips, permission to post in FDC home, newsletter, website, Facebook Social Network Business Page or have publish by local newspapers: YES NO
_________________________________________________ ____________________
Parent’s/Guardian’s Signature Date
_________________________________________________ ____________________
Provider's Signature Date