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Annual Update Form

The regulations require that all children's records be reviewed and updated as necessary, but at least once a year. All written permission forms are valid for one year from the date it is signed unless the consent is withdrawn in writing prior to that time.

Please review the information contained in this record and make any corrections. By signing this form, you are stating that you give the educator(s) permission to:

  1. Transport your child to a medical facility and receive emergency medical treatment.***

  2. Administer basic first aid and/or CPR on your child.

  3. Take your child off the premises of the family child care home for the specified excursions.

  4. Apply the topical medications listed on the applicable permission form.

  5. Use the on-site swimming pool (if applicable).

*** The actual permission forms on the Emergency Card/Form that the provider must take with her when she leaves the premises must be signed again.

Date
Month
Day
Year
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