Hedgcoxe Enrollment Form


Child's Data

Mother's Data

VISION

HEARING

R

L

After School Information:

I Here By

-consent for my child to be transported and supervised by the operation’s employees:

1.

Walk Home

2.

I Here By

- my consent for my child to participate in Field Trips:

3.

I Here By

- my consent for my child to participate in Water Activities:

4.

I acknowledge receipt of the facility’s operational policies including those for discipline and guidance.

5. I UNDERSTAND THAT THE FOLLOWING MEALS WILL BE SERVED TO MY CHILD WHILE IN CARE:

 

6. MY CHILD IS NORMALLY IN CARE ON THE FOLLOWING DAYS AND TIMES:

Field Trips will be posted on your child’s classroom communication board at least 48 hours in advance. This notice will include the date, the destination, the time of departure and the time of return, as well as a list of the children going on the field trip. TLC staff will carry a written list of children in the group and will have first aid supplies available. A staff member with current training in First Aid, rescue breathing and chocking training, and CPR will be present on all field trips.

I give my child permission to participate in school sponsored TLC Child Development Centers field trips. I understand that my child will be transported in TLC vans equipped with safety restraints for each passenger.

I give my child permission to participate in water activities:

In the event I cannot be reached to make arrangements for emergency medical care, I authorize the person in charge to take my child to:

I give consent for the facility to secure any and all necessary emergency medical care for my child.

CHECK ALL THAT APPLY:

My child has permission to: