Please list any food,outdoor,medicene, or any other allergies that your child has,including symptoms or reactions the child has if they come in contact with it,along with what procedure is to be done.
(Example:Bees,rash,give Benadryl)
CONSENT
In the case that your child,__________________ needs any medicene/medication while under my, _________________,or,__________________care,we have permission to handle the situation as it needs be.
(Example:Child with a slight temperature,needs child care provider to administer appropriate dosage of tyenol to child)
EMERGENCY
In the case that your child needs medical attention or hospitalization,at which time you cannot be reached,we have permission to take any means necessary to ensure the well being of the child.
Legal Guardian__________________________
Child's Full Name________________________
Child's SSN____-______-_____
Child's Insurance Carrier and Policy number_________________
SICK POLICY
In any event that your child comes down with a fever,cold etc.,we will immediently contact you and we would appreciate that you come and pick up your child from the daycare as soon as possible and do not bring your child back to the daycare within 24 hours. This is to ensure not only the well being of your child,but also for the well being of any child at daycare.
IMMUNIZATION RECORD
We require that every parent provide an immunization record for their child.We would like to see an up to date record.If your child has not recieved a certain immunization,because of an allergy, please have an excuse from their doctor.
