| Child(ren) Name(s) |
| I, | give permission for my childcare provider to: |
| Yes | No | |
| Administer over the counter type medication | ||
| Allow my child to play in water (ie.kiddie pool,sprinkler) | ||
| Give my child an occasional sweet treat such as candy,ice cream,etc. | ||
| Assist my child with any toilet training procedures/problems | ||
| Take my child on outings/walks in the neighbourhood | ||
| Attend playgroups in the area | ||
| Sling my child | ||
| Give my telephone number to other parents, when requested, for references | ||
| Take photos of my child which will be used for craft purposes or to decorate the daycare |
| Parent/Guardian Signature: |
| Date: |
Kelly's Home Childcare
www.geocities.com/kellyshomecc
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