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Ding Activity / Name of Child Child s Date of Birth from and/or its programs from Name of Child Care Facility to Time on Time Dates/Period of Service (See instructions below) for the purpose of participating in . I am aware that Type of Activity while participating in , my child will not be supervised Type of Activity by a qualified staff person employed by . Name of Child Care Facility I am also aware that, and its employees Name of Person/Entity Providing Activity are not req.

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Keywords relevant to 2930 Form

  • adhere
  • Supervised
  • participating
  • extracurricular
  • renewed
  • entity
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