383 (TTY). Signature – Parent or Legal Guardian Date ADMISSION INFORMATION Texas Dept of Family and Protective Services Form 2935 Aug 2010 / Pg 2 of 3 SCHOOL AGE CHILDREN: My child attends the following school: Name of School and Address School Ph.# CHECK ALL THAT APPLY: His / her immunization record is on file at the school and all required immunizations and/or tuberculosis test are current. Vision and Hearing screening records are also on file. My child has permission to: ride a bu.
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How to fill out the TX Form 2935 online
Filling out the TX Form 2935 can be a straightforward process when done online. This guide will walk you through each section of the form to ensure that you provide all necessary information accurately and efficiently.
Follow the steps to complete the TX Form 2935 online.
- Press the ‘Get Form’ button to access the form and open it in the online editor.
- Begin by entering the operation name and the director’s name at the top of the form. These details are essential for identifying the specific childcare operation.
- Fill in the child's full name, date of birth, home telephone number, and home address. Ensure that all names are spelled correctly to avoid any issues.
- Indicate the date of admission and, if applicable, the date of withdrawal from the childcare program.
- Provide the parent's or guardian's name and address (if different from the child's address). This information helps the staff contact you when necessary.
- List the telephone numbers where you can be reached while your child is in care, including mother's, father's, and guardian's numbers.
- Designate a person to contact in case of an emergency if the parents or guardians cannot be reached. Include their name, address, phone number, and relationship to the child.
- Authorize individuals who may pick up your child from the facility by listing their names and phone numbers. These persons must be verified through ID before the child can be released.
- Check the applicable options under transportation and field trips to indicate your child's transportation preferences and consent for activities.
- Acknowledge receipt of the operational policies and provide your consent for meals to be served to your child. Specify which meals will be provided.
- Fill out your child's typical schedule, indicating the days and times they will be in care.
- Complete the section for emergency medical attention, including the names and contact details of the physician and medical facilities if necessary.
- List any special problems your child may have, such as allergies or previous serious illnesses. This information is crucial for the caregiver's awareness.
- If applicable, provide details about your child's school if they are school-aged, including the school’s name, address, and phone number.
- Complete the immunization record section to confirm that the child’s immunizations are current and provide necessary documentation as required.
- Finally, review your entries for accuracy and completeness. Once satisfied, save your changes, download a copy for your records, print, or share the form as needed.
Start filling out the TX Form 2935 online now to ensure your child is ready for care.
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