Get Hc Ccl 5012 Child's Enrollment Information Form.rtf

Filling out the HC CCL 5012 Child's Enrollment Information Form online is an essential step in enrolling your child in a child care program. This guide will walk you through the process, ensuring that you complete each section accurately and confidently.

Follow the steps to successfully complete the enrollment form.

1. Click the ‘Get Form’ button to access the HC CCL 5012 Child's Enrollment Information Form. This will allow you to open the document in your preferred editor.
2. Begin by entering your child's name and preferred name at the top of the form. It is important to include the full legal name as it appears on official documents.
3. Provide your address and zip code, ensuring that all information is accurate so that the child care provider can easily contact you.
4. List the home or cell phone numbers for both parents. If applicable, include employer information and work phone numbers for additional contact options.
5. If there is a legal guardian who is different from the listed parents, include their name in the provided space.
6. Complete the section regarding persons authorized to remove your child from the facility. It is essential to provide accurate names, relationships, and contact numbers for these individuals.
7. Next, indicate your agreement to the Alternate Nutrition Plan and specify any special dietary requirements your child may have. Mark whether meals are provided by you or the center for each listed meal option.
8. Read and acknowledge the Hillsborough County Ordinance requirements by signing and dating the certification statement at the bottom of the form. This confirms receipt of necessary documents and that all information is complete and accurate.
9. Provide any medical alert information, including allergies and other health conditions. Include any important details that would be beneficial for your child’s care.
10. Fill out your preferred physician and hospital information, ensuring accessible care for your child in case of emergencies.
11. List emergency contacts other than the parents. Include accurate names, relationships, and phone numbers for individuals who can be reached in case of an emergency.
12. Authorize emergency medical treatment by signing the appropriate section. This may include a signature, relationship to the child, and the date. Remember that this step is optional.
13. Finally, review the form for accuracy, save any changes made, and download or print a copy for your records. You may also choose to share the form as needed.

Take the next step and fill out the HC CCL 5012 Child's Enrollment Information Form online today!