Follow the steps to complete the form with ease.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Enter the child's information, including their name, birthdate, and first day of attendance. Ensure all information is accurate and up-to-date.
3. Provide the home address of the child. This should include the street, city, state, and zip code.
4. Fill out the parent or guardian information. Include their name and provide contact numbers for reaching them while the child is in care, including primary, work, and secondary telephone numbers if applicable.
5. Complete the physician or medical facility information by entering the physician's name, their medical facility address, and a contact telephone number.
6. Address the sunscreen and insect repellent authorization section. Indicate whether you authorize the center to apply or allow self-application of these items. Include the brand name and ingredient strength where applicable.
7. Fill out the health history and emergency care plan section. Check any special medical conditions that apply to your child and specify any additional conditions, allergies, or triggers.
8. Outline any care procedures for the child, including when to contact parents and when emergency medical care may be needed.
9. Sign the form, providing the date signed. Make sure to keep a copy for your records.
10. After filling out all sections, save your changes. You can download, print, or share the form as required.

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