FAMILY CHILD CARE HOME NOTIFICATION OF PARENTS’ RIGHTS
CHILD CARE CENTERS/FAMILY CHILD CARE HOMES - To Be Completed by Parent or Authorized Representative
Email address *
ACKNOWLEDGEMENT OF NOTIFICATION OF PARENTS’ RIGHTS
I, the parent/authorized representative of *
have received a copy of the “FAMILY CHILD CARE HOME NOTIFICATION OF PARENTS’ RIGHTS”, the CAREGIVERBACKGROUND CHECK PROCESS and the FAMILY CHILD CARE CONSUMER AWARENESSINFORMATION form from the licensee. *
Name of Family Child Care Home
Full Name *
Date *
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DD
/
YYYY
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