Intimate Care - Home/ School Partnership Agreement
Email address *
NAME OF CHILD *
The parent/ guardian: (please tick) *
Required
Agreement: (please tick) *
Required
The School:
We agree to changing the child during a single session should the child become uncomfortably wet/soiled.

We agree to report should the child be distressed or marks/ rashes seen.
PLEASE TICK AS APPROPRIATE *
YES
NO
I give my permission for my child to be changed and cleaned by Early Years staff if they wet/ soil themselves whilst in the care of St. Augustine’s Foundation Stage.
SIGNED PARENT / CARER *
DATE *
MM
/
DD
/
YYYY
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