SUPERVISION OF SCHOOL AGE CHILDREN
SUPERVISION OF SCHOOL AGE CHILDREN
(NOTE: A school-aged child is defined in NYS Regulations as a child enrolled in Kindergarten or a grade higher)
I , give ,
parent’s name child care provider’s name
permission to allow my school age child to play
child’s name
outside the provider’s direct supervision. I understand that my child must
remain on the property and my child care provider will physically check on
my child every 15 minutes.
Parent’s Signature Date _______________
Provider’s Signature __________________________________ Date _______________
SUPERVISION OF SCHOOL AGE CHILDREN
(NOTE: A school-aged child is defined in NYS Regulations as a child enrolled in Kindergarten or a grade higher)
I , give ,
parent’s name child care provider’s name
permission to allow my school age child to play
child’s name
outside the provider’s direct supervision. I understand that my child must
remain on the property and my child care provider will physically check on
my child every 15 minutes.
Parent’s Signature Date _______________
Provider’s Signature __________________________________ Date _______________
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