JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
FAMILY CHILD CARE HOME NOTIFICATION OF PARENTS’ RIGHTS
CHILD CARE CENTERS/FAMILY CHILD CARE HOMES - To Be Completed by Parent or Authorized Representative
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
ACKNOWLEDGEMENT OF NOTIFICATION OF PARENTS’ RIGHTS
I, the parent/authorized representative of
*
Your answer
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
Your answer
Full Name
*
Your answer
Date
*
MM
/
DD
/
YYYY
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
