Dhr cdc 739 2026

1. Click ‘Get Form’ to open the dhr cdc 739 in the editor.
2. Begin by entering the child's name and the name they are known by in the designated fields. Ensure accuracy for proper identification.
3. Fill in the child's birthdate and home address. This information is crucial for record-keeping at the child care facility.
4. Provide details of the parent(s)/guardian(s), including names, home telephone numbers, and addresses. This ensures that caregivers can reach you when necessary.
5. List both parents' employers along with their addresses and contact numbers. This information is vital for emergency situations.
6. Complete the emergency contact section by listing individuals who can be reached if you cannot be contacted during an emergency.
7. Sign and date the emergency authorization section, granting permission for medical treatment if needed. Remember, this form is not valid without your signature.
8. On page two, describe any special needs or instructions regarding your child to ensure proper care.
9. Finally, indicate permissions for activities away from the facility and sign where required to validate your consent.

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