Child enrollment and authorization oregon form 2025

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  1. Click ‘Get Form’ to open the child enrollment and authorization oregon form in the editor.
  2. Begin by entering your child's name, nickname, age at entry, and birthdate in the designated fields. This information is crucial for identifying your child within the care system.
  3. Indicate any allergies your child may have by selecting 'YES' or 'NO'. If you select 'YES', please list all allergies on the back side of the form.
  4. Fill out the parent or guardian contact information, including names, relationships, addresses, phone numbers, and work details. Ensure accuracy for emergency situations.
  5. Provide required emergency contact information for individuals authorized to pick up your child. Include their names, relationships, and phone numbers.
  6. Complete medical/dental contact information if applicable. This includes insurance provider details and primary physician contacts.
  7. Review the authorization section carefully. Indicate permissions regarding field trips, swimming activities, photography, medication administration, and emergency medical treatment.
  8. Sign and date the form at the bottom to confirm that all provided information is accurate and complete.

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