Jfs 01234 2025

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The document is a Child Enrollment and Health Information form from the Ohio Department of Job and Family Services, which must be completed before a child's first day at a childcare program. It collects essential information about the child, parents/guardians, emergency contacts, health conditions, allergies, dietary restrictions, and consent for emergency transportation. The form is required to ensure compliance with childcare regulations and must be updated annually.

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Click ‘Get Form’ to open the jfs 01234 in the editor.
Begin by entering the child's name, date of birth, and first day at the program. Ensure accuracy as this information is crucial for enrollment.
Fill in the home address, telephone number, and parent/guardian details. If applicable, include email addresses and cell phone numbers for easy communication.
Complete the allergy and health information section thoroughly. Indicate any allergies or medical conditions that require special attention during care.
Provide emergency contact details. Remember, parents cannot be listed as emergency contacts; ensure at least one contact is over 18 years old.
Review all sections for completeness before signing. This form must be signed by both parent/guardian and administrator/designee prior to your child’s attendance.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (81 Votes)
2016	4.2 Satisfied (35 Votes)
2011	4 Satisfied (45 Votes)

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