Child's Personal Data Sheet - Arkansas Department of Human ...

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Staff Attendance Record Pay Period Beginning Week Of Name Monday Tuesday Wednesday Thursday Friday Monday Tuesday Wednesday Thursday Friday Start End Start End Start End Start End Start End Start End Start End Start End Start End Start End DCC 526 Ρ(8/97) TECHNICAL ASSISTANCE
Daily Schedule Please list the time you start accepting children, the times and types <strong>of</strong> activities you plan for the children (including outside activities), snack times, meal times, nap times, and departure. Signature Date Facility Name and Address DCC 570 Ρ(8/97) TECHNICAL ASSISTANCE
Page 1 and 2: Child's Personal Data Sheet 1. Name
Page 3 and 4: ACCIDENT REPORT To be filled out as
Page 5 and 6: EMERGENCY DRILL RECORD Date Smoke D
Page 7 and 8: Do you have documentation of an ann
Page 9 and 10: Program Enrichment Individual Regis
Page 11 and 12: IMMUNIZATION CONTROL FORM Name of F
Page 13 and 14: INJURY LOG This form is to be used
Page 15 and 16: Staff Acknowledgement of Orientatio
Page 17 and 18: Staff/Child Ratio Worksheet Name of
Page 19: Transportation Roster Facility Dire
Page 23 and 24: Daily Sign in Sheet Facility: Today

Child's Personal Data Sheet - Arkansas Department of Human ...

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