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Please feel free to copy and paste these samples and or change them
to suit your needs!
Swimming Pool Water Play Release
__________________(daycare
name)
has many activities involving water throughout the year. These
include, but not limited to:
·
Water
Sensory Table
·
Water
Bottles
·
Swimming
Pool
·
Bathing a
soiled child.
Upon
signing this form you agree to permit your child:
____________________________________ Age: __________
____________________________________ Age: __________
to
participate in water activities.
( ) I approve.
( ) I do not approve.
By
signing below, you agree that this is a legally binding form.
Providing false information could be grounds for termination of
childcare services, forfeiture of retainer, or both.
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Father/Guardian’s Signature
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Date |
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Mother/Guardian’s Signature
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Date
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Provider
Signature
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Date |
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