Misc Forms

Outdoor Supervision

The caregiver is required to remain with children under the age of six at all times during outdoor play. The supervision of outdoor play for children ages six and older shall be agreed upon by the parent and the caregiver. The caregiver must know the whereabouts of the children at all times and must have appropriate contact with them. I agree to the following outdoor supervision plan for my child(ren): Please select your choices

* Indicates required field

I agree to the following outdoor supervision plan for my child(ren) *

A) constant physical supervision B) within ear/eyeshot C) other (complete outdoor supervision plan, for children 6 years +)

Parent Name *

First

Last

child's name *

First

Last

I confirm that all information provided is correct and that I am the parent/guardian listed. *

Child Care Provider *

Submit