I will pick up the child/children from the home of the parent/guardian □ and return the child/children to the parent’s/guardian’s home. [name] I will go to the home of the parent/guardian □ [name] to pick up the child/children and the parent/guardian will pick up the child/children from my home. I will meet the parent/guardian at □ [name] to pick up and drop off the child/children. [name the location] I will pick up and return the to and from the child care provider or school. □ Other □ [describe]: Section 7: INTERACTION PROPOSAL I propose the following interaction with the child/children: attend the following activities □ [describe, for example: school events, extracurricular activities, religious and cultural events]: send cards or gifts □ [describe when, for example: birthday, holidays, special events]: receive cards or gifts □ [describe when, for example: birthday, holidays, special events]: communicate with each child in writing by □ [describe, for example: letters, e-mails, texts]: with the following frequency [describe frequency: number of times per week or month]: communicate with each child verbally by □ [describe, for example: telephone, internet conferencing]: with the following frequency [describe frequency: number of times per week or month]: receive photographs of each child from a person named in the order □ receive information regarding the health, education and well-being of each child from a □
□ I will pick up the child/children from the home of the parent/guardian [name] and return the child/children to the parent’s/guardian’s home. □ I will go to the home of the parent/guardian [name] to pick up the child/children and the parent/guardian will pick up the child/children from my home. □ I will meet the parent/guardian [name] at [name the location] to pick up and drop off the child/children. □ I will pick up and return the to and from the child care provider or school. □ Other [describe]: Section 7: INTERACTION PROPOSAL I propose the following interaction with the child/children: □ attend the following activities [describe, for example: school events, extracurricular activities, religious and cultural events]: □ send cards or gifts [describe when, for example: birthday, holidays, special events]: □ receive cards or gifts [describe when, for example: birthday, holidays, special events]: □ communicate with each child in writing by [describe, for example: letters, e-mails, texts]: with the following frequency [describe frequency: number of times per week or month]: □ communicate with each child verbally by [describe, for example: telephone, internet conferencing]: with the following frequency [describe frequency: number of times per week or month]: □ receive photographs of each child from a person named in the order □ receive information regarding the health, education and well-being of each child from a
nsfc_Form_FC2B_StatementofContactTime_17_05.docx