CONTINUED… List below child/parents/guardians who HAVE authorized their child to be released to someone under the age of 18 Enter date when all Enter date when safe arrival and HS/EHS ONLY Enter date when departure processes Enter date when new Policy Change Enter date when Enter date when new Emergency Notice was stapled at site, including Emergency verbal contact was Policy Change Treatment and to the current Safe transportation if Treatment and made with Notice was Consent Form Arrival & Departure applicable, were Consent Form is Child’s Name Parent/Guardian Name parent/guardian completed completed Agreement to updated to reflect uploaded into C+ reflect the change changes (keep original in file)
CONTINUED… List below child/parents/guardians who HAVE authorized their child to be released to someone under the age of 18 Child’s Name Parent/Guardian Name Enter date when verbal contact was made with parent/guardian Enter date when Policy Change Notice was completed Enter date when new Emergency Treatment and Consent Form completed Enter date when Policy Change Notice was stapled to the current Safe Arrival & Departure Agreement to reflect the change Enter date when all safe arrival and departure processes at site, including transportation if applicable, were updated to reflect changes HS/EHS ONLY Enter date when new Emergency Treatment and Consent Form is uploaded into C+ (keep original in file)
ATTACH_Tracking_Form_HAVE_Authorized_Safe_Arrival_Departure_due_October_31_15OCT2018.docx