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Child Minding
P.A.T.A.S
About
Child Minding Consent to Care Form
Child's Full Name
Nickname
Date of Birth
Time In
Pick-up Time
Parent/Guardian Name
Relationship
Contact Number
Medical Conditions
Allergies
Emergency Contact Name
Emergency Contact Number
I give my consent to leave my child under the care of the CSPC Child Minding Center.
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