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SCHOOL-AGE PERMISSION FOR OUTDOOR PLAY



My school-age child _____________________ has permission to be outside of direct supervision of the caregiver. All children will remain on the premises of the family day care home. The caregiver will check on my child every 15 minutes.



Parent Name ________________________________________



Parent Signature ___________________________________________         Date _________________



Provider Signature ____________________________________________         Date _________________






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Ashante 315-214-1995
childcare@magicsitter.com
East Syracuse, New York

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