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Dodge County Licensed Child Care Association

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    Licensed Family Child Care Forms and Links

    Click here for DHS Forms page

    Child Care Forms:

    Family Child Care Admission and Arrangements

    Liability Insurance Notice to Parents or Guardians

    Immunization Form

    Permission to Administer

    Mandated Reporter Policy

    Allergy Information Form

    Enrollment Form

    Frequently Used Forms

    Crib Record

    Fire and Storm Drill Records

    Permission to Photograph

    Infant Forms:

    Swaddling Consent

    Infant less than six months rolling over

    Other Forms:

    Travel & Activity Authorization

    Training Requirements for Licensed Providers

    Substitute Training Record

    New Child Orientation Form

    Daycare Licensing Rule

    Background Check

    Age Group Definitions for Family Child Care

    Daycare License Class C1 Fill-In Form

    Wading Pool Risks Family Childcare

    Workers Comp Certificate of Compliance MN

    Swimming Pool Risks Family Childcare

    Preparing for your Relicensing Visit

    Family Daycare Rule Summary

    123 Learn Sign- in Forms (scroll down to monthly parent sign-in sheets)

    Daycare License Class A Fill-In Form

    Daycare License Class C2 Fill-In Form

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    Helpful links

    • Click here for the 2020 training schedule

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