Beginning and ending dates should be used to show when the service or activity is being provided.
More than a year: If the service or activity continues for more than a year from the date it is signed, the form must be renewed.
Supervision: the parent or guardian is aware that, while participating, the child will not be supervised by a qualified staff person employed by the child care facility.
Signatures: the parent or guardian, the child care facility director and the person providing the activity each sign and date the form.
| Question | Answer |
|---|---|
| Form Name | DSS Form 2930 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 3 min |
| Edition | JUL 11 |
| Issuing agency | South Carolina Department of Social Services Child Care Licensing |
| Other names | 2930, DSS 2930, DSS Form 2930, Authorization for Intervention, Therapy and Extracurricular Activities |
Dss Form 2930 isn’t the one you’re looking for?