Form 2935: Admission Information

Form 2935 PDF Details

The day care provider gives this form to the child's parent or guardian and keeps the form on file at the child care facility.

Release: children will only be released to a parent or guardian or to a person designated by the parent or guardian after verification of ID.

Competent swimmer: if no, your child is required to wear a life jacket while in or near a swimming pool.

Swimming risk condition: if yes, your child is required to wear a life jacket while in or near a swimming pool.

Note: a competent swimmer can enter and exit a pool safely on their own, tread water or float on their back for one minute, and swim 25 yards with no assistance.

Varicella: the vaccine for chickenpox is not required if your child has had chickenpox disease.