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4200 Alder Avenue
Fremont, CA 94536
(510) 793-8531
info@fpns.org

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  Fri 12/4/2009:
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FORMS

Information sheets:
Summer Session 2009
Fall-Spring Session 2009/2010

Application and Membership Agreement:
Fall-Spring Session 2009/2010

Enrollment Forms:
Adult TB Test Verification
Consent for Emergency Medical Treatment and Pick Up Authorization/Disaster Release

Child’s Preadmission Health History – Parent’s Report
Physician’s Report – Child Care Centers
Child Care Center Notification of Parents’ Rights
Caregiver Background Check Process
Personal Rights
Insurance Certification and Authorization

Additional Forms:
Status Change Form