Eastoncommunitycenter.com

State of Connecticut Department of Education Health …

WEBPart 3 — Oral Health Assessment/Screening HAR-3 REV. 1/2022 Health Care Provider must complete and sign the oral health assessment. To Parent(s) or Guardian(s): State …

Actived: 4 days ago

URL: https://eastoncommunitycenter.com/wp-content/uploads/2024/04/CT-Health-Assessment-Record-5.pdf

Easton Community Center Vital Camp Information

WEBState of Connecticut Department of Education Health Assessment Record To Parent or Guardian: In order to provide the best educational experience, school personnel must

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State of Connecticut Department of Education Early …

WEB1. Physical development. Y N 2. Movement from one place . to another Y N 3. Social development Y N 4. Emotional development Y N 5. Ability to communicate needs Y N

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Health Assessment Record

WEBPart II — Medical Evaluation Health Care Provider must complete and sign the medical evaluation and physical examination HAR-3 REV. 4/2012 Signature of health care …

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Easton Community Center ECC DL Program Guide for Covid …

WEBHEALTH SCREENING • You must screen and temperature check your children prior to sending them to an ECC program. • A signed waiver is required to acknowledge that you …

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ECC HKMS After School Program (ASP) Enrollment

WEBThe last dose must be given on or after 4th birthday. • MMR: 2 doses given at least 28 days apart – 1st dose on or after the 1st birthday. • medical history.Meningococcal: one dose …

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Summer Camp Info – Easton Community Center

WEBDiscounts – (Payment must be made in full to receive the Early Bird discount.) The following discounts cannot be combined. Early Bird: Mar. 1 – Mar. 31 / $20 off each week of full …

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Rock Wall – Easton Community Center

WEBIndoor Rock Climbing at Mt. ECC. The wall is over 700 square feet of challenging climbing routes incorporating beginner, intermediate and the more advanced climbs. Mt. ECC …

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ECC Before and After School Programs

WEB1 ECC Before and After School Programs North Stratfield School 190 Putting Green Rd Fairfield, CT 06825 License #16645 Site Phone: 203-414-6816

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State of Connecticut Department of Education Early …

WEBSignature of health care provider DMD / DDS / MD / DO / APRN / PA/ RDH Date Signed Printed/Stamped Provider Name and Phone Number To Parent(s) or Guardian(s): Part 3 …

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ECC Before & After School Childcare Enrollment Package …

WEBECC Before & After School Childcare Enrollment Pack Last ge Date Checklist: of Enrollment: _________ Please review all forms prior to submitting to ensure they are …

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CDC’s guidance. Individuals and families should consult their …

WEBECC Staff Covid-19 Waiver _____ I am aware of the following Covid-19 symptoms listed below: (initial) • Fever • Cough • Shortness of breath or difficulty breathing

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ECC Before & After School Childcare Enrollment Package …

WEB2 ECC 2021 -2022 Child’s Name: Grade: Registration: Enrollment Package 2021-2022 A $100.00 non-refundable annual registration fee per child is required to reserve your …

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Forms – Easton Community Center

WEBDownload our Membership Application Form. Global Wavier. Program / League Registration Forms. Emergency Contact Form. Health Assessment Record ( Ages 0-5 & 5+) …

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REBA Basketball Information

WEBREBA Basketball Information REBA 2020-2021 TRAVEL BASKETBALL REGISTRATION Click here to REGISTER for the Travel Basketball Season. If you have questions please …

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CONNECTICUT OFFICE OF EARLY CHILDHOOD

WEBConnecticut Office of Early Childhood 410 Capitol Avenue – MS #12 CBR P.O. Box 340308 Hartford, CT 06134-0308 Phone# 1-800-282-6063 or (860)509-8045 Fax#860-509 …

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Authorization for the Administration of Medication by School, …

WEBACT FAST!!! If child ingests or thinks he/she ingested the above-named food but carries a disclaimer or stung by an insect (may contain, processed in, packaged in, etc) …

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