Teddybearlane Home Child Care
4220 Regency Dr. Pace, Fl 32571
850-994-6573
Sandra
Sciacca has my permission to transport my minor child/children:
______________________________/___________________________
In
her private vehicle. Trips will not be out of the Pensacola area without
further permission, and each child will be in the appropriate car restraints.
Parent/Guardian
signature:____________________________________
Date:____________________
General
Sandra
Sciacca has my permission to:
Take
my child/children on a walk: yes/no
Take
my child/children swimming: yes/no
Give
an occasional candy treat:
yes/no
Assist
my child/children with any toilet training procedures: yes/ no
Parent/Guardian
signature:_____________________________________
Date:_____________________