Discipline and Behavior Management Policy
Policy Acknowledgement
I, the undersigned parent or guardian of
Name
First Name
Last Name
do hereby state that I have read and received a copy of the facility's Discipline andBehavior Management Policy and that the facility's director/operator (or other designated staff member)has discussed the facility's Discipline and Behavior Management Policy with me.
Date of Child's Enrollment:
-
Month
-
Day
Year
Date
Parent / Guardian Name:
First Name
Last Name
Parent / Guardian Signature:
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: