Digital Fingerprinting Agreement

Please review the Digital Fingerprinting Policies before completing the Agreement.

Site Requirements

I agree:(Required)
We will NOT conduct the session if the site does not meet ALL of these requirements.

Inclement Weather Clause

If 211 Child Care leadership is unable to cancel 1 day prior, you will be notified by both phone and e-mail the morning of your session. If we are unable to reach you by phone, we will call your alternate contact. Please be sure that the phone numbers you provide will be the best numbers to reach you or the alternate site contact in the event of a same-day cancellation.
Alternate Contact(Required)

Signature

Name(Required)
MM slash DD slash YYYY