After-School Care Child & Family Intake

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For After-School Care Providers · Intake Form · CA$4

After-School Care workflow for care between school release and authorized family pickup; after-school supervision and activities: capture child identity, guardians, routines, strengths, support needs, allergies, authorized contacts, household instructions, and the information needed for safe after-school supervision and activities.

Included editable fields

  • After-School Care Provider
  • Client / Customer / Authorized Party
  • Child Name / Age
  • School / Program
  • Care Location
  • School Release / Transport Plan
  • Activity / Homework Needs
  • Authorized Pickup / Emergency Contacts
  • Intake Date
  • Service / Job Location
  • Job / Service Type
  • Scope / Purpose
  • Client Instructions / Prior History
  • Client Responsibilities
  • Pre-Start Confirmations
  • Known Risks & Disclosures
  • Limitations & Exclusions
  • Information Authorization / Acknowledgement
  • Intake Checklist
  • Follow-Up / Outcome
  • Record Timestamp