SUPERVISION  AGREEMENT122

Programs

SUPERVISION AGREEMENT122
  •                  VARIETY CHILDREN & FAMILY SERVICES
  •                                                      SUPERVISION  AGREEMENT

I /We  agree to provide 24 hour supervision for the foster child (ren) placed in our home. Should I/We have to be away from home for whatever reason and  during the hours  the child is not in school, other suitable care will be arranged  with a certified foster parent or another adult ( An individual 18 years or older) whose police clearance and TB test clearance  are  on file  with Variety Children & Family Services.

  • in the care of the above referenced certified foster parent or adult for temporary care and services until I/we return home.
  • Should my/our foster child need to leave school in the case of an emergency ,illness or any other problem when I am /we are  not at home.
  • If this information should change , I/we will notify Variety Children & Family Services of the change within one work day.
SUPERVISION AGREEMENT
I/We have left :
I/We have left :
NAME OF CHILD
DATE OF BIRTH
NAME OF CERTIFIED FOSTER PARENT/ADULT
ADDRESS OF CERTIFIED FOSTER PARENT/ADULT