Fillable ECC 806ch Face Covering Agreement For Children Fillable Color (Oregon Department of Education Early Learning Division)

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ECC 806ch Face Covering Agreement For Children Fillable Color (Oregon Department of Education Early Learning Division)

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口罩佩戴協議表
適用於兩歲至幼稚園年齡的兒童
幼稚園年齡是指在本學年 9月 1日前滿 5歲的兒童。這是兒童有資格進入公立學校系統
的年齡。
1
作為 ____________________________的父母或監護人，我要求我的孩子在機構
(孩子的姓名和年齡)
照顧下，佩戴由本人提供的口罩。
我明白以下幾點：
✓ 我有責任為我的孩子提供合適尺寸的口罩。
✓ 口罩需要可以蓋住鼻子和嘴，並且足夠舒適，不會限制孩
子的呼吸。
✓ 我知道，我所提供的口罩必須每天或每次使用後在家用溫水和肥皂清
洗。
✓ 如果我提供一次性的口罩，則會在受潮後立即處理，且必須每天更
換。
✓ 如果我的孩子佩戴口罩是不斷觸摸、取下或調整口罩位置，則證明孩
子在這方面有困難，不會強迫孩子繼續佩戴口罩。
✓ 我知道，孩子在吃飯、飲水、休息或睡覺時都不會戴口罩。
請列出在保育期間，您的孩子不需要戴口罩的任何其他時間（例如外出時）：
日期 家長簽名
1
基於俄勒岡州行政法規第 414章第 205分冊、第300 分冊和第 350分冊給出的定義
俄勒岡州教育部 •早教部門 *兒童保育辦公室
www.oregonearlylearning.com
ECC-806 8/19/2020
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ECC 806ch Face Covering Agreement For Children Fillable Color (Oregon Department of Education Early Learning Division)

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Completed 28 June 2021

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