Orientation Outline Form Orientation Outline Form I HAVE * REVIEW MISSION/PURPOSE OF FREMONT CONNECTIONS I HAVE RECEIVED * INTAKE FORMS I HAVE * REVIEW SUPERVISED VISITATION AND/OR EXCHANGE PROGRAM AND PROCEDURES (the following 3 questions is related to this question) I HAVE RECEIVED SCHEDULING * YES NO I HAVE RECEIVED DOCUMENTATION * YES NO I HAVE RECEIVED HOUSE GUIDELINES * YES NO PLEASE CHECK WHICH INFORMATION COMPLETED BY CLIENTS (CHECK ALL THAT APPLY) * PHOTO ID EMERGENCY MEDICAL RELEASE OF INFORMATION HOUSE RULES SIGNATURE TERMINATION & ATTENDANCE SIGNATURE I HAVE RECEIVED * TOUR OF THE HOUSE INCLUDING FIRE EXITS/EMERGENCY INFORMATION I HAVE RECEIVED * CHILD ORIENTATION ADDITIONAL INFORMATION DISCUSSED * I hereby attest that I * I HAVE RECEIVED THE ABOVE INFORMATION AND ALL QUESTIONS HAVE BEEN ANSWERED AT THIS TIME. I AGREE TO ABIDE BY THE RULES OF FREMONT CONNECTIONS AND UNDERSTAND THE CONSQUENCES FOR NOT DOING SO. YOUR NAME * Your Email * Date * Signature * signature keyboard Clear Submit If you are human, leave this field blank.