Form of Affidavit for Parent/Guardian
STATE OF ALABAMA
COUNTY OF _____
Before me, a notary public in and for said state and county, appeared _____ and is known to me, after being duly sworn or affirmed, says as follows:
That affiant is the parent or legal guardian of the minor child/children _____; that affiant has been notified by _____, a representative of _____ church/school, that said church or school has filed notice and is exempt under law from regulation by the Department of Human Resources.
______ Parent/Legal Guardian
Sworn, or affirmed to and subscribed before me this _____ day of _____, 20__.
Form of Affidavit for Church/School
STATE OF ALABAMA
COUNTY OF _____
Before me, a notary public in and for said state and county, appeared _____ and is known to me, after being duly sworn or affirmed says as follows:
That affiant is the designated representative of _____ church/school and that the below listed parents/guardians have been notified prior to enrollment/reenrollment that _____ church/school has filed notice with and is exempt under law from regulation by the Department of Human Resources: ______
_______________ Representative
The affiant certifies that the child-care facility does not receive state or federal funds and, that to the best of the affiant's knowledge, no child enrolled in the program receives a child-care subsidy from the Department of Human Resources; the facility is in compliance with all applicable building, fire, and health codes; the facility has provided the information requested under Section 38-7-3, Code of Alabama 1975, to all parents or guardians of children enrolled in the facility; and the facility has posted notice in plain view in a public area stating that the child-care facility is not licensed or regulated by the Department of Human Resources.
Sworn or affirmed to and subscribed before me this ____ day of ______, 20__.
_______________ Notary Public
Ala. Code § 38-7-3 (1975)