Christ the King Early School Childhood Development Center
1506-B Main Street, P. O. Box 2535
Daphne, AL. 36526
251-621-8391
Dear Parents:
Christ the King Early Childhood Development Center has filed notice and is exempt under law
from regulations by the Department of Human Resources.
The State of Alabama requires each student to complete, sign, and notarize this form of affidavit
annually.
FORM OF AFFIDAVIT (for Parent/Guardian)
STATE OF ALABAMA COUNTY OF BALDWIN
Before me, a Notary Public in and for the said State and County, appeared
____________________________________(parent/guardian) and is known to me,
(Please print)
after being duly sworn or affirmed, states as follows:
That affiant is the parent of legal guardian of the minor child/children
____________________________________; that affiant has been notified by
(Please Print)
Jennifer L. Felicelli, a representative of Christ the King Catholic Church/Early Childhood
Development Center that said Church or Child Care Center has filed notice and is
Exempt under law from regulations by the Department of Human Resources.
___________________________________
PARENT/GUARDIAN SIGNATURE
Sworn, or affirmed to and subscribed before me this ____________ day of
___________, 20____
___________________________________
NOTARY PUBLIC
___________________________________
COMMISSION EXPIRES
___________________________________
COUNTY OF