make your free day care authorization form
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what is a day care authorization form?
a day care authorization form can help you make sure the provider has all the crucial information to keep your child safe, as well as specifying the hours of child care, and how much it will cost. a day care authorization form is particularly handy if you're organizing temporary day care for your kid(s). if you haven't used the temporary provider before, the day care authorization form is an efficient way of providing all the pertinent information that they will need to know.
when to use a day care authorization form:
- you need to give important information about your child to a provider in writing.
- you want to spell out details of the arrangement.
sample day care authorization form
the terms in your document will update based on the information you provide
day care authorization
, the undersigned of , , and , the undersigned child care provider of , , , agree to the following terms regarding the child care of .
the days and hours that will provide care are from to .
contact information:
name:
relationship:
place of employment:
home phone number:
work phone number:
mobile phone:
if the cannot be reached, contact:
name: |
address: |
,
phone number: |
relationship to child(ren): |
* | participation by child(ren) in field trips via walking or riding in the day care provider's vehicle. |
by: | date: |
child care provider:
by: | date: |
other medical information: