Daycare enrollment forms v0.1.0

Five forms for a new family, printed blank to fill in by hand: enrollment, emergency contacts, authorized pick-up, an allergy and care plan, and photo permission. Nothing is typed into this page, so a child's details live only on the paper and in your own files.

Check your state's licensing rules for anything else these forms must hold, and add it.

The enrollment pack

Enrollment form

Please fill this in by hand and hand it back. We keep it in our files, not online.

Your child

Child's full name

Name your child goes by

Date of birth

Start date

Days and hours of care

Parents or guardians

Name

Phone

Address

Second parent or guardian: name

Phone

About your child

Language(s) at home

Naps: when and how

Foods your child eats or does not eat

Anything that helps your child settle

Health (please also fill in the care plan if your child has an allergy or condition)

Doctor or clinic, and phone

Allergies (or 'none')

Conditions we should know about (or 'none')

Parent or guardian's signature: Date:

Check your state's licensing rules for anything else these forms must hold, and add it. Printed from Peabody Teach (teach.peabody.kids/preschool); nothing on it was typed into Peabody.

Emergency contacts

People we may call if we can't reach you. Please choose people who can come within an hour.

Child

Child's name

Contact 1

Name

Relationship

Phone

Contact 2

Name

Relationship

Phone

Contact 3

Name

Relationship

Phone

Parent or guardian's signature: Date:

Check your state's licensing rules for anything else these forms must hold, and add it. Printed from Peabody Teach (teach.peabody.kids/preschool); nothing on it was typed into Peabody.

Authorized pick-up

Only the people named here may take your child home. We may ask to see identification. Tell us in writing to change this list.

Child

Child's name

May pick up

Name

Relationship

Phone

Name

Relationship

Phone

Name

Relationship

Phone

May NOT pick up (if a court order applies, please give us a copy)

Name

Notes

Parent or guardian's signature: Date:

Check your state's licensing rules for anything else these forms must hold, and add it. Printed from Peabody Teach (teach.peabody.kids/preschool); nothing on it was typed into Peabody.

Allergy and care plan

For a child with an allergy or a health condition. Please complete it with your child's doctor. We follow it, and our state's rules on medicine, exactly as written.

Child

Child's name

Doctor, and phone

The allergy or condition

What it is

What to avoid

Signs to watch for

What to do (from the doctor)

Steps, in order

Who to call, in order

Parent or guardian's signature: Date:

Check your state's licensing rules for anything else these forms must hold, and add it. Printed from Peabody Teach (teach.peabody.kids/preschool); nothing on it was typed into Peabody.

Photo permission

Please tick one. You can change your answer in writing at any time.

Child

Child's name

Photos of my child may be (tick one)

☐ Taken and shared only with our own family

☐ Taken for our room's displays, with no names

☐ Not taken

Parent or guardian's signature: Date:

Check your state's licensing rules for anything else these forms must hold, and add it. Printed from Peabody Teach (teach.peabody.kids/preschool); nothing on it was typed into Peabody.

These forms print blank. Nothing about a child is typed here or sent anywhere. No account, no ads.