Sample Daycare Registration Form (Page 4 of 5) in pdf

CONSENTS:

Field Trip & excursions

I give permission for my child to go on excursions with the program to places of interest that are

within 25 minutes walking distance from the program facility. I understand that the program will

do it’s best to give me prior notice of these outings. I will receive a specific consent form for

excursions that are more than a 25 minute walk from the facility.

____________________________________ ___________________________________

Parent/Legal Guardian

Daycare Manager

Photos & videos

I give permission for photographs and videos of my child to be used in publicity in which the

program participates (i.e., newsletters, newspaper, CAFN website).

____________________________________ ___________________________________

Parent/Legal Guardian

Daycare Manager

Medical consent

If at any time, due to such circumstances as an injury or sudden illness, medical treatment is

necessary, I authorize the child care staff to take whatever emergency measures they deem

necessary for the protection of my child while in their care.

I understand this may involve calling a physician or nurse, carrying out the instructions given

and/or transporting my child to a health facility, including the possible use of an emergency

vehicle. I understand that any expenses incurred for such treatment, including emergency

transportation, is my responsibility.

____________________________________ ___________________________________

Parent/Legal Guardian

Daycare Manager

Policy Agreement between

Shawkwunlee Daycare

& Parent/Guardian

This agreement certifies that you have read the Parent Handbook and agree to abide by the

Policies as outlined. This agreement must be signed and on file before your child’s enrollment is

finalized.

I, _________________________________, have read the Parent Handbook.

I understand the policies and agree to abide by them.

__________________________________

________________________

Parent/Legal Guardian

Date

Shawkwunlee Daycare Registration Form

Sample Daycare Registration Form Page 4