Daycare Tuition Program Enrollment Form
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1
2Preschool Daycare Enrollment Form
Child Information
Child’s Name_________________________________Date of Birth______________________Sex__________
Address___________________________________________________Teacher__________________________
Field Trip Authorization
I give permission for my child(ren)____________________________to attend field trips away from the site.
This will be by walking only.
Signed:________________________________________________________Date:_______________________
Picture Release
I give Ottumwa Preschool Daycare permission to take pictures of my child(ren) for school purposes only.
Signed:________________________________________________________Date:_______________________
This is to verify that I have read The Ottumwa Preschool Daycare Parent Handbook and Handouts. I agree to
comply with the policies outlined in the parent handbook.
Signed: ________________________________________________________Date: ______________________
Signed: ________________________________________________________Date:_______________________
PARENTAL EMERGENCY MEDICAL CONSENT
This form must be presented upon admission for treatment
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Parent category: Education