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Free Day Care Registration Form

Day Care Registration Form
Please complete all fields below to register your child for our day care program.
Child's Name
Date of Birth
Parent/Guardian Name
Phone Number
Home Address
Emergency Contact Number
Dietary Restrictions
Allergies
Days of Attendance
Monday
Tuesday
Wednesday
Thursday
Friday
Authorized Pickup Persons
Name
Phone number
Name
Phone number
Additional Information
Parent/Guardian Name:
Date:
Thank you for your submission!
We appreciate you taking the time to submit.
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Streamline the enrollment process with this Day Care Registration Form Template from Template.net. This customizable and editable template provides a structured format for capturing essential information such as child details, parent/guardian contacts, and care preferences. Fully editable in our Ai Editor Tool, you can tailor each section to fit your specific requirements, ensuring an efficient and organized registration process for your day care center.