Day Care Consent Form
Day Care Consent Form
Please complete this form to provide your consent for your child’s participation in day care activities and care procedures.
Child’s Name
Date of Birth
Parent/Guardian Name
Phone number
Emergency Contact Name
Emergency Contact Number
Consent
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I, the undersigned, authorize the facility to seek medical care for my child in case of an emergency.
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I authorize my child to participate in supervised field trips and day care activities.
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I give permission for the facility to use my child's photos for purposes related to day care.
Date:
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