Free Day Care Consent Form Template

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

              • I, the undersigned, authorize the facility to seek medical care for my child in case of an emergency.

              • I authorize my child to participate in supervised field trips and day care activities.

              • I give permission for the facility to use my child's photos for purposes related to day care.

              Date:

              Form Templates @ Template.net

              Thank you for your submission!

              We appreciate you taking the time to submit.

              Create free forms at Template.net