Free Child Care Registration Form Template
Child Care Registration Form
Please fill out the form below to register for child care services. Ensure all information is accurate to help us provide the best care for your child.
Child's Name
Date of Birth
Gender
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Male
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Female
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Other
Parent/Guardian Name
Relationship to Child
Phone number
Emergency Contact Name
Emergency Contact Phone Number
Preferred Care Schedule
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Full-time
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Part-time
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Drop-in
Special Needs/Allergies
Thank you for choosing us for your child care needs!
We appreciate you taking the time to submit.
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