Free Child Care Enrollment Form Template
Child Care Enrollment Form
Please fill out the information below to enroll your child in our child care program. All fields are required for processing your enrollment.
Parent/Guardian Information
Name
Date of Birth
Phone Number
Address
Child Information
Name
Date of Birth
Allergies or Special Needs
Emergency Contact Information
Name
Phone number
Preferred Start Date
Consent
By signing below, I consent to my child’s enrollment in the program and agree to the terms of the child care center.
Name:
Date:
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