Free Child Care Consent Form Template
Child Care Consent Form
Please complete and sign this form to give consent for child care services. Ensure all sections are filled out accurately to avoid any delays.
Parent/Guardian Information
Name
Date of Birth
Phone Number
Child Information
Name
Date of Birth
Child Care Provider Information
Name
Phone number
Consent Details
I, the undersigned, hereby give consent for my child listed above to receive care from the above-named provider.
Parent's/Guardian's Name:
Date:
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