Free Child Care Liability Waiver Form Template
Child Care Liability Waiver Form
Please fill out this form to acknowledge and accept the terms of care and liability for your child.
Parent/Guardian Information
Name
Address
Phone number
Child Information
Child's Name
Date of Birth
Emergency Contact
Name
Phone number
Waiver and Release of Liability
I, the undersigned, hereby acknowledge the inherent risks involved in child care activities. I agree to release [Provider Name] from any liability for injuries, accidents, or illnesses that may occur while my child is under their care, except in cases of negligence or misconduct.
I consent to medical treatment for my child in the event of an emergency.
Parent/Guardian:
Date:
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