Title Page

  • Child Name

  • Conducted on (Date and Time)

  • Prepared by

  • Location

Child Information

  • Child Name

  • Date of birth

Parents / Guardians

  • Parent / Guardian's Name

  • Contact Number

  • Address

Pick Up/ Drop Off Schedule

  • Choose Schedule

  • Arrival time

  • Pick up time

Payment

  • Mode of Payment

  • Amount

Other Comments

  • Other comments

Sign-off

  • By signing below, the parent agrees to enter their child into daycare under the terms and agreement.

  • Parent's Full Name and Signature

  • Teacher's Full Name and Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.