Free Day Care Authorization Form

Please complete the following form to authorize [Your Company Name] to care for your child.
Parent/Guardian Information
Name
Please provide your email address.
Phone Number
Child's Information
Name
Date of Birth
Allergies/Medical Needs
Emergency Contact (if different from above)
Name
Relationship to Child
Phone number
Authorization
I, the undersigned, authorize [Your Company Name] to care for my child during the agreed-upon hours and to seek medical attention if required in an emergency.
Name:
Date:
Thank you for your submission!
We appreciate you taking the time to submit.
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Ensure proper permissions with this Day Care Authorization Form Template from Template.net. This customizable and editable template provides a structured format for authorizing child pick-ups, medical care, and other essential permissions. Fully editable in our Ai Editor Tool, you can tailor each section to meet your day care’s specific needs, ensuring safe and organized authorization processes.