Daycare Application Form Template

THE CHILDCARE PROVIDER INTAKE FORM
As a childcare provider committed to delivery exceptional care, you need a well designed child intake form to streamline your registration process. Our newly published daycare enrollment is the ultimate resource that ensure all critical information about each child is systematically recorded and easily accessible, allowing you to provide personalized care to every child. This template is available as PDF and editable PowerPoint PPT in color and black/white.


CONTENT OF THE CHILD CARE ENROLMENT FORM
1. Child's Information

• Start date
• Name
• Birthday and Age
• Address and much more

2. Parent Information (Track up to 2 parent)

• Name
• Occupation
• Home and Office address
• Phone number and Email address
• Departure and arrival time
• People authorized to pick up child

3. People to call incase of emergency (3 contacts)

• Name
• Relationship to child
• Phone 1 and Phone 2

4. Medical Information

• Childs common sickness and emergency treatment
• Doctor's name, phone number, hospital and address details

5. Payment

• Registration fee
• Monthly fee
• Balance

6. Lined Pages

• Additional lined pages at the back to make notes, can also be used as a diary

7. Childcare Provider Details

• Name
• Address
• Email
• Phone number

MORE!!!


Available formats

• PowerPoint (Editable)
• PDF
• 8.5 x 11 inches