Child Enrollment Form for Day Care Homes Child Enrollment Form for Day Care Homes 2026

1. Click ‘Get Form’ to open the Child Enrollment Form in the editor.
2. Begin by entering the Provider number and the name of the Day Care or Owner/Operator at the top of the form.
3. Fill in the On-Site Provider's name if it differs from the owner/operator, followed by entering each child's name and date of birth. Select their gender by checking either 'Male' or 'Female'.
4. Indicate each child's ethnic and racial information by selecting one option from each section provided.
5. Check any applicable boxes regarding special circumstances such as if the child is a resident child or related to the provider.
6. Complete the hours, days, and meals section by specifying when care begins and ends, along with which days care is provided.
7. If applicable, fill out the Infant Feeding Statement for children under one year old.
8. Finally, provide contact information for both parents/guardians, including names, email addresses, home address, and phone numbers. Don’t forget to sign and date at the bottom.

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