Form doh 4419-2025

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4.7 out of 5

37 votes

The document is a Child Enrollment Form for Day Care Homes, designed for parents or guardians to provide essential information about their child(ren) enrolling in a daycare program. It includes sections for personal details, ethnic and racial information, care schedules, infant feeding statements, and contact information for the parent or guardian. Additionally, it outlines compliance with federal non-discrimination laws.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the name of your Day Care or Owner/Operator at the top of the form. If there is a different on-site provider, fill that in as well.
For each child, provide their name, child number, and date of birth. Indicate their gender by checking the appropriate box.
Select the ethnic and racial information for each child from the provided options. This helps in understanding diversity within your care environment.
Fill in the primary language spoken at home and check any applicable boxes regarding the child's status (e.g., resident child, special needs).
Specify care hours by entering start and end times, along with days of care and meals provided during that time.
Complete the infant feeding statement if applicable, indicating who will supply food for infants under one year old.
Finally, provide contact information for the parent/guardian and ensure they sign and date the form before submission.

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Versions	Form popularity	Fillable & printable
2024	4.5 Satisfied (29 Votes)
2019	4.1 Satisfied (54 Votes)
2012	4.7 Satisfied (37 Votes)

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