If you are starting a daycare service and need help creating the necessary forms, our free printable daycare enrollment forms can help.
Our free printable forms have all the most important enrollment information you'll need from each family, such as the child’s personal information and any special needs, parents’ contact information, emergency and medical contact information, the family’s requested schedule and more.
Keep reading to learn when families should complete these forms and how you must protect the information families provide on the daycare enrollment forms.
Cover all your bases with these free childcare forms to help you get your daycare up and running.
Table of Contents
- When Should Parents/Guardians Fill Out Daycare Enrollment Forms?
- Information Privacy
- Free Printable Daycare Enrollment Form
When Should Parents/Guardians Fill Out Daycare Enrollment Forms?
The best time for a parent or guardian to fill out a daycare enrollment form is before a contract for daycare services is signed by either party and before any services begin.
The information required on the enrollment form is for the protection of the child, and daycare enrollment forms are also vital for the provider.
Our free printable daycare enrollment form formalizes the start of the relationship between the childcare provider and family. Beginning childcare without an enrollment form can create liability for a provider.
Think of the enrollment form as an application for childcare. It is meant to be reviewed by the provider before offering contracts to families.
Information Privacy
Some families may have concerns about the personal information requested in this daycare enrollment form. If this happens, the provider may need to explain why each detail is important.
For example, a child's age, birthdate, and Social Security number are ways to verify their identity. It is also important for a provider to know this information so they can adjust care to the child's developmental stages.
Some families may be worried that the information they are asked to provide in this form will be shared. In fact, the information provided should be used for identity verification only.
The person verifying the identities of those seeking care should sign a non-disclosure agreement before they review enrollment forms. This way, families seeking care can rest assured that their information is protected.
You may need to explain to families how you protect the information on enrollment forms and assure them that their personal information is safe.
Free Printable Daycare Enrollment Form
Most daycare centers are short on time. That’s why we built a free daycare enrollment form that you can easily download and edit to your liking. Click on the image below to get started. Or, you can copy and paste the text we included below into your own document.
Download the Free Daycare Enrollment Form Template!
Text for Form
Thank you for your interest in [Name of Daycare/Child Care Provider)]! We are thrilled to welcome your little one(s) to our program. We understand that choosing a daycare provider is a major decision . Our team is devoted to providing the highest quality care for your child.
Our daycare follows state regulations for [Name of State] and is [Name of Childcare Certifications] certified. To enroll, please complete this form and return it with your proof of eligibility. Also, please include your registration fee of $[Amount]. This registration fee is nonrefundable.
Following submission of this completed form, we will contact you within [Number] business days regarding the approval of your enrollment. If space is limited for your desired time of care and your enrollment is approved, your child will be placed on a waiting list.
Once enrollment is approved, our office administrators will contact you to arrange a time to meet in person and review our policies and procedures. Thank you!
Child Information
Name of Child: _______________________________________________
Child Nickname/Preferred Name (If applicable): __________________
Child Birthdate: __________/_________/___________
Child Age: ____
Gender (Select One): __Male __Female
Grade in School (If Applicable): ________
Name of Parent(s)/Guardian(s): _______________________________________
Child's Home Address:
________________________________________
(Street Name/Address/P.O. Box#/Apt.#)
_________________________________________
(City/State/Zip Code)
Primary Telephone #: (____) ____-___________
Child's Social Security #: ______-______-_________
Special Needs/Considerations of Child: (Medical conditions, developmental considerations, behavioral considerations, medications, unique home circumstances, etc.)
______________________________________________
Allergies: __________________________________________.
Pediatrician's Name: ____________________________________
Pediatrician's Telephone #: (____) ____-________
Do you give permission for [Name of Daycare/Child Care Provider] to contact your child's pediatrician in case of emergency? __Yes __No
Address of Pediatrician's Office:
_________________________________________
(Street Name/Address/P.O. Box#/Apt.#)
_________________________________________
(City/State/Zip Code)
Media Permissions: Do you grant permission for [Name of Daycare/Child Care Provider] to photograph or film your child for security purposes using provider-owned and operated cameras only? __Yes __No
Parent/Guardian Information
Parent/Guardian Name: ____________________________________
Relationship to Child: _______________________________________
Occupation: _______________________________________________
Cell Phone #: (____) _____-________ Work Phone #: (____) ____-________ Ext: _____
Home Address (If Different from Child):
_______________________________________________________
(Street Name/Address/P.O. Box#/Apt.#)
_________________________________________
(City/State/Zip Code)
Driver's License #: ____________________________________________
2nd Parent/Guardian Name: ____________________________________
Relationship to Child: _______________________________________
Occupation: _______________________________________________
Cell Phone #: (____) _____-________ Work Phone #: (____) ____-________ Ext: ______
Home Address (If Different from Child):
_______________________________________________________
(Street Name/Address/P.O. Box#/Apt.#)
_________________________________________
(City/State/Zip Code)
Driver's License # :___________________________________________
Emergency Contacts/Other
Name of Persons (Other Than Parent/Guardian) Allowed to Pick Up Child: _________________________
Relationship to Child: _______________________________________
Occupation: _______________________________________________
Cell Phone #: (____) _____-________ Work Phone #: (____) ____-________ Ext: ____
Home Address:
_____________________________________________________
(Street Name/Address/P.O. Box#/Apt.#)
_________________________________________
(City/State/Zip Code)
Driver's License #: ____________________________________________
Emergency Contact Person Name: _________________________
Relationship to Child: _______________________________________
Occupation: _______________________________________________
Cell Phone #: (____) _____-________ Work Phone #: (____) ____-________ Ext: ____
Home Address:
_____________________________________________________
(Street Name/Address/P.O. Box#/Apt.#)
_________________________________________
(City/State/Zip Code)
Driver's License #: ____________________________________________
Desired Schedule
Desired Days of Care: (Select all that apply) __Monday __Tuesday __Wednesday __Thursday __Friday
Desired Hours of Care: (Select all that apply) __a.m. to __p.m.
Date You Would Like Services to Begin: __________
Date You Would Like Services to End: ___________
Our team will do our best to accommodate your desired start time for services. Please be aware that enrollment depends on availability and is subject to the rules of [Name of Provider].
Please enclose your registration fee and return it to our office at:
[Provider Street Name, Address, P.O. Box, City, State, Zip Code]
Provider Fax #:
Provider Phone #:
Provider Email Address:
Registration fees are accepted in the form of cash, check or credit card. Delay in registration payment or bounced checks will result in a delay of enrollment processing and may result in denial of acceptance.
Parent/Guardian Signature: ________________________________
Date: ___________________
Parent/Guardian Signature: ________________________________
Date: ___________________
Thank you for choosing us for your child's care! We look forward to getting to know you and your child better.
For Administrative Use Only:
Date Enrollment Form Received: ____________
Date Entered Into System: _________________
Check Number: __________
Amount: ________
Get 70+ Editable Daycare Templates for Almost Every Situation
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