Family & Childcare
Daycare Center Enrollment Agreement
Daycare center enrollment and consent agreement covering schedule, fees, policies, and emergency procedures. Two signers (center and parent).
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# Daycare Center Enrollment Agreement **Effective Date:** ___________ This Daycare Center Enrollment Agreement ("Agreement") is entered into by and between: **Daycare Center:** ___________ ("Center") **Center Address:** ___________ **Parent/Guardian:** ___________ ("Parent") ## 1. Child Information **Child's Full Name:** ___________ **Date of Birth:** ___________ **Known Allergies or Medical Conditions:** ___________ **Special Needs or Accommodations:** ___________ ## 2. Enrollment Details **Program:** ___________ **Schedule:** ___________ **Enrolled Days:** ___________ **Start Date:** ___________ ## 3. Hours of Operation **Center Hours:** ___________ **Late Pick-Up Fee:** $___________ per ___________ ## 4. Tuition and Fees
Fields (38)
effective date
date · required
center name
text · required
center address
textarea · required
parent name
text · required
child name
text · required
child dob
date · required
allergies
textarea
special needs
textarea
program
select · required
schedule
select · required
enrolled days
select · required
start date
date · required
center hours
select · required
late fee
text · required
late fee interval
select · required
monthly tuition
text · required
registration fee
text · required
supply fee
select · required
payment due
select · required
payment method
select · required
holidays
select · required
vacation credit
select · required
authorized persons
textarea · required
absence notification
select · required
symptom free
select · required
medication
select · required
emergency contact
text · required
emergency phone
text · required
preferred hospital
text
immunizations
select · required
meals
select · required
dietary restrictions
textarea
photo consent
select · required
termination notice
select · required
governing state
select · required
center signer name
text · required
center signer title
text · required
parent signer name
text · required
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