Registration

Contact Information

Mother's Information

Mother's Employer

Father's Information

Father's Employer

Fill out only if applicable



Emergency Contacts and Person(s) Authorized to remove child from home

Primary Emergency Contact

Secondary Emergency Contact

Person(s) authorized to pick up my child (Besides parents/guardians or emergency contacts)

Daycare references



Consent to Emergency First Aid & Transportation

Consent to Medical Care & Treatment

Consent to Photograph

GUILDFORD CHILDCARE CENTRE will not be responsible for paying for my child's healthcare

GUILDFORD CHILDCARE CENTRE will not be responsible for paying for my child's healthcare




For Out of School Care



Agreement


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