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Childcare Verification Form

This Childcare Verification Form can be used in a child care program to verify that a child is authorized to be in childcare services. The form can also include the child's name and date of birth, the name and address of the child care program, and the name and contact information of the child's parent or guardian.

Time to complete

3 minutes

Eligibility

The Childcare Verification Form must be filled out by the legal guardian(s) of the children.

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Questions for Childcare Verification Form

1.

Child's Name

The answer should be a text input.
2.

Date of Birth

The answer should be a date input.
3.

Age

The answer should be a text input.
4.

Gender

The answer should be a single choice:
  1. Male
  2. Female
5.

Address

The answer should be a text input.
6.

Nationality

The answer should be a country.
7.

Telephone Number

The answer should be a phone number.
8.

Father's Name

The answer should be a text input.
9.

Profession

The answer should be a text input.
10.

Phone Number

The answer should be a phone number.
11.

Office Address

The answer should be a text input.
12.

Mother's Name

The answer should be a text input.
13.

Profession

The answer should be a text input.
14.

Phone Number

The answer should be a phone number.
15.

Office Address

The answer should be a text input.
16.

My child receives the following childcare services.

The answer should be a multiple choice:
  1. Supervise and monitor the safety of children
  2. Prepare and organize mealtimes and snacks for children
  3. Help children keep good hygiene
  4. Change the diapers of infants and toddlers
  5. Develop schedules and routines to ensure that children have enough physical activity, rest, and playtime
  6. Keep records of children’s progress, routines, and interests
  7. Watch for signs of emotional or developmental problems in children and bring potential problems to the attention of parents or guardians
17.

Caretaker's Name

The answer should be a text input.
18.

Gender

The answer should be a single choice:
  1. Male
  2. Female
  3. Other
  4. Prefer not to say
19.

Phone Number

The answer should be a phone number.
20.

I certify that the information I have provided on this form is accurate to the best of my knowledge. And I understand that providing false or misleading information on this form may result in denial of access to the facility.

The answer should be a single choice:
  1. I agree
  2. I disagree

Similar Ideas

  • Child Care Provider Reference Check Form
  • Child Care Provider Background Check Form
  • Child Care Provider Qualifications Form

Here are some FAQs and additional information
on Childcare Verification Form

What is a Childcare Verification Form?

A childcare verification form is a document that is completed by a licensed childcare provider in order to verify that the provider is licensed and able to provide adequate care for the child.

Who can use the Childcare Verification Form?

The Childcare Verification Form can be used by any parent or guardian who needs to verify their child's enrollment in a licensed childcare program.

What is the most important role of a childcare?

Childcare helps support parents in their social and professional endeavours whilst assisting children in reaching important developmental milestones.

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