3 minutes
To fill out the Childcare Authorization Form, the individual must be a parent or legal guardian of the child who will be receiving childcare services.
Child's Name
Date of Birth
Age
Gender
Address
Nationality
Telephone Number
Father's Name
Profession
Phone Number
Office Address
Mother's Name
Profession
Phone Number
Office Address
Caretaker's Name
Gender
Type of childcare service
Phone Number
Office Address
I, the undersigned parent or guardian hereby grant the child caretaker the permission to temporarily look after my child.