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Daycare Enrollment Packet — Free Digital Template

This is a complete daycare enrollment packet as one online form: child information, parent and guardian contacts, authorized pickup, immunization record, health and allergy details, and the usual consents. Parents fill it in on a phone and sign on the screen. It is free to use, and you can edit every field before you send it.

Use this packet — free

No credit card. Every field is editable once it is in your account.

Last updated August 21, 2026

Enrollment packet — preview

6 sections · 48 fields · nothing here is submitted

01

Child information

Child's full name (required)

Short answer

Date of birth (required)

MM / DD / YYYY

Preferred name or nickname

Short answer

Home address (required)

Street address
City
State
ZIP

Requested start date (required)

MM / DD / YYYY

Classroom or program

Choose one

Options: Infant · Toddler · Preschool · Pre-K · School age

Languages spoken at home

Short answer
02

Parent, guardian and emergency contacts

Parent or guardian 1 — full name (required)

Short answer

Relationship to child (required)

Short answer

Mobile phone (required)

(555) 555-5555

Email address (required)

name@example.com

Employer and daytime phone

Short answer

Parent or guardian 2 — full name

Short answer

Parent or guardian 2 — mobile phone

(555) 555-5555

Emergency contact (not a parent) — name (required)

Short answer

Emergency contact — phone (required)

(555) 555-5555

Emergency contact — relationship (required)

Short answer
03

Authorized pickup

Authorized person 1 — full name (required)

Short answer

Authorized person 1 — relationship (required)

Short answer

Authorized person 1 — phone (required)

(555) 555-5555

Authorized person 2 — full name

Short answer

Authorized person 2 — relationship

Short answer

Authorized person 2 — phone

(555) 555-5555

Anyone who must NOT collect this child

Long answer

Include any custody or court order that affects pickup, and upload it below.

Custody or court order (if any)

Upload a file, or photograph it with a phone camera

I confirm this list is complete and current (required)

Tick to confirm
04

Immunization record

Upload immunization record (required)

Upload a file, or photograph it with a phone camera

A photo of the card is fine — parents can take one from their phone.

Immunizations are up to date for the child’s age (required)

  • Yes
  • No
  • On a catch-up schedule

Exemption on file

  • None
  • Medical
  • Religious or personal belief

Upload exemption documentation (if any)

Upload a file, or photograph it with a phone camera

Date of most recent well-child visit

MM / DD / YYYY

Primary care provider — name and phone

Short answer
05

Health and allergy details

Known allergies

Long answer

List each allergen, the reaction, and what staff should do.

Does the child carry an epinephrine auto-injector?

  • Yes
  • No

Daily or as-needed medications

Long answer

Name, dose, and when it is given.

Chronic conditions (asthma, diabetes, seizures, other)

Long answer

Dietary restrictions

Long answer

Upload care plan or action plan (if any)

Upload a file, or photograph it with a phone camera

Preferred hospital

Short answer

I authorize emergency medical treatment if a parent cannot be reached (required)

Tick to confirm
06

Consents and acknowledgments

Photo and video permission (required)

  • Yes — including social media
  • Yes — internal use only
  • No photos

Permission for on-site activities and neighborhood walks (required)

  • Yes
  • No

Permission for transport on field trips

  • Yes
  • No
  • Not applicable

Permission to apply sunscreen and insect repellent

  • Yes
  • No

I have received and read the parent handbook (required)

Tick to confirm

I agree to the tuition and late-pickup policy (required)

Tick to confirm

Parent or guardian signature (required)

Sign here — draw with a finger or type your name

Date signed (required)

MM / DD / YYYY

What's inside, and why each part is there

Requirements vary by state — check your state's licensing requirements before you send this to a family.

01 · Child information

Every state licensing file starts with the child’s identifying details, and inspectors look for them first. Collecting the date of birth and start date up front is also what lets you work out ratios and room assignments without chasing a parent later.

02 · Parent, guardian and emergency contacts

You need at least one contact who can be reached during operating hours and at least one alternate for the times the parents cannot be. Licensing rules generally require the emergency contact to be someone other than the parents, which is the part most paper forms leave ambiguous.

03 · Authorized pickup

Staff need a written, current list of who may collect the child, and a name given verbally at the door is not one. Keeping this as a field on the enrollment record rather than a separate slip is what makes it easy to keep current when circumstances change.

04 · Immunization record

Immunization status has to be on file before or shortly after the first day in most states, with exemptions documented in whatever form the state accepts. This is the single most common reason a file is marked incomplete at inspection, usually because the parent meant to bring the card in and never did. Download the immunization tracking worksheet (PDF).

05 · Health and allergy details

Allergies, medications and chronic conditions need to be readable by whoever is in the room today, not filed in an office. Asking for the reaction and the response separately is what turns "peanut allergy" into something a substitute can actually act on.

06 · Consents and acknowledgments

Photo permission, activity and transport permission, and the handbook acknowledgment are three separate decisions, and bundling them into one signature is what makes a photo consent unenforceable when a parent objects later. Each gets its own answer here, with one signature covering the packet. Download the enrollment documents checklist (PDF).

Common questions

Is this daycare enrollment packet really free?

Yes. The free plan covers 2 live forms, 25 responses a month and 2 record folders, with unlimited staff accounts, and it does not need a card. If you enroll more children than that in a month, paid plans start at $9.99.

Can parents fill this in on a phone?

Yes. The packet is one link that works in any mobile browser, with no app to install and no account for the parent to create. They can photograph an immunization card straight from the form and sign on the screen with a finger.

Can I change the fields before I send it?

Yes. This is a starting point, not a fixed form. Every section and field is editable once the packet is in your account, so you can match your own handbook, add a section your state asks for, or delete anything you do not need.

Use this packet — free

The AI builds this packet into your account, ready to edit and send.

Informational template — enrollment requirements vary by state; not legal advice. Check your state's licensing requirements for what your program must collect.