Nanny Fraser

Home Daycare

Contents

Home

Resume

Photos

Parent, ECE and Caregiver Resources

Learn About Cleaning Chemicals

Potentially Hazardous Materials

Reader Submissions of Additional Resources

Childcare Classifieds

FAQ

Parent Handbook

Introduction

Philosophy and Mission

Behaviour Management

Health and Safety

Pick-up and Drop-off

Schedule and Program Plan

Meal Plan

Forms and Contracts

Parent Information

Child Information

Pick-up Authorization

Do Not Authorize for

Pick-up

Parent Agreement Contract

Download PDF Version

Additional Info

Webrings and Promotional Tools

C. Fraser © 2008, Fraser Service Group. All Rights Reserved.

Section 9 (a)

Parent Information Form

If you have trouble printing this document under the current format, you can download the PDF version of the handbook here.

Full name:		Address:
Home #:	Work #:	Cell #:		Other # (specify):
Which of the above phone numbers can you be reached at most easily (home, work, cell or other?) ______________________ (Primary #) Which of the above phone numbers should be called if you cannot be reached at your primary phone number? ______________________ (Secondary #)
Hours requiring childcare (i.e., Mon to Fri, 8AM -3PM):			Child’s first or preferred name:
If you cannot be reached, who can be contacted to act on your behalf?
Primary Alternate Contact		Secondary Alternate Contact
Name:		Name:
Home #:	Other #:	Home #:		Other #:
Relation to your child or family:		Relation to your child or family:
Emergency Contact: In the case of an emergency, who can be contacted if you cannot be reached? (If the same as a contact listed above, simply fill in the name.)
Name:		Additional Emergency Contact details (if any):
Home #:	Other #:
Relation to your child or family:
Additional details, instructions or requests (if any):

Signature:___________________________

Date:_______________