Free Childcare Form

Infant Feeding Plan & Bottle Authorization

Document an infant's breast milk, formula, bottle schedule, solid foods, feeding preferences, and family instructions.

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Infant feeding, bottle preparation, breast milk storage, food introduction, and documentation requirements vary by jurisdiction. Follow applicable childcare licensing and health requirements.

Infant Feeding Plan & Bottle Authorization

Childcare Infant Feeding Instructions

Infant Information

Child's Full NameDate of BirthClassroom / GroupPlan Effective Date

Milk / Bottle Information

Breast MilkReady-to-Feed FormulaPowdered FormulaConcentrated Formula

Formula Brand / TypeTypical Bottle Amount

Typical Feeding Schedule

Time	Milk / Food	Amount	Instructions

Solid Foods

No solid foods at this timeSolid foods approved by family

Foods Currently EatingFoods Not Yet Introduced / Do Not Serve

Allergies / Reactions

Special Feeding Instructions

Parent / Guardian Authorization

I authorize the childcare program to feed my child according to the instructions above. I will provide updated instructions when my child's feeding needs, formula, foods, allergies, or schedule change.

Parent / Guardian NamePhone

Parent / Guardian Signature

Date

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Infant Feeding Plan & Bottle Authorization

Infant Feeding Plan & Bottle Authorization

Infant Information

Milk / Bottle Information

Typical Feeding Schedule

Feeding Preferences

Solid Foods

Allergies / Reactions

Special Feeding Instructions

Parent / Guardian Authorization