Parent Handbook Acknowledgment

Childcare Program Policy Acknowledgment

Child & Family Information

Child's Full NameClassroom / GroupParent / Guardian NameChildcare Center

Acknowledgment

I acknowledge that I have received access to the childcare program's Parent Handbook and have had an opportunity to review the policies and procedures that apply to my child's care.

Hours of operation, attendance, arrival, and pickup proceduresTuition, fees, payment schedules, and late payment policiesIllness, health, medication, and exclusion policiesEmergency procedures and emergency contact requirementsDiscipline, guidance, behavior, and classroom expectationsAuthorized pickup and child release proceduresMeals, personal belongings, clothing, and supply requirementsFamily communication, concerns, complaints, and policy updates

Parent / Guardian Confirmation

I understand that I am responsible for following the childcare program's current policies and for asking the program director or administrator if I have questions about any policy. I understand that policies may be updated and that the program may provide notice of those changes.

Handbook receivedQuestions addressed

Comments / Questions

Parent / Guardian Signature

Date

Center Representative Signature

Date