Daycare Supplies Order Form

Parent/Guardian Full Name

First NameLast Name

Parent/Guardian Email Address

example@example.com

Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Child's Full Name

First NameLast Name

Child's Age Group/Class

Diapers (Pack)

Disposable diapers, pack of 30

$18.99QuantitySize

Wipes (Pack)

Hypoallergenic baby wipes, pack of 80

$5.99Quantity

Formula (Can)

Infant formula, 400g can

$24.50Quantity

Snacks (Box)

Healthy snacks for toddlers, assorted box

$12.00Quantity

Change of Clothes

Spare set of clothes for child

$15.00QuantitySize

Bedding Set

Sheet and blanket set for nap time

$28.00Quantity

Sunscreen (Tube)

Child-safe sunscreen, 100ml tube

$9.99Quantity

Art Supplies Kit

Crayons, paper, and coloring book

$10.50Quantity

Toothbrush & Toothpaste Set

Child-size toothbrush and toothpaste

$6.50Quantity

Total

Preferred Delivery or Pickup Method

Preferred Delivery/Pickup Date

Date

Delivery Address (if different from child's regular address)

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Does your child have any allergies or special supply needs?

Additional Notes or Instructions