Childcare Camera Access Request Form
Request access to childcare center camera footage or live viewing as a parent or guardian.
Your Full Name
*
First Name
Last Name
Relationship to Child
*
Please Select
Parent
Guardian
Grandparent
Other
Your Email Address
*
example@example.com
Your Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Child's Full Name
*
First Name
Last Name
Type of Access Requested
*
Live Viewing
Recorded Footage
Date(s) of Interest
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time(s) of Interest (if applicable)
Room or Area of Interest
Reason for Request
*
Submit Request
Should be Empty: