Childcare Recordkeeping Form
Please fill out all required information to document childcare activities and daily records.
Child's Full Name
*
First Name
Last Name
Date of Record
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time In
*
Hour Minutes
AM
PM
AM/PM Option
Time Out
*
Hour Minutes
AM
PM
AM/PM Option
Main Activities
*
Meals and Snacks Provided
Mood/Behavior Observed
Please Select
Happy
Calm
Energetic
Upset
Tired
Other
Additional Notes
Staff Member Name
*
Submit Record
Should be Empty: