Daycare Water Activity Consent Form
Authorize your child’s participation in supervised water play activities at our daycare. Please complete all fields to provide your consent.
Child's Full Name
*
First Name
Last Name
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email Address
*
example@example.com
Emergency Contact Name & Relationship
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Who is authorized to pick up your child after water activities?
Consent Declaration
*
Parent/Guardian Signature
*
Submit Consent
Submit Consent
Should be Empty: