Learn N Play Home Child Care & Early Learning






~~ MY DAYCARE FORMS ~~


You are free to use these forms as a guide to your own forms. All terms in these forms are subject to Iowa state law and change at my discretion.

Please DO NOT use these forms word for word [make a change or two] or link to my forms from your site using them as your own. Many providers were gracious in allowing me to view their forms in order to gain some ideas when I first started my daycare. If you would like to use them as an example you may do so, but link to this site at

*Note -- bringing the completed contract/enrollment forms to an interview doesn't mean your child is enrolled.*



Forms were last updated in March 2017



| Business General | Business Financial | Enrollment & Registration | Reports & Logs |

*You will need Acrobat Reader to view some of the following files*
*You will need Microsoft Word Viewer to view some of the following files*
*You will need Microsoft Excel Viewer to view some of the following files*






Business General
Parent Welcome Letter Word PDF HTML
Personal Provider Information [example] Word PDF HTML
Emergency Phone Numbers of Enrolled Clients Form-By-Phone [example] Word PDF HTML
Ouch Report Word PDF HTML
Monthly Medicine Record Form Word PDF HTML
Potty Training Policy Word PDF HTML
Special Activity Permission Form Word PDF HTML
Calendar for Off-Premise/Fieldtrips Permission Form Word PDF HTML
Your Child was Disciplined Today Word PDF HTML
Asthma Action Plan Word PDF HTML
Nebulizer Care Consent/Verification Word PDF HTML
Illness Report Word PDF HTML
Record of Physical Observation (at drop-off & pickup) Word PDF HTML
FORM NAME Word PDF HTML



Business Financial
Last Day Notice Word PDF HTML
Probation Period Notice Word PDF HTML
Important Notice Regarding Your [Childcare] Account Word PDF HTML
Delayed Fee Payment Contract Word PDF HTML
Letter of Intent/Enrollment Contract -- Block Grant/Promise Jobs Word PDF HTML
Letter of Intent/Enrollment Contract -- Private Pay Word PDF HTML
FORM NAME Word PDF HTML


Enrollment & Registration
Policy & Procedures [Parent Handbook] *updated April 2017 Word PDF HTML
Infant Information Word PDF HTML
Child Intake Form Word PDF HTML
Child Information Table Word PDF HTML
Emergency Medical Treatment Authorization Word PDF HTML
Parental Permissons Word PDF HTML
Daycare - Non-Prescription Drug Release Form Word PDF HTML
Infant/Toddler/Preschool Health Status Word PDF HTML
Infant/Toddler/Preschool Physical Word PDF HTML
Certificate of Immunization {IDPH] Word PDF HTML
Certificate of Immunization Exemption [IDPH] Word PDF HTML
Parents - Non-Prescription Drug Release Form Word PDF HTML
FORM NAME Word PDF HTML


Reports & Logs
Signin/Signout Worksheet [Legal paper] Word PDF HTML
Smoke Detector Monthly Check Excel PDF HTML
Emergency Drill Record Word PDF HTML
"In Case Of" Fire/Tornado stickers (print on paper) Word PDF HTML
Refrigerator & Freezer Temperature Log Word PDF HTML
Checklist for Child(ren)'s Record Word PDF HTML
Telephone Interview Checklist Word PDF HTML
Daycare Continuing Education Record {trainings} Word PDF HTML
Monthly Substitute Hours Word PDF HTML
Diaper Change Form Word PDF HTML
Daily Attendance Record for “Part-Time” Hours [DHS] Word PDF HTML
First Aid Checklist Word PDF HTML
Children's Illness Log Word PDF HTML
FORM NAME Word PDF HTML









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