Consent for Child to Leave Program
This consent form allows parents to give permission for their children, ages 9 and older, to leave the childcare program for various activities. Also includes a sample Contract that may be used by the child and the childcare program.
Child's Enrollment Form
This form may be used by child care providers when a new child enrolls in the program.Designation of Administrative Authority
This form is completed by child care providers to designate person(s) to fulfill role as Program Administrators.Developmental History and Background Information
This form, completed by parents, describes their child's developmental history, health, and habits.First Aid and Emergency Medical Care Consent Form
This form, signed by parents, allows child care staff to provide medical care as necessary.-
Incident Action Plan
This form, completed by child care providers, documents child incidents occurring at program and the program's efforts to identify and respond to the child's issues and concerns. Incident Log
This form is used to document all injuries, behavioral incidents, property destruction, and emergencies at child care facilities.Injury Report Form and Instructions
This form is used to document injuries to children in Group Child Care and School Age programs.Medication Administration Record
This form documents what types of medication has been administered to children while at the facility.Medication Consent Form
Parents need to fill out this form in order to provide consent to child care staff in administering medication while the child(ren) are under staff supervision.-
Observation Record
Use this document to measure compliance with child care rules and regulations. Off Site Activities Permission Form
This permission form, signed by parents, allows their child to participate in off-site activities.A Guide to Sanitizing and Disinfecting
Staff Orientation Checklist
This form identifies topics and subject matter that must be part of a new child care staff's orientation.Educator and Staff Schedule
This provides an account of each staff member's schedule.Verification of School Age Work Experience
This form is completed and signed by School Age Program staff to verify their work experience with school age children.-
Transportation Plan and Authorization
Parents will fill out this form to document how the child will be transported to and from the child care facility. Statement of Compliance with Background Records Checks
This form must be completed by the Licensee or Reviewer (employer) and placed in the employee's personnel file when CORI and DCF Background Records Responses are reviewed.-
Parent Questionnaire