Update

Update your child's information

* Indicates required field

Parent Name *

First

Last

Email *

Child's Name *

First

Last

Who is your current child care provider? *

Have you changed child care providers since completing your original registration form? *

Do you want to update your address/phone numbers/emergency contacts? If yes, please provide any updates as they may be applicable *

Medical/Individual Needs

May your child participate in physical exercise? *

yes no

Please Comment if there are any medical/individual concerns that may affect your child's ability to participate in physical activity. Does your child require any assistive devices or support to participate in physical activity in a meaningful way? *

List all symptoms/reactions that indicate your child is feeling unwell *

Has your child's medical/individual needs changed since first enrolling? For example: Has your child developed or out grown any allergies/medical conditions? Has your child experienced any communicable diseases (see appendix A)? Are there any changes we should be aware of concerning your child's medical or individual needs? *

Outdoor Supervision

Please select the most appropriate option for your child. *

Constant physical supervision. The child care provider is able to touch the child at any time (appropriate for infants, and children with individual needs/medical concerns Constant visual and auditory supervision. The child care provider is able to hear and or see the child at all times. Other; your child is over 6 years old and may play outside for short periods of time without constant supervision, and/or they may walk themselves to and from school independently. (additional paperwork may be required. Not all premises can safely support this type of outdoor supervision request.)

Outdoor Supervision: Additional comments *

Authorization for Non-Prescription Skin Products:

The following non-prescriptions skin-products mat be applied to my child in accordance with the manufacturer's instructions on the original container (please check off): *

Non-Prescription Skin-Products cont. Please explain what skin products will be provided by the parent/guardian and what the child care provider has agreed to provide. *

Sleeping: Please provide any updates as applicable to your child's sleeping requirements/expectations/needs *

Updated Records

(optional, provide updates as may be applicable)

Updated Immunization Record *

Max file size: 60MB

Updated custody/agreement (attach if applicable) *

Max file size: 60MB

Parent/Guardian Confirmation of Information

Date of Submission (M/D/Y) *

Parent Attestation *

I certify that the information provided within this form is accurate and I will update Little Lambs Home Daycare and my child care provider anytime there are any changes to my child's enrolment information to ensure my child's safety and well-being while in care.

Submit