Child Care Authorization Form

Create Household Form examples like this template called Child Care Authorization Form that you can easily edit and customize in minutes.

Text in this Example:

Child Care Authorization
Parent(s)/guardian(s) granting this child care authorization
Full name of the caregiver to whom temporary power is being granted
The caregiver is being granted temporary power over the following children:
Child 1
Child 2
Child 3
Child 4
Child 5
Child 6
Until terminated by the undersigned parents or guardians
This authorization will terminate on the following date:
Effective Date
Caregiver Powers
The caregiver shall have the following powers with regard to the above-named children (check all that apply):
To seek medical care for the children, including, but not limited to, visits to the doctor and/or hospital.
To authorize medical treatment or medical procedures in the event of an emergency situation.
To provide food and shelter for the children, and to make decisions regarding their day-to-day activities.
To transport the children in the caregiver's car, including authorization to pick the children up from school or daycare.

By continuing to use the website, you consent to the use of cookies.   Read More