Enrollment form builder
Most enrollment templates online sit behind an email wall and arrive as a vendor's marketing asset. This one is a working packet you edit in the page and print. Nothing you type leaves the browser tab.
Edit any line, add your own, then print. Everything stays in this browser tab.
The child
- •Child's full name, as it appears on the birth record
- •Date of birth and start date
- •Home address
- •Languages spoken at home
- •Days and hours of care requested
Guardians and pickup
- •Guardian 1: name, relationship, mobile, employer, work phone
- •Guardian 2: name, relationship, mobile, employer, work phone
- •Custody or court order on file? Attach a copy
- •Two emergency contacts who are not the guardians
- •Who may collect the child, with photo ID on first pickup
Health
- •Doctor and dentist: practice, phone, last visit
- •Immunisation record attached and dated
- •Allergies, with the reaction and the treatment
- •Medications given during care, with written authorisation
- •Chronic conditions and the written action plan
- •Dietary restrictions and whether they are medical or religious
Authorisations and signatures
- •Permission to photograph, and where photos may appear
- •Permission for sunscreen, insect repellent and nappy cream
- •Permission to walk to the park and to travel by vehicle
- •Consent to emergency medical treatment
- •Handbook received and read — signature and date
Four sections, in this order
The packet that works has four parts and they go in this sequence: who the child is, who may collect them, what a caregiver needs to know medically, and what the guardian is authorising. Families fill the first two easily, stall on the third, and skip the fourth unless the signature line is on the same page as the clause.
Keep authorisations with signatures. A permission buried three pages from the signature is a permission you will be arguing about later.
Licensing requirement
Collect what the licence requires, and stop
State rules set a minimum: emergency contacts, immunisation status, authorised collectors, medical consent. Collecting more than you need is a data-protection liability, not a courtesy — you are storing a family's medical and custody details in a filing cabinet in a nursery.
The pickup list is the safety-critical part
Names alone are not enough. Record the relationship and require photo ID the first time an authorised person collects, and write into the handbook that staff will ask. Teachers who have been told to ask do not have to make the decision alone at the door.
Custody orders belong in the file, not in a conversation. Ask directly whether one exists, take a copy, and note who is not permitted to collect — that field is the one a member of staff will need at 5pm on a bad day.
Health, allergies and medication
An allergy line is only useful if it names the reaction and the treatment. Record what happens, what to give, where it is kept and who has been trained to give it, and attach the written action plan.
Medication needs a written authorisation from the guardian, and most states require a separate one for each medication with dates. Build the form so a verbal request at drop-off cannot become a dose.
Keeping it current
An enrollment packet is out of date within a year. Phone numbers change, employers change, immunisations advance, allergies appear and resolve.
Re-issue the health and contact pages annually on a fixed date rather than on each child's anniversary, so the review is one afternoon a year instead of a rolling task nobody owns.
Sources
- Child Care Licensing — Childcare.govfetched 2026-09-04
- National Database of Child Care Licensing Regulations (HHS/ACF)fetched 2026-09-04