Daycare Late Pick Up Form

Keep a record of after-hours pickups, including the reason and the parent or guardian's acknowledgment.

Use this template

Parent/Guardian's Name

First Name

Last Name

Email

Phone Number

Child's Name

First Name

Last Name

Late Pick Up Date

Late Pick Up Time

Reason for Late Pick Up

Acknowledgment

I confirm that I have read and accept the daycare's late pick-up policy.

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