Atlanta Child Care | Atlanta Preschool

Parental Agreement

*All fields are required for us to better assist you.

1. Fio360 agrees to provide day care for on (Name Child is Called)
, AM PM to AM PM . (days of week)
From to my child will participate in the following meal plan.
Breakfast	Morning Snack	Lunch	Afternoon Snack	Evening Meal	Bedtime Snack
2. Before any medication is dispensed to my child, I will provide a written authorization, which includes: date, name of child, name of medication, prescription number, if any; date and time of day medication is to be given. Medicine will be in original container with my child's name marked on it.
3. My child will not be allowed to enter or leave the facility without being escorted by parent(s), persons authorized by parents(s), or facility personnel.
4. I acknowledge that it is my responsibility to keep my child's records current to reflect any significant changes as they occur, e.g. telephone numbers, work location, emergency contacts, child's physician, child's health status, infant feeding plans and immunization records, etc.
5. The facility agrees to keep me informed of any incidents, including illnesses, injuries, adverse reactions to medications, exposure to communicable diseases, which include my child.
6. Fio360 agrees to obtain written authorization before my child participates in routine transportation, field trips, special activites away from the facility, and water-related activities occurring in water that is more than two (2) feet deep.
7. I have received a copy and agree to abide by the policies and procedures for Fio360.
Signatures needed upon visit to the facility.