Daily Child Attendance Record for Child Care Facilities

Daily Child Attendance Record for Child Care Facilities

Shaded section for child care staff use when child leaves and returns to licensee¡¯s care

Date

Child¡¯s Name

(First/Last)

Time

in

Parent/guardian or

authorized person signature

DAILY CHILD ATTENDANCE RECORD FOR CHILD CARE FACILITIES

DCYF 15-942 (REV. 08/2019) EXT

Time

out

Month and Year

Staff

signature

Time

in

Staff

signature

Time

out

Parent/guardian or

authorized person signature

................
................

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