Health Arrival Sign In Departure Sign Out Child’s Name ...
Daily Attendance Record Form
Classroom: _________________________________________ Date: ________________________________________
(month/day/year)
Child's Name
Health Check
(staff initial)
Arrival Sign In
Child's Time-In
Parent/ Guardian/ Escort Signature ? (if applicable).
Departure Sign Out
Child's Time Out
Parent/ Guardian/ Escort Signature (if applicable).
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Child care centers must keep a Daily Attendance Record in accordance with the requirements of the New York City Health Code, Article 47, Section 47.27(a). Daily entries must include at a minimum each child's name and arrival and departure time.
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