Daily Child Attendance Record for Child Care Facilities

Shaded section for child care staff use when child leaves and returns to licensee’s care Month and Year      
Date Child’s Name Time Parent/guardian or Time Staff Time Staff Time Parent/guardian or
(First/Last) in authorized person out signature in signature out authorized person
signature signature
                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

DAILY CHILD ATTENDANCE RECORD FOR CHILD CARE FACILITIES

DCYF 15-942 (REV. 08/2019) EXT
 Daily Child Attendance Record for Child Care Facilities

DAILY CHILD ATTENDANCE RECORD FOR CHILD CARE FACILITIES

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