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Child Care Authorization

Free child care authorization form — a parent authorizes a specific caregiver to make decisions or pick up their child.

This free child care authorization covers Authorized Actions, Period of Authorization, Emergency Contact, Medical Information, Caregiver Information with 12 clearly marked [placeholder] fields to fill in — built for individuals and small businesses handling a straightforward legal document themselves needing a clear, professional document without commissioning custom legal drafting for a routine situation. Copy it into your own word processor, fill in the placeholders, and review it — or adapt it — before use. It's part of docstoc's free document template library, alongside business, legal, real estate, finance, and HR templates. Every template here is free to copy with no signup required, and each one carries a plain disclaimer: this is a starting point for informational purposes, not a substitute for advice from a licensed professional in your jurisdiction.

Template — click to edit

Child Care Authorization

I, [Parent/Guardian Name], parent/legal guardian of [Child's Name], authorize [Caregiver Name] to:

Authorized Actions

[ ] Pick up my child from [School/Daycare Name] [ ] Provide care for my child at [Location] [ ] Authorize emergency medical treatment if I cannot be reached [ ] Make routine decisions regarding my child's care

Period of Authorization

This authorization is valid from [Start Date] to [End Date].

Emergency Contact

Me: [Phone] · Alternate: [Name, Phone]

Medical Information

Allergies: [List, or "None"] · Medications: [List, or "None"]

Caregiver Information

Name: [Name] · Relationship to family: [Relationship] · Phone: [Phone]


Parent/Guardian signature: ______________________ Date: ____________

*If this authorization includes emergency medical treatment consent, keep a copy with the caregiver at all times — a school or hospital will typically want to see it before acting on a non-parent's authorization.*

docstoc.io

Edit directly in the box above. Download PDF anytime — the docstoc.io footer is always included and cannot be removed.

What's included

Who this template is for

Freelancers & solo founders

Handling routine business paperwork without commissioning custom legal drafting for every document.

Small businesses

Standardizing recurring documents — leases, agreements, notices — across a growing operation.

Anyone reviewing before signing

Using a clear starting structure to understand what a document should cover, even if a lawyer finalizes it.

Before involving a lawyer

A solid starting draft to review with counsel, or to use directly for a low-stakes situation.

FAQ

Is this child care authorization template really free?

Yes — this Child Care Authorization template on docstoc is free to view, edit online, and download as a PDF with no account or signup required.

What does this child care authorization cover?

This legal template includes Authorized Actions, Period of Authorization, Emergency Contact, Medical Information. Fill in the [bracketed] placeholders, edit any clause online, then download a PDF — the docstoc.io footer stays on every export.

Is this legal advice?

No. This template reflects common practice, not your jurisdiction's specific requirements. Legal formalities (required language, witness or notarization rules, filing steps) differ by state and sometimes by county — confirm them with a licensed attorney before this document does any real work.

Can I edit the wording?

Yes. All 12 placeholder fields and every clause are editable right on the page — change what doesn't fit, then download an updated PDF anytime.

Where can I find more free templates like this?

Browse more free legal and related document templates in the docstoc library at /document-templates/.

More free document templates

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Templates are drafted for general use, not a substitute for legal advice — check the note on each page for specifics.

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Copy the subject and body directly — no form to fill in, no export step, no waiting on a download link.

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