Child Care Authorization

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Child Care Authorization

Date:

To: Whom it May Concern

The purpose of this letter is to advise you of the authority given to _________________ (“Child Care Provider”) over _______________________________________ (“Minor Children”).

This grant of temporary authority shall begin on _____________ and end on __________, unless terminated earlier by any of the undersigned.

The above Child Care Provider shall have the absolute and final authority to:

1. Seek appropriate medical treatment or attention on behalf of the Minor Children as may be required by the circumstances, including but not limited to, medical doctor and/or hospital visits.

2. Authorize medical treatment or medical procedures in an emergency situation.

3. Make appropriate and necessary decisions regarding clothing, bodily nourishment, and shelter.

4. Explain absences from school; pick Minor Children from school.

5. Sign release forms for sports and field trips.

Thank you for your understanding, cooperation and prompt adherence to this authorization.

Yours very truly,

________________ _________________ _________________

Parent 1 Parent 2 Child Care Provider

________________

Names of Children;

Social Security Numbers, if available