Child Care Policies

We do not provide care for children who are considered ill.

We offer occasional drop ins 24/7 upon availability.

To book for drop ins you need to call during business hours (Monday to Friday from 7:30am to 6:00pm). Bookings are only scheduled when payed for. We do not offer refunds if services are not used as booked.

First time drop ins are required to fill out the Emergency Contact Information form along with the Emergency Medical Treatment Consent form in case of an emergency. It is the parents or legal guardian's responsibility to notify us if your child has any medical condition, such as allergies of any sort.

A parent’s government issued ID is also needed at the time of the drop in (your child’s safety is our number one priority at our facility).

Emergency Information Form

Child's Name:_____________________________________________

Sex: _____ Birthday:___/___/___ SSN:_________-______-________

Parents'/Legal Guardian's Address:

______________________________City___________State____Zip_____________

Mother's/ Legal Guardian's Name:

Cell Phone:               (______)_______-__________
Home Number:         (______)_______-__________

Work Number:          (______)_______-__________

Father's/ Legal Guardian's Name:

Cell Phone:               (______)_______-__________
Home Number:         (______)_______-__________

Work Number:          (______)_______-__________

 

List two people Versatile Child Care Services can contact in case of any emergency and Parent/ Legal Guardian cannot be reached:

Name: ___________________________________________
Phone Number:  (______)_______-__________

Address:______________________________City___________State____Zip_____________

Name:____________________________________________
Phone Number:  (______)_______-__________

Address:______________________________City___________State____Zip_____________

Emergency Medical Release

In case of emergency, if parents or legal guardians cannot be reached, the child care provider is hereby authorized to take appropriate action in obtaining professional services and arranging necessary transportation. I will pay all costs related to medical treatment and I hereby authorize you to transport my child.

___________________________________________

Parent/Guardian Signature

Date: ___/___/___

Current health information

Physician's Name:_____________________________________________________        

Physician's Phone Number: (______)_______-__________

Dentist's Name:_______________________________________________________

Dentist's Phone Number: (______)_______-__________

Versatile Child Care Services is hereby given permission to contact the physician and/or dentist named above for current health information.

___________________________________________

Parent/Guardian Signature
Date: ___/___/___

Health Plan:___________________________
Medical ID:____________________________

Dates of Most Recent Immunizations

Polio _____
MMR _____
Tetanus Booster _____
DPT/DT _____
Tuberculin Test _____
Negative/Positive Hepatitis B _____
HIB _____

Please circle below if your child has any of the following:

Allergy (insect, medication or food), Contact Lenses, Glasses, Serious Illnesses, Recent Operation(s), Accident, Asthma, Diabetes, Hearing Aid(s), Kidney Disease, Speech Problems, Behavioral/Developmental Problems, Ear Trouble, Heart Disease, Prosthesis, Tuberculosis or Exposure, CMV Shredder, Eye Trouble, Hep B Carrier, Seizures, Chicken Pox, Other______________________________

Please explain any circled items: _________________________________________________________