Student Drop-off Form
This is the Raising Rebornz Daycare Official Drop-off Form which must be filled out everytime you drop off your child or children. If your child or children are not attending, please select "None of my children are attending tots class" or, "None of my children are attending the babies class."
Hi Parent, What is Your Name?
First Name
Last Name
What is Today's Date?
-
Month
-
Day
Year
Date
Your child or children may be cared for at some point during the daycare day by a Teacher's Aide, whom is fully capable of caring for your child. Is this alright with you? If not, the teacher will be the only one caring for your child or children.
Yes
No
Select the Child or Children you are dropping off to the Tots and Kids Class
Mavis Faulk
Amelia Grant
Brooklyn Grant
Edward Grant
Carly Hint
Freida Hint
Trinity Hint
Nayvee Keenan
Gracie White
No Tots Are Attending Today
Select the Child or Children you are dropping off to the Babies Class
Baby Faulk
Ryleigh Faulk
Chloe Hint
Samantha Hint
Maddison Keenan
Mallory Keenan
Abigail Sargefield
Emma Sargefield
Elexis White
Timmy White
No Babies are Attending Today
Has your child had a fever in the last one hour or more? (Please specify which child)
Has your child been around anyone whom is sick currently? (Please specify which child has been around anyone who is sick.)
Has your child has any diarrhea within the last two days? (Please specify which child has experienced this symptom, and note that if a child experiences this, they cannot come to daycare today)
Did the child or children eat today before coming to daycare?
Yes
No
What is the contents of your family's daycare bag today? Select any of the following. (We infer that for each option you select, there is some for each child)
Diapers (3 for each of my children) (Babies Class Only)
Training Pants (2 for each of my children) (Tots class only)
Wipes (2 packs)
Sippy Cups (One for each of my children) (Tots class only)
Pacifiers (Babies Class Only) ( One per child)
Bottles (One per child) (Babies Class Only)
Bibs (2 Per Child)
Stuffed Animals (One per child) (Tots class only)
Change of Pants (Two Per child)
Change of Shoes (One per child) (Tots class only)
Change of Onesie (2 Per child)
Sweater or Hoodie (1 per child)
Extra Socks (1 pair per child)
Books (1 per child)
Folders (1 per child)
Teething Bibs (One per child) (Please note that we do not allow teething toys unless they are teething bibs, do to healthy classroom goals)
What Time will you be picking up your child or children? (Drop-offs start at 1pm, students must stay at least an hour)
2pm
2:30pm
3:00pm
3:30pm
4:00pm
4:30pm
5:00pm
5:30pm
Do you agree to set a timer on your phone to remember your pickup time, and that only designated pick-up people may pick up your child at the end of the day. Pick up people must fill out a pickup form.
Yes, I agree to this.
Submit
Should be Empty: