Parent Policy Acknowledgment

Version 2026.2 · Effective August 24, 2026

Family and child

• Child’s full name: ______________________________________________
• Parent/guardian name(s): ________________________________________
• Enrollment date: ____________________

Documents received or made available

I acknowledge that I received or was given access to the documents listed below, had an opportunity to review them and ask questions, and understand that applicable forms may be provided separately for my child’s care:

☐ Parent handbook

☐ Childcare contract

☐ Enrollment and health forms provided for this child

☐ Applicable conditional or supporting forms

☐ Parent Policy Acknowledgment

Parent responsibilities

I agree to:

• Provide complete and accurate enrollment, emergency, health, immunization, and authorization information.
• Notify Teida’s Tots promptly when required information changes.
• Follow the contract’s schedule, payment, absence, closure, notice, and late-pickup terms.
• Follow illness-exclusion and pickup procedures.
• Keep authorized pickup information current and ensure that authorized persons can provide identification when requested.
• Review policy updates provided by Teida’s Tots.

Document relationship

The childcare contract contains the binding enrollment and payment terms. The parent handbook contains the detailed operating procedures. If the documents conflict, the current contract’s conflict-control language will govern. This acknowledgment does not replace either document and does not modify the contract.

Signatures

• Parent/guardian signature: ______________________________________
• Printed name: _________________________________________________
• Date: ____________________

• Provider signature: ____________________________________________
• Printed name: _________________________________________________
• Date: ____________________