Infant Feeding Schedule

Please provide the following additional information required for infants.

Child's Information

(Please complete one form per child enrolled)
Child's Name Child's Name * First Last
Nickname (Preferred Name)
Birthdate Birthdate * / MM / DD YYYY
Start Date at Crossroads Daycare Start Date at Crossroads Daycare * / MM / DD YYYY
Gender *
Feeding Schedule

**Please note all bottles must be brought each day fully prepared and labeled with child's name and date. Bottles will only be warmed in a bottle warmer (not in the microwave).
Is your baby bottlefed or breastfed? *
How many bottles per day? How often? *
How many ounces (per feeding)? *
How does he/she drink feeding? *

How does he/she drink feeding? Warm Cold
Any special feeding instructions?
Is your baby on a feeding schedule? If yes, what is your child's feeding schedule? *
Which baby foods and/or table foods has your baby eaten? Please specify if limited. *
Any food allergies or special needs we need to be aware of? *
Sleeping Behavior

*In the interest of safe sleep practices at Crossroads Daycare, babies sleep only in sleep sacks in their cribs, flat on their backs. If you prefer another method of sleeping, please speak with the Director.
Rest time procedures (rock to sleep, pat to sleep, etc.) *
Where does your child typically sleep? Crib, bed, another place? *
Diapering
Infants are changed a minimum of every two hours or more often as needed. Please initial to approve this diapering schedule. If you'd prefer a different schedule, please list that here instead of your initials. *
Is diaper rash a problem? And, if so, how do you treat it? *
Any allergies/aversions to certain brands of diapers/wipes/ointments?
Miscellaneous
Does your baby have an "unsettled" time? If so, when? And, what do you do to calm him/her? *
What if anything do you do for teething? *
Do you allow the baby to have a pacifier or binkie? If so, when? Just at bedtime? Just when fussy?Or, anytime the child would like it? *
Does your child have any security objects or toys that help him/her feel better when upset?
Please list any special needs your baby has or write none (if it is not applicable)? You may list anything you feel is important for us to understand about your family, work schedule or lifestyle that you feel we should know to provide the highest level of care for your child. *
Mother/Guardian Signature

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Mother Signed: Date Mother Signed: / MM / DD YYYY
Father/Guardian Signature

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Father Signed: Date Father Signed: / MM / DD YYYY

Infant Feeding Schedule

Infant Feeding Schedule

Child's Information

Feeding Schedule **Please note all bottles must be brought each day fully prepared and labeled with child's name and date. Bottles will only be warmed in a bottle warmer (not in the microwave).

Sleeping Behavior *In the interest of safe sleep practices at Crossroads Daycare, babies sleep only in sleep sacks in their cribs, flat on their backs. If you prefer another method of sleeping, please speak with the Director.

Diapering

Miscellaneous

Feeding Schedule

**Please note all bottles must be brought each day fully prepared and labeled with child's name and date. Bottles will only be warmed in a bottle warmer (not in the microwave).

Sleeping Behavior

*In the interest of safe sleep practices at Crossroads Daycare, babies sleep only in sleep sacks in their cribs, flat on their backs. If you prefer another method of sleeping, please speak with the Director.