Daily Attendance Record Form
Classroom: _________________________________________ Date: ________________________________________
(month/day/year)
Child care centers must keep a Daily Attendance Record in accordance with the requirements of the New York City Health Code, Article 47, Section 47.27(a).
Daily entries must include at a minimum each child’s name and arrival and departure time.
Child’s Name
Health
Check
(staff initial)
Arrival Sign In
Departure Sign Out
Child’s Time-In
Parent/ Guardian/ Escort
Signature (if applicable).
Child’s Time Out
Parent/ Guardian/ Escort
Signature (if applicable).
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