[heading "Infant Feeding Scheduel"]

    *Your Name

    *Email

    *Parent Phone Number

    [heading "Infant Feeding Scheduel"]

    [text_content "I will provide breast milk or formula listed below to the staff to use for feeding my child while attending child care."]

    [text_content "Please list brand/type of formula or list breast milk or combination that you will be providing and you would like us to use when feeding your child. Also list if you prefer to supply water to mix formula (if sending powder) or would like us to use tap water. Please be sure to label with your child's name any supplies left at child care and any bottle that is brought herel."]

    Breast MIlk

    [text_content "We will not mix with tap water."]

    List Brand of Formula

    Mix With Bottle Watter

    My Baby Prefers the Bottle (Choose One)

    My Child Typically Eats Every (Hrs)

    Inital if you Prefer we Feed on Demand

    How Often Does Child Eat

    How Many Ozs Does Child Eat at Feeding

    Parent/Guardian Sig

    Parent/Guardian Date

    [heading "If an existing client and need a change fill below, new parents skip this step"]

    Please Increase My Child to ___ Ounces at This Time

    Please Increase My Child to ___ Ounces at This Time

    Parent/Guardian Date

    Parent/Guardian Date

    Parent/Guardian Initial

    Parent/Guardian Initial

    [heading "Please Begin Feeding My Baby the Food That I Have Supplied at This Time"]

    [heading "Please Begin Feeding Table Food to My Child"]

    Parent/Guardian Date

    Parent/Guardian Date

    Parent/Guardian Initial

    Parent/Guardian Initial