Infant Feeding Schedule – Children's Village

Overview

This form is to be used by families to provide highly detailed information regarding the feeding instructions and sleep arrangements for infants under 12 months of age.

Who is your Child Care Advisor (if unsure, select "I don't know")? *

Your Child's Full Name *

Birthdate *

How many times will your child be fed during childcare hours? *

Food, formula and drinks supplied by PARENT must be clearly labelled with the child's name.

First Feed

What time is your child's first feed?

Hours

Minutes

How much liquid does your child have at their first feed?Specify amount, temperature and type (formula, milk (%) or breast milk).

How much solid food does your child have at their first feed?Specify amount, temperature and type.

Second Feed

What time is your child's second feed?

Hours

Minutes

How much liquid does your child have at their second feed?Specify amount, temperature and type (formula, milk (%) or breast milk).

How much solid food does your child have at their second feed?Specify amount, temperature and type.

Third Feed

What time is your child's third feed?

Hours

Minutes

How much liquid does your child have at their third feed?Specify amount, temperature and type (formula, milk (%) or breast milk).

How much solid food does your child have at their third feed?Specify amount, temperature and type.

Fourth Feed

What time is your child's fourth feed?

Hours

Minutes

How much liquid does your child have at their fourth feed?Specify amount, temperature and type (formula, milk (%) or breast milk).

How much solid food does your child have at their fourth feed?Specify amount, temperature and type.

Fifth Feed

What time is your child's fifth feed?

Hours

Minutes

How much liquid does your child have at their fifth feed?Specify amount, temperature and type (formula, milk (%) or breast milk).

How much solid food does your child have at their fifth feed?Specify amount, temperature and type.

Sixth Feed

What time is your child's sixth feed?

Hours

Minutes

How much liquid does your child have at their sixth feed?Specify amount, temperature and type (formula, milk (%) or breast milk).

How much solid food does your child have at their sixth feed?Specify amount, temperature and type.

Seventh Feed

What time is your child's seventh feed?

Hours

Minutes

How much liquid does your child have at their seventh feed?Specify amount, temperature and type (formula, milk (%) or breast milk).

How much solid food does your child have at their seventh feed?Specify amount, temperature and type.

Eighth Feed

What time is your child's eighth feed?

Hours

Minutes

How much liquid does your child have at their eighth feed?Specify amount, temperature and type (formula, milk (%) or breast milk).

How much solid food does your child have at their eighth feed?Specify amount, temperature and type.

Other Instructions

Special Feeding Instructions *Food, formula and drinks supplied by PARENT must be clearly labelled with the child's name

Location of child while sleeping on the premises *

How often would you like the provider to check on your child while they're sleeping?Frequency of visual checks will be determined by the Parent, Provider and Child Care Advisor; all parties must be in agreement to the schedule of visual checks.

Your Name (Parent/Guardian) *

Parent/Guardian Email Address *

Signature of Parent / Guardian *

Today's Date: *