Indiana Code Title 12. Human Services § 12-17.2-6-7

Sec. 7. The operator of a child care ministry registered under section 2 of this chapter shall provide a notice to the parent or guardian of a child enrolled in the child care ministry.  The notice must be signed by the parent or guardian when the child is enrolled in the child care ministry and must be kept on file at the child care ministry until two (2) years after the last day the child attends the child care ministry.  This notice must be maintained by the child care ministry and made available to the division upon request.  The notice must be in the following form:

“I understand that this child care ministry is not licensed under the laws of Indiana.  However, I understand that this child care ministry must comply with the state rules concerning sanitation and fire and life safety for the primary use of the structure in which it is conducted.  I understand that it is my responsibility to ensure that the nutritional and health needs of my child are met while my child is at the child care ministry.