Please complete these state mandated form and turn in with your registration form.
Please print this form and give to your health care professional to complete. You must have a completed medical form yearly. Please return this form with your registration packet.
If you are enrolling an infant child, please fill out this form and submit with your packet.
Administration of Medication
If your child needs medicine, prescription or over the counter medicine, please fill out this form and return to the center with the medicine in the original packaging.
Health Care Plans
Does your child have an allergy that requires an Epi-Pen? Does your child have asthma? Does your child have seizures? Common illnesses such as these require a Health Care Plan which informs the center staff how to best accomodate your child while in our care. Please fill out this form and return to the center upon registration. If you are not sure whether to complete this form or not, please contact the office at 440-585-2223.