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    • ABOUT
    • Childcare Programs
    • Enrollment Forms
  • Home
  • ABOUT
  • Childcare Programs
  • Enrollment Forms

Enrollment Forms

Please see your provider for a full list of forms required.
LIC 700 LIC 627 BRING: Printed Copy of Immunization Records from DoctorPM 286 CA IMMUNIZATION RECORD LIC 995A parents' rights - Complete the Bottom Section Only - Bring form to provider to complete #7LIC 613A - complete bottom section only - bring form to provider to complete #7LIC 9150 - COMPLETE BOTTOM SECTION ONLY - BRING FORM TO PROVIDERPUB 394 - BRING TO PROVIDER TO COMPLETE, THEN KEEP AT HOMELIC 9227 infant sleep plan (24m & younger)LIC 995E caregiver background check - TO KEEP AT HOMELIC 9212 Family Child care Consumer Awareness - TO KEEP AT HOMEPUB 515 lead exposure notification - TO KEEP AT HOMELIC 9166 nebulizer consent (when applicable)PUB 475 - TO KEEP AT HOMELIC 610A - EMERGENCY PLAN - PROVIDER TO ENCLOSE AT ENROLLMENTPROVIDER HANDBOOK

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