Child Enrollment Check off List
All of the following materials and information must be completed and returned to the Center before your child may begin enrollment. All medical forms must be completed on the forms provided by Child Care Administration.
Child's Name:_________________ Birth date:_________________
Class Program:________________ Telephone:_________________
|
Description |
Date Received |
1. |
Application for Admission |
___________________ |
2. |
Parent/Center Agreement |
___________________ |
3. |
Enrollment Application |
___________________ |
4. |
Health Inventory * |
___________________ |
5. |
Health Inventory Addendum (Lead Screening)* |
___________________ |
6. |
Maryland Immunization Certificate * |
___________________ |
7. |
Emergency Contact Card * |
___________________ |
8. |
Medication Permission Slip (As Needed) |
___________________ |
9. |
Food Allergies and Special Diets Log |
___________________ |
10. |
Parent Interest Survey |
___________________ |
11. |
Field Trip Permission Form |
___________________ |
12. |
Infant Toddler Service Plan (As needed) |
___________________ |
Payments Received
Deposit Amount:___________________ Ck#:_________________
Application Fee:____________________ Ck#:_________________
Activity Fee:_______________________ Ck#:_________________
* These forms will be made available as soon as they are released in electronic form
by the State of Maryland Child Care Administration Department. Until that time, please
pick up official forms from the daycare facility.
