Child Forms (Forms Required for Enrollment are provided by the office upon request for enrollment)

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• Child Health Assessment/Physical Form (pdf)  This form needs to be completed upon enrollment and again every year at your child's yearly well visit.  For children under 2 years of age a physical form must be completed at ages 18 months and 24 months.​​

• ​Illness Stay Home Chart.pdf (pdf)

• ​​Food Allergy/EPI Pen Action Plan (pdf)

• Asthma Action Plan (pdf)

• Seizure Action Plan (pdf)

• Medication Log (pdf)  (To be completed for any epi-pens, allergy, asthma, or seizure plan medications)

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Parent/Family Enrollment Resources

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• Tadpoles App Download Instructions​ (pdf)

• Sickness Stay Home Chart (pdf)

• Subsidized Care Funding/Child Care Works (CCW) (pdf)

• Immunizations by Age (pdf)

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• Toddler Early Intervention Services

• Preschool Early Intervention Services

• ​Tuition Assistance- ELRC

• PA's State Licensing Regulations

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Please contact the center for the most up-to-date versions of all of the above forms as these may not be the most recent or revised copies and are subject to change.

For a complete enrollment packet please contact our office as all enrollment paperwork is sent via email for electronic completion and signatures using Adobe Sign. 

 

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