Quality Care
Early Learning Education Center for Infants & Toddlers
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Enrollment

Licensing forms for the initial in-service meeting.

enrollment forms

·   Personal Rights (LIC 613)      http://www.cdss.ca.gov/cdssweb/entres/forms/English/LIC613A.PDF

·   Consent for Medical Treatment (LIC 627)       http://www.cdss.ca.gov/cdssweb/entres/forms/English/LIC627.PDF

·   Emergency Information (LIC 700)  http://www.cdss.ca.gov/cdssweb/entres/forms/English/lic700.pdf

·   Child’s Physician’s Report (LIC 701)      http://www.cdss.ca.gov/cdssweb/entres/forms/English/LIC701.pdf

·   Preadmission Health History (LIC 702)    http://www.cdss.ca.gov/cdssweb/entres/forms/English/LIC702.pdf

·   Parents’ Rights (LIC 995)  http://www.cdss.ca.gov/cdssweb/entres/forms/English/LIC995.PDF

·   Caregiver Background Check (LIC 995E)  http://www.cdss.ca.gov/cdssweb/entres/forms/English/LIC995E.PDF

·   Immunization Records (copy)