Enrollment Policy, Procedures and Requirements

Fully executed Parent Provider Agreement Required

Must be fully executed with a wet signature before your child’s first day.

Parents' Handbook Required

The last page of the handbook, signed with a wet signature.

Child Birth Certificate Required

Family Picture

If Possible

Emergency Form Required

OCC 1214

All About My Child Required

Helps us learn your child’s routines, comforts and preferences.

Health Inventory and Assessment OCC 1215

Completed by a parent and a health care provider

Immunization Certification Form MDH 896

Medication Administration Authorization Form OCC 1216

Parents must complete one for each medication

Health History Form OCC 1285

Allergy Action Plan

Must accompany OCC 1216

Asthma Action Plan and Medication Administration Authorization Form 1216A

Allergy and Anaphylaxis Medication Administration Authorization Form 1216B

Seizure / Convulsion / Epilepsy Disorder Medication Administration Authorization Form 1216C

Special Health Condition Individualized Care Plan Checklist 1216D

Topical Basic Care Product Application Approval 1216E

Medication Error Incident Report 1216F

Evidence of Blood-Lead Testing MDH 4620

If applicable

Infants & Toddlers

Clothing

Rest Time

Footwear