Admissions Forms

ADMISSION FORMS

The LHBH program, as a Massachusetts State Licensed Center, is required to maintain a file on all registered children.  Parents have the responsibility to return the following completed forms, signed and dated, before a child can attend the LHBH Preschool program.

 Registration Form – initial child registration and information

 Face Sheet – pertinent parent and child information

 Authorized Release Consent Form-1 – written list of persons to whom LHBH can

       release your child to, other than  parents – list any and all adults that may possibly pick-

       up your child at dismissal. Verbal permission will not allow release of a child.

 Emergency, Medical Treatment Consent Form-2 – instructions to contact parents,

        pediatrician, and an emergency contact person if parents are unable to be reached

 Authorization and Consent Form-3 – transportation information, permission to

        take photographs and giving consent to accompany a child around premises

 Developmental History – introductory information on the growth of your child

 Individual Health Care Plan (IHCP) – list chronic health conditions

 Food Allergy Action Plan – stating current allergies and emergency treatment procedures

 Health Record – documentation of a physical performed within a year and a listing of current immunizations