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