Infant / Toddler Enrollment Forms
The following forms are necessary for Infant / Toddler enrollment:
Completing forms is not a guarantee of enrollment, as we may have a waiting list.
Waiting List Form
MRBCCDC Enrollment Application
MRBCCDC Financial Agreement
Health Inventory (state form)
Lead Testing Certificate
Immunization Form (state form)
Diaper Cream Administration Permission (state form)
Emergency Form (state form)
Toddler Cup / Cot Form for Infants transitioning to the toddler room.
Infant Monthly Information Form
Family Handbook Agreement
Parent’s Guide to Regulated Care (Please check with our office for the form verifying receipt.)
Review our Family Handbook here…
Preschool Enrollment Forms
The following forms are necessary for Preschool enrollment:
Completing forms is not a guarantee of enrollment as we may have a waiting list.
Waiting List Form
MRBCCDC Enrollment Application
MRBCCDC Financial Agreement
Health Inventory (state form)
Lead Testing Certificate (state form)
Immunization Form (state form)
Emergency Form (state form)
Parent’s Guide to Regulated Care (Please check with our office for the form verifying receipt.)
Family Handbook Agreement
School Age Enrollment Forms
The following forms are required for all school age programs
Completing forms is not a guarantee of enrollment as we may have a waiting list.
Waiting List Form
MRBCCDC Enrollment Application
Health Inventory (state form)
Lead Testing Certificate (state form)
Immunization Form (state form)
Emergency Form (state form)
Parent’s Guide to Regulated Care (Please check with our office for the form verifying receipt.)
Family Handbook Agreement
before and / or after school care forms
These forms are required in addition to the forms above.
Before and/or After School Financial Agreement
Permission to Transport (permission for our van/bus to transport to and from school)
Alternate Transportation Form (for children riding county buses to and from our center)
Summer Program Forms
The Summer Program Overview Calendar and Field Trip Permission Slips are available from our office. We do not publish specific dates and times of field trips for your children’s safety. Please complete the Summer Program Financial Agreement below in addition to the required forms for all school age programs.
Go to our Programs page and scroll to the bottom for more information about our 2022 Summer Program.
Employment Forms
The following forms are necessary for employment
This is not the complete list. There will be other forms to complete during the interview process and when employment begins. Completion of forms is no guarantee of employment.
Application for Employment
Addendum to Application
Verification of Employment / Reference
Medical Report (state form)
Notarized Release of Information (state form)
Review our Employee Handbook here…
Other Forms…
The following forms are supplemental for specific needs:
Family Orientation Form (to be completed after your child is enrolled)
MRBCCDC Care Plan for Specific Needs
Allergy and Anaphylaxis Action Plan
Asthma Action Plan & Medication Administration
MRBCCDC Food Information Form (for specific food needs)
Medication Authorization Form (must be completed for any prescription or over-the-counter medications, including any topical ointments given for ailments)
Topical Product Administration Form (Diaper cream, bug spray, sunscreen administered for preventives)
The following is for your information:
Family Handbook
Weather Watchers Chart
Family Vacation Request Form
Supply List
Coronavirus Response Plan
easter resources
Resurrection Rolls Recipe and Printable Story