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Please download the appropriate forms, complete them fully and legibly, sign where indicated, and submit to your respective campus.
Authorization of Medication Administration Form (PDF)
To be completed by family and physician (when necessary) authorizing the administration of medication to student while at the school.
Student Information Record (PDF)
To be completed by parent/guardian. Includes emergency contact information individuals student can be released to.
Health Appraisal (PDF)
To be completed by student’s medical provider. Includes immunizations.
Informed Consent Form (PDF)
To be reviewed and completed by parent. Includes authorization and consent for emergency situations, persons the student may be released to; walk permission, photography and video permission, and acknowledgement of the Bright Horizons Family Guide or client equivalent.
Parent Notification of the Licensing Notebook (PDF)
Acknowledgement of center maintaining a licensing notebook which contains licensing reports and related action plans, if applicable. To be signed by parent/guardian.
Statement of Good Health (PDF)
To be signed by parent/guardian acknowledging student is in good health and able to participate in the center’s activities.
Parent/Guardian Phone/E-mail Authorization Form-Optional (PDF)
Authorization for information to be shared with other families.
Sunscreen and Insect Repellent Permission Slip Form (PDF)
To be signed by family; valid for one year dependent upon state licensing regulations.
Photo Release Form (PDF)
Toddler/Twos Developmental History (PDF)
To be completed by family at time of enrollment or when student transitions to the next age group. Provide detailed information to help provide the best care possible to your student.
Preschool/Kindergarten/School-Age Developmental History (PDF)
Specific information about preschool, kindergarten, or school-age children for parent/guardian to complete upon enrollment to help staff become more familiar with each sudent.
Individual Health Plan – Allergies (PDF)
To be completed by the student’s medical provider for a student with medically diagnosed allergies, detailing the child’s allergies, symptoms, and treatments necessary in case of a reaction. Any medication(s) prescribed must be provided to the school.
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