top of page

Enrollment Forms

If you need assistance with completing our paperwork, or if you have any other questions, please contact us. *Full Enrollment Packets are disbursed at tours. These State Forms may also be used for bi-annual renewals/updates for all actively enrolled families!

Child Health Report

Required State Form

A Child Health Report is the responsibility of the legal parent/guardian of the child, to be completed as required per PA DHS & OCDEL. Children under the age of 2 need to have this form updated every six months. Children age 2 and older need to have this form updated every one year.

Emergency Contact

Required State Form

An Emergency Contact is the responsibility of the legal parent/guardian of the child, to be completed upon registration and should be updated every six months, or sooner should personal information change for a family.

Medication Log

Required State Form (when applicable)

A Medication Log is the responsibility of the legal parent/guardian of the child, to be completed any time an over the counter or prescription medication will be sent in and needed to be administered by JJCC LLC Staff, to your child.

 

Over the counter medications only require this form to be completed.

 

Prescription medications will require this form to be completed and a prescribing Physicians or Doctors medical note affirming the prescription information, instructions and details. All original RX labels and storage must be in tact.

Medications of any kind may not be expired or missing an expiration date. A medication is considered as anything with an "active ingredient" or a "keep out of reach of children" or similar warning labels.

Child Daycare Agreement

Required State Form

A Child Daycare Agreement is the responsibility of the legal parent/guardian of the child, to be completed upon registration and should be updated every six months, or sooner should any personal information change or if the child's plans in attendance should need change.

obj_attachment_edited_edited.jpg

GET ON OUR WAITLIST!

SCHEDULING TOURS NOW, FOR 2024 SPRING, SUMMER & FALL ENROLLMENTS!

IN ORDER TO SCHEDULE A TOUR, YOU MUST FIRST SIGN UP FOR OUR WAIT-LIST TO ENSURE WE HAVE ALL APPROPRIATE INFORMATION NEEDED!

https://app.waitlistplus.com/JJCCLLC/Portal/Signup

bottom of page