Government Forms
The following forms (our application and government forms) must be filled out in order for your child to attend Jems preschool, along with a current copy of your childs immunization records.
LIC 613A (04/99)
PERSONAL RIGHTS- CHILD CARE FACILITIES
LIC 627 (05/01)
CONSENT FOR EMERGENCY MEDICAL TREATMENT- CHILD CARE CENTERS OR FAMILY CHILD CARE HOMES
LIC 700 (05/00)
IDENTIFICATION AND EMERGENCY INFORMATION CHILD CARE CENTERS
LIC 701 (08/01)
PHYSICIAN'S REPORT - CHILD CARE CENTERS (CHILD'S PRE-ADMISSION HEALTH
EVALUATION)
LIC 702 (07/99)
CHILD'S PREADMISSION HEALTH HISTORY PARENT'S REPORT
LIC 995 (08/02)
