Enrollment Form

Licensing regulation stipulates that all children entering Little Elephant Learning Center must have the following forms complete and signed before attendance:

 Physician’s Reports- child care center

 Child’s Preadmission Health History

 Consent for Emergency Medical Treatment

 Identification and Emergency Information

In addition to the forms above, Little Elephant Learning Center requires the following information and/or forms completed and signed before attendance:

 Copy of the child’s current immunization

 Admission Agreement

 Child Enrollment Form

 Copy of Parent’s driver ‘s license or identification card

Other documentation required may include:

 Birth certificate for verification of child’s birth date

 Documentation of negative TB results for child within one year of entrance

It is important that Little Elephant maintain current and accurate records on each child so that parents can be contacted in case of an emergency. The child’s enrollment form must be kept current at all times. Your child’s current immunization record must be received prior to or at the time of enrollment and must be kept current at all times. It is your responsibility to notify the center of any changes. Our policies do not allow staff to make copies of forms and other documents or provide testimony, verbally, or in writing, about any child.

Please Download The Enrollment Form

If you have any questions or suggestions, please let us know.