Please print, complete, and submit originals of below documents to the LPE office:

1.  Child Introduction 

​2. Consent for Medical Treatment- LIC627

3. Identification and Emergency Information - LIC700

4. Physician's Report- Child's Pre-Admission Health Evaluation- LIC701 (this must be submitted within 30 days of your child's first day of attendance)

5. Immunization Record (current) - click here for California child care vaccination requirements

6. Child's Pre-Admission Health History- Parent's Report LIC702

7. Parent's Consent for Administration of Medication- LIC9221 (only needed if/when your child takes medication)

8. Notification of Parent's Rights- LIC995  *Please read Caregiver Background Check Info - LIC 995F

9. Notification of Child's Rights- LIC613A

10. A copy of your child's birth certificate.

11. Photo Release Form

12. Sunscreen Consent Form 

13. Family Contact Form

14. Infant Needs and Services Plan (infants under 24 months only) 

15. Dietary Restrictions Form (only if applicable)

16. Essential Oils Release Form

17. Nebulizer Care Consent/Verification Form (only if applicable)

18. Allergy and Anaphylaxis Emergency Plan (only if applicable)

19. Food Permission Form (2-6 year olds only)

20. Infant Sleep Plan (infants 24 months and under only)

21. Payment of monthly tuition, registration fee, and materials fee 

22. Lead Poisoning Facts Information Flyer