Required Forms for Enrollment

Art Beast Child Development Center Admission Agreement

Art Beast CDC Photo Release

The State of California requires a range of forms prior to admission. The forms below can be found on the state licensing website here. Printing and completing these in advance helps expedite the process.

Links:

LIC 613: Personal Rights: Child Care Centers

LIC627: Consent for Emergency Medical Treatment: Required by the State of California

LIC700: Emergency Contacts: Required by State of California

LIC702: Preadmission Health History: Required by State of California

LIC701: Physician's Report: Required by State of California

LIC 995: Notice of Parents' Rights

LIC 9221: Consent to Medicate (for families with a child who may need medication administered such as a asthma inhaler or epi pen.

LIC 627: Consent for Emergency Medical Treatment

Immunization Record: The State of California requires children to have the following immunizations prior to entering childcare:

• DTaP: Four doses

• Polio: Three doses

• Hepatitis B: Three doses

• Measles, Mumps and Rubella: One dose after first birthday

• Hemophilus Influenza type B: One dose after first birthday

• Varicella (Chickenpox): One dose

• TB Test results