This form is provided through the State of Michigan Department of Licensing and Regulatory Affairs – Child Care Licensing. A form is required for each child in our care and must be completed and turned into the office before their first day. Emergency Contacts and Release of Child permisssion is included on this document.
Unofficial immunization records from a portal are okay to submit, and are required by your child’s first day of attendance . As you may need time for your pediatrician to complete the form, we can wait up to 30 days from your child’s enrollment date at the ECC for the health appraisal. Forms may also be sent to the Early Childhood office by email, [email protected], or fax, (734) 272-0062.
The following permissions and waivers are updated annually with enrollment.
Please answer the following questions and submit below. The information you provide will be shared with your child’s teachers to help them support their unique needs.
If your child has an action plan for a medical condition such as asthma or a severe allergy, please note it in the enrollment record, and submit a copy of the action plan below. Action plans can also be emailed to the ECC office at [email protected] or faxed to us at (734) 272-0062.