Early Childhood Center Enrollment Paperwork

To enroll your child in the ECC for the 2024-25 school year, the following paperwork must be completed before your child’s first day of attendance:

1. Child Information Record

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.

Child's Name
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Accepted file types: pdf, png, jpg, word, Max. file size: 128 MB, Max. files: 1.

    2. Health Appraisal and Immunization Records

    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.

    Child's Name
    Drop files here or
    Accepted file types: pdf, png, jpg, word, Max. file size: 128 MB, Max. files: 6.

       

      3. Permissions and Waivers

      The following permissions and waivers are updated annually with enrollment.

      Parent/Guardian Filling Out this Form(Required)
      Child's Legal Name(Required)
      Insect Repellent (Select one):(Required)
      I give permission for the JCC to use Photos/media of my child for these external uses (select all that apply):(Required)
      No names or other identifying information will be used with any external use of photos/media
      Please type your name to indicate your understanding an agreement to the above Waivers and Permissions
      MM slash DD slash YYYY

       

      4. Enrollment Record

      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.

       

      5. Medical Action Plans (if your child has one!)

      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.

      Child's Name
      Drop files here or
      Accepted file types: pdf, png, jpg, word, Max. file size: 128 MB.