There are many forms that are required to be on file in order for me to care for your children. Please
call and schedule an interview to learn more about us and to obtain a childcare packet. The packet will include the
following forms which need to be filled out and returned to me on or before the first day of childcare:
Parent Provider Agreement
Enrollment Form
Information for Parents Form
Emergency Preparedness Form
Emergency Medical Authorization Form
Permission For Field Trips
Notification of Dogs on Premises
Permission to Photograph
Proof of Age and Identification
USDA Food Program
Liabilty Insurance Notification
It is also necessary to have a current physical and copy of immunization records on or before the first
day of care. This is now a State Requirement.
Please call me at (540)720-3179
to set up a time to meet.