Student File Checklist Sample Contracts

Standard Contracts

STUDENT INFORMATION
Student File Checklist • March 21st, 2012

Enrollment Agreement Form with deposit Automatic Payment Transfer Authorization Kansas Department of Health and Environment Medical Record Official Immunization Record received and confirmed up-to-date Health Assessment has been SIGNED by health care provider Authorization for Emergency Medical Care with NOTARIZED signature Permission Form for Off-Premises Trips CACFP Infant Meal Offer Form (for children 2 years & younger) CACFP Enrollment Form (all children) CACFP Form for Special Diet Needs/Allergies (if needed) Parent Handbook received and Contract signed and returned to Director Other forms as needed: Special Care Instructions Parenting Plan Ziploc Bag with 2 Changes of Clothing (Labeled with child’s name) Backpack (Labeled with child’s name) Six baby bottles to stay at center (if applicable) Biometric Fingerprint System Lead Teacher – Contact Information

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Contract
Student File Checklist • June 10th, 2023

❏ Community Handbook - please read through the handbook on our website under Parents > Documents to familiarize with our policies and procedures, sign, and return the last page

Program Name Course approval #
Student File Checklist • January 27th, 2021
Student File Checklist
Student File Checklist • July 29th, 2021

Record of student denial or removal from program Clinical records (meets minimum hour requirement) Instructor records

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