ENROLLMENT FORMS

Welcome to Laurelwood Preschool

Please complete the following forms and drop them off at Laurelwood Preschool or mail them to:

Laurelwood Preschool
PO. Box 2646
Sunnyvale, CA 94087-0646

All forms must be delivered or postmarked by May 20, 2009 before your child’s position will be secured.

Instructions

• Download forms 1-8.
• Print and complete all requested information on each form.
• Collect items 8, 10, and 11 from your health care provider.
• Write your Student’s and Teacher’s Name on an envelope.
• Put completed forms 1-11 in the envelope.
• Either mail or drop off by May 20, 2009 to secure your child's position

Downloadable Forms

1. Laurelwood Preschool Family Information Form

2. Insurance Waiver and Medical Authorization Form

3. Statement of Responsibility and General Permission Form

4. Acknowledgment of Parent's Right Notification Form

5. State of California Personal Rights Form

6. Emergency Card
Parents are required to notify the registrar and modify these cards in the classroom immediately each time there is a change in any information for the cards.

7. Disaster Release Card
Parents are required to notify the registrar and modify these cards in the classroom immediately each time there is a change in any information for the cards.

8. Physician's Report (Applies to new enrollees only)
Please download, complete and obtain your doctor's signature. All children must have a physical examination completed by his/her doctor within the one year prior to enrollment in the school and be determined to be a "healthy child”. It becomes very difficult to get appointments as spring progresses so we highly recommend you make arrangements for this now.

Additional Documents Required

9. Birth Certificate (Applies to new enrollees only)
Please provide a photocopy of the child's birth certificate.

10. Immunization History (Applies to new enrollees only)
Please provide a photocopy (keep your original) of your child's immunization record. It must include the following minimum required dosages: DTP - 4 doses, Polio - 3 doses, Measles, mumps, rubella - 1 dose, Varicella – 1 dose, Hib Meningitis - 1 dose, Hepatitis B - 3-dose series

11. Negative TB Test (Applies to new enrollees only)
Please provide a copy of a negative TB test for every adult (parents, grandparent, babysitter, etc) who will be working in the classroom. This test must have been given and read in the one year prior to the enrolling child’s association with Laurelwood Preschool. TB tests are available at County Health Departments throughout the area for a nominal fee - call 792-5200 or through your local doctor.