Government Forms

The following forms (our application and government forms) must be filled out in order for your child to attend Jems preschool, along with a current copy of your childs immunization records.

LIC 613A 

PERSONAL RIGHTS- CHILD CARE FACILITIES

LIC 9224

ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS

LIC 700 

IDENTIFICATION AND EMERGENCY INFORMATION CHILD CARE CENTERS

LIC 701 

PHYSICIAN'S REPORT - CHILD CARE CENTERS (CHILD'S PRE-ADMISSION HEALTH
EVALUATION)

LIC 995 

CHILD CARE CENTER - NOTIFICATION OF PARENTS' RIGHTS 

LIC 627 

CONSENT FOR EMERGENCY MEDICAL TREATMENT- CHILD CARE CENTERS OR FAMILY CHILD CARE HOMES