Infant-Toddler-Preschool Packets - Intake Policy Form
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1Infant/Toddler/Preschool Packets
INTAKE POLICY
Child Name ______________________
Parent Name_________________________
A meeting with the Center Liaison will be conducted prior to any child’s admission to the Girls Club. At that
time, the following policies and procedures will be reviewed and provided to the parent(s). The parent(s) is
asked to read the following policies thoroughly and to call with any questions.
The Girls Club also provides the opportunity for the parents/guardians to visit the classrooms at the time of the
meeting or prior to enrollment of the child. When it is necessary, the classroom coordinator will meet with
parent(s) to complete additional emergency and informational materials prior to the child’s start date.
Paperwork to be returned:
Intake policy
Policies for parent to keep:
Face Sheet
Medical Information Form
Statement of purpose/mission
Individual Health Care Plan
Referral policy
(if needed)
Allergy Plan
Behavior plan
(if needed)
Asthma Plan
Suspension/termination policy
(if needed)
Seizure Plan
Grievance Policy
(if needed)
Authorization & Consent (Child Release)
Organizational Chart
Transportation Plan and Authorization
Health care policy
Developmental History
Parental Rights
Medical Record Form
Snow policy
General Policies
Holiday closures
2.9 Policy or Infant Eligibility
Classroom schedule
Late Pick-Up Policy
Fee agreement
(Private, Basic, Voucher, CPC)
Health Care Policy
Infant Sleep Safety
FPU Transportation Policy
Curriculum Framework
FPU Transportation Consent
Assessment of Children
Transportation Behavior Plan (FPU only)
Food Eligibility Form
Food Enrollment Form
(Infant Only) Daily Routine
ASQ
I understand the above policies as they have been explained to me. The policies have been given to
me for future reference.
Parent/Guardian Signature________________________________
Date_________________
12/10
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