Please complete the three forms in the center column.
The two forms in the right-hand column are completed only if your child needs special medications while at school.
We'll need these completed forms at the time that your child is enrolled. The forms are required by the Ohio Department of Job and Family Services (ODJFS) who is responsible for supervising the state’s child care programs.
When you click on a form link, you can fill it out right on your screen, or save it off to fill out later.
Forms are in Adobe Acrobat format. If you need a free Acrobat reader, click here: Get Acrobat Reader
IF YOU HAVE A PROBLEM downloading the forms, please call us at 740-862-0425 and we will email them as Acrobat or Microsoft Word documents, or we'll provide printed versions.
If your child has a medical condition or requires an EPI Pen or inhaler, you need to complete the two forms below.