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CHILD ENROLLMENT FORM/COVER SHEET (Required by Massachusetts CCS) Clinton Path Preschool 15 St. Paul Street, Brookline, MA 02446 www.clintonpath.com Tel: 617.731.8415 Child's Name: Date of Birth:
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How to fill out a child's enrollment form cover sheet:

01
Start by gathering all the required information and documents. This may include the child's birth certificate, immunization records, contact information, and any other necessary paperwork.
02
Begin filling out the cover sheet by entering the child's full name, date of birth, and gender. Make sure to double-check the accuracy of this information.
03
Provide the parent's or guardian's contact details, including their full names, phone numbers, and email addresses. It is essential to provide updated and accessible contact information for any future communication.
04
Indicate the child's emergency contact information. This should include the name, relationship, and contact number of at least one reliable emergency contact person.
05
Fill in the primary physician's or pediatrician's details, including their name, clinic or hospital name, phone number, and address. This information is crucial for medical emergencies or routine check-ups.
06
If the child has any allergies or medical conditions, make sure to mention them on the form. Include details about the allergy or condition and any necessary medications or actions to be taken in case of an emergency.
07
Provide information about any required medications that the child needs to take regularly, along with the dosage and administration instructions.
08
If applicable, mention any special dietary restrictions or food allergies that the child has. This is important for ensuring the child's safety and well-being during meal times.
09
Sign and date the cover sheet to certify that all the provided information is accurate and complete. Make sure to follow any additional instructions mentioned on the form, such as attaching supporting documents or obtaining signatures from other parties.

Who needs a child's enrollment form cover sheet:

01
Parents or legal guardians who are enrolling their child in a new school or educational institution will need a child's enrollment form cover sheet. This document is typically required during the registration process to provide necessary information about the child.
02
Educational institutions, such as schools or daycare centers, require a child's enrollment form cover sheet to keep updated records of each enrolled child. It helps in ensuring the child's safety, communication with parents or guardians, and providing appropriate care.
03
Organizations or programs that involve children, such as summer camps or sports clubs, may also require a child's enrollment form cover sheet. This helps in gathering important information to ensure the child's well-being during their participation in the program.
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Child's enrollment form cover sheet is a document used to provide information about a child's enrollment in a particular program or school.
Parents or guardians of the child are typically required to file the child's enrollment form cover sheet.
Child's enrollment form cover sheet can be filled out by providing the child's personal information, contact details, program or school details, and any other required information.
The purpose of child's enrollment form cover sheet is to document the child's enrollment in a program or school and provide necessary information for administrative purposes.
The child's personal information, contact details, program or school details, and any additional required information must be reported on the child's enrollment form cover sheet.
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