Child Care Required Forms for Admission

All parents and guardians are REQUIRED to provide their child's forms for admission prior to their child attending the child care program. Maryland child care regulations require the Child Care Division, as your child care provider, to maintain these required forms for your child while they are in attendance at our program.    
   
Please understand that your child(ren) will NOT be permitted to attend without this information on file at the child care center. 

Please be advised that SACC/CEC operates as a separate entity from the school. Therefore, it is the parent’s responsibility – NOT the school’s responsibility - to provide the forms listed below.   

First time in any of our child care programs

• Emergency Form
• Health Inventory 
  (completed by the parent/guardian and physician)

• Blood Lead Testing Certificate
  (must be completed by parent/guardian and may also have to be completed by a physician – see instructions on form)

  Immunization Certificate 
  (only required if: 1) your child attends the Pre-K program, or 2) if you have a school-age child (K-8 th grade) attending the SACC/CEC/MSTG program that is NOT located within their regular school

  Acknowledgment of Policies Form 
  (you may review the Parent’s Manual prior to your child’s first day of attendance. On your child’s first day, the center staff will require the Acknowledgement of Policies form to be completed. Paper copies of the Parent’s Manual are available upon request at your child’s center or by contacting our Child Care Administrative Office)

  Custody Orders (as needed)

• Emergency Form
  (the center staff will require this form to be renewed or updated at the close of the school year, at the start of the summer program and/or at the center on your child’s first day of attendance)

• Blood Lead Testing Certificate 
  (must be completed by parent/guardian and may also have to be completed by a physician – see instructions on form)

  Updated Immunization Certificate 
  (only required if: 1) your child attends the Pre-K program, or 2) if you have a school-age child (K-8 th grade) attending the SACC/CEC/MSTG program that is NOT located within their regular school)

  Acknowledgment of Policies Form 
  (you may review the Parent’s Manual prior to your child’s first day of attendance. On your child’s first day, the center staff will require the Acknowledgement of Policies form to be completed. Paper copies of the Parent’s Manual are available upon request at your child’s center or by contacting our Child Care Administrative Office)

  Updated Custody Orders (as needed)

Medical Forms must be renewed on an annual basis (as indicated by the expiration dates your health provider has noted on the forms):

• Acknowledgment of Allergies/Medical Conditions 
  REQUIRED if you/physician list an allergy/medical condition on your child’s Emergency Form or Health Inventory but you are not providing us with any medication/treatment for the condition

• Medication Administration Authorization Form 
  (MSDE OCC Form 1216) 
  REQUIRED if your child is taking a prescription OR non-prescription medication during the child care program. Please be aware that this form REQUIRES a physician’s signature.

  Asthma Medication Administration Authorization Form 
  (MSDE OCC Form 1216A) 
  REQUIRED if your child is to receive an inhaler or nebulizer during the child care program, in addition to the Medication Authorization form. Please be aware that this form REQUIRES a physician’s signature. 

  Allergy & Anaphylaxis Medication Administration Authorization Form
  (MSDE OCC Form 1216B) 
  REQUIRED if your child is to receive an epi-pen or antihistamine during the child care program, in addition to the Medication Authorization form. Please be aware that this form REQUIRES a physician’s signature.

  Seizure/Convulsion/Epilepsy Disorder Medication Administration Authorization Form
  (MSDE OCC Form 1216C) 
  REQUIRED if your child has an epilepsy or seizure diagnosis and/or is to receive seizure medication during the child care program. Please be aware that this form REQUIRES a physician’s signature.

  Topical Basic Care Product Application Approval Form
  (MSDE OCC Form 1216E) 
  REQUIRED if your child will be applying over the counter creams or ointments, such as sunscreen or lip moisturizers, during the child care program. See Parent’s Manual for additional information.