Fitness Fun & Games

Application Checklist

q Application

q Emergency Card

q Medical Form Part I - To be completed by the Parent.

q Medical Form Part II

To be completed by the child's pediatrician.

q "A Parent's Guide to Regulated Child Care" Brochure - Please sign,

detach, and return only the signature page (you keep the brochure).

q “All About Me” Form – Required if child has special needs.

If not, it is optional.

q Medication Form – if medication must be given by childcare staff

Completion of these forms is required by MSDE so your child may begin the program as planned. If you have any questions, check with the Site Director.

q Registration Fee

q First Month’s Payment