California Childcare Enrollment Forms

Identification & Emergency Information

This form collects child information, emergency contacts, doctor information, and authorized pickup persons.

Consent for Emergency Medical Treatment

This allows the childcare provider to authorize emergency medical or dental treatment if necessary.

Child’s Preadmission Health History (Parent Report)

Parents provide information about the child’s health history, development, and medical supervision.

Personal Rights – Child Care Facilities

Parents sign acknowledging the child’s rights in the childcare facility.

Notification of Parents’ Rights

This document explains parents’ rights under California childcare licensing regulations.

Caregiver Background Check Process

Explains the background check system used for staff and caregivers.

Family Child Care Consumer Awareness Information

Provides parents with information about licensing inspections and complaint history.

Affidavit Regarding Liability Insurance

Used to notify parents whether the provider has liability insurance.

California School Immunization Record (Blue Card)

Required to document the child’s vaccines for childcare and preschool admission.

Parent Notification – Additional Children in Care

Required if a family childcare home increases the number of children in care.

Nebulizer Care Consent Verification

Used if a child requires nebulizer treatment while in childcare.