The following legal Government forms must be filled out signed and emailed to ChaiTotsCA@gmail.com or brought to the office in order for your child to attend Chai Tots, along with a current copy of your child's immunization records.

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LIC 613A (04/99)

PERSONAL RIGHTS- CHILD CARE FACILITIES
 

LIC 627 (05/01)

CONSENT FOR EMERGENCY MEDICAL TREATMENT- CHILD CARE CENTERS OR FAMILY CHILD CARE HOMES
 

LIC 700 (05/00)

IDENTIFICATION AND EMERGENCY INFORMATION CHILD CARE CENTERS
 

LIC 701 (08/01)

PHYSICIAN'S REPORT - CHILD CARE CENTERS (CHILD'S PRE-ADMISSION HEALTH EVALUATION)
 

LIC 702 (07/99)

CHILD'S PRE-ADMISSION HEALTH HISTORY PARENT'S REPORT
 

LIC 995 (08/02)

CHILD CARE CENTER - NOTIFICATION OF PARENTS' RIGHTS

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LIC 9150 (08/14)

PARENT NOTIFICATION - ADDITIONAL CHILDREN IN CARE

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