top of page
preschool_edited.jpg

Forms
Forms for Current Families

Enrollment Forms

Medical Report

Immunization Report

This form is required for the state of North Carolina within 30 days of enrollment.

This form is required for the state of North Carolina within 30 days of enrollment.

Discipline Policy

This form outlines our discipline policy and an acknowlagement page.

Infant Feeding Plan

This form outlines what your child eats and when. This form is only required for children 14 months and younger.

Safe Sleep Policy

This form outlines our safe sleep policy and is only for children 11 months or younger.

Summary of Childcare Laws & Rules

This form outlines the laws and rules for the state of North Carolina.

Parent Handbook

This form outlines our policies and procedures. Please read the entire document!

Prevention of Shaken Baby Syndrome and Abusive Head Trauma

This form outlines how we prevent shaken baby syndrome and abusive head trauma

Medical Forms

Medication Form and Log

This medication form is for prescription medications or any medications other than diaper cream or lotions. This form must be filled out in addition to the action plans. This and the medication must be given to management for approval. 

Fill a copy

Medical Exemption from Immunizations

This form is to be filled out when a child is exempt from certain immunizations due to a medical reason.

Fill a copy

Action Plan: Diabetes

This form is to be filled out for children who have diabetes and require checks and medication. A medication form must be filled out as well. This and the medication must be given to management for approval.

Fill a copy

Medication Form for Topical Ointments

This medication form is for diaper creams and lotions only. This and the medication must be given to management for approval.

Fill a copy

Action Plan: Food Allergy

This form is to be filled out when a child has a food allergy that requires an Epi-Pen. This and the medication must be given to management for approval.

Fill a copy

Action Plan: Asthma

This form is to be filled out when a child is diagnosed with asthma. A medication form needs to be filled out as well. This and the medication must be given to management for approval.

Fill a copy

Other Forms

Tuition Express: ACH Draft Authorization

This form allows us to draft payments from your card or bank account as descripted by you.

Fill a copy

Authorization to Publish Photos

This form allows you to give or deny permission for your child's picture to be posted to facebook or online.

Fill a copy

(336) 377-9898

©2021 by Lollipop Stop Child Development Center. Proudly created with Wix.com

bottom of page