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Jefferson Child Care and Education Center
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Forms and Documents

School Age Program Forms:
 Fee Agreement (PDF)
 Emergency Form (PDF)
 Medical Consent (PDF)
 School Release (PDF)
 Receipt of Information Statement (PDF)
PreSchool Program Forms:
 PreSchool Fee Agreement (PDF)
 Emergency Form (PDF)
 Medical Consent (PDF)
 Universal Child Health Record (PDF)
 Admissions Record (PDF)
 Receipt of Information Statement (PDF)
PreSchool Inclusion Program Forms:
Fee Agreement (PDF)
 Emergency Form (PDF)
 Medical Consent (PDF)
 Universal Child Health Record (PDF)
 Admissions Record (PDF)
 Receipt of Information Statement (PDF)
Summer Camp Forms:
 Important Information (PDF)
 Registration Checklist (PDF)
 Fee Agreement (PDF)
 Universal Child Health Record (PDF)
 Permission Slip (PDF)
 Emergency Form (PDF)
 Medical Consent (PDF)
 Receipt of Information Statement (PDF)
Other:
 Parents Handbook (PDF)