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Jefferson Child Care and Education Center
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Forms and Documents

Kindergarten / School Age Program Forms:
 School Age Fee Agreement (PDF)
 Emergency Form (PDF)
 Medical Consent (PDF)
 Schoolage Transportation Form (PDF)
 Receipt of Information Statement (PDF)  One Call System (PDF)
Infant / Toddler / 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)  One Call System (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)  One Call System (PDF)
Other:
 Parents Handbook (PDF)

 One Call System (PDF)