ESC - Extended School Care  
  
  ESC Paperwork  

THE FOLLOWING IS A LIST OF PAPERWORK REQUIRED BY THE STATE OF MINNESOTA, LICENSING DIVISION:

 

Downloads if applicable++

* PRESCHOOL / ESC CONTRACT

PDF 09-10

PDF 08-09
* EMERGENCY CARD (Front & Back Completed)  PDF  
* IMMUNIZATION FORM and *HEALTH CARE SUMMARY FORM
(Completed by Health Care Provider & Returned on or before first day of class)
Immunization
 Health Care
Summary

* CHILDHOOD HISTORY FORM  

 PDF

 
* PAYMENT PLAN AGREEMENT FORM  PDF  
* FREE / REDUCED LUNCH FORM (Front & Back)  PDF  
* Child and Adult Care Food Program
 PDF  
* MANDATORY REPORTING ACKNOWLEDGEMENT FORM  PDF  
*  MEDICATION PERMISSION FORM (FOR ANY MEDICATION GIVEN AT SCHOOL).  PDF  

* ICCP = Individual Child Care Plan (Required for all children who have a "special need" ie..  health issue, dietary request, adaptational need.) Print only the page needed.

 PDF  
 ------ please note asbestos notification --------

 PDF

 
 ------ please note grievance policy -------- PDF  
++Download Full Package (ZIP file ~ 2mb)
 ZIP  
   

Other Needs:

* 2 BOXES OF KLEENEX (3 if they attend ESC)
* 2 PICTURES OF YOUR CHILD (3 if they attend ESC)
* 2 Complete / Extra Sets of Clothes (underwear, socks, t-shirt & sweatshirt/sweater.  Please       label each set of LABELED ITEMS in a gallon-size, LABELED ZIP LOCK BAG)
* WEATHER APPROPRIATE CLOTHING
* CLOSED-TOED SHOES... TENNIS SHOES PREFERRED
* $5.00 to help with classroom film costs. (additional $5.00 if your child attends ESC)
* 1 REAM OF WHITE COPY PAPER (2 if attending ESC)

                                         

                        

 

 

 

 

                  

 

 

 

THE FOLLOWING IS A LIST OF PAPERWORK REQUIRED BY THE STATE OF MINNESOTA, LICENSING DIVISION:

 

Downloads if applicable++

* PRESCHOOL / ESC CONTRACT

PDF 09-10

PDF 08-09
* EMERGENCY CARD (Front & Back Completed)  PDF  
* IMMUNIZATION FORM and *HEALTH CARE SUMMARY FORM
(Completed by Health Care Provider & Returned on or before first day of class)
Immunization
 Health Care
Summary

* CHILDHOOD HISTORY FORM  

 PDF

 
* PAYMENT PLAN AGREEMENT FORM  PDF  
* FREE / REDUCED LUNCH FORM (Front & Back)  PDF  
* Child and Adult Care Food Program
 PDF  
* MANDATORY REPORTING ACKNOWLEDGEMENT FORM  PDF  
*  MEDICATION PERMISSION FORM (FOR ANY MEDICATION GIVEN AT SCHOOL).  PDF  

* ICCP = Individual Child Care Plan (Required for all children who have a "special need" ie..  health issue, dietary request, adaptational need.) Print only the page needed.

 PDF  
 ------ please note asbestos notification --------

 PDF

 
 ------ please note grievance policy -------- PDF  
++Download Full Package (ZIP file ~ 2mb)
 ZIP  
   

Other Needs:

* 2 BOXES OF KLEENEX (3 if they attend ESC)
* 2 PICTURES OF YOUR CHILD (3 if they attend ESC)
* 2 Complete / Extra Sets of Clothes (underwear, socks, t-shirt & sweatshirt/sweater.  Please       label each set of LABELED ITEMS in a gallon-size, LABELED ZIP LOCK BAG)
* WEATHER APPROPRIATE CLOTHING
* CLOSED-TOED SHOES... TENNIS SHOES PREFERRED
* $5.00 to help with classroom film costs. (additional $5.00 if your child attends ESC)
* 1 REAM OF WHITE COPY PAPER (2 if attending ESC)

                                         

                        

 

 

 

 

                  

 

 

 

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