ENROLLMENT PACKET

We would need information about your child and how to reach you in case of emergency. Therefore, Please review, fill out and sign below forms to enroll your child at Butterflies Academy preschool.

1. ENROLLMENT APPLICATION/ADMISSION AGREEMEN
2. PARENT'S RIGHTS LIC 995
3. PERSONAL RIGHTS LIC 613A
4. IDENTIFICATION AND EMERGENCY INFORMATION LIC 700
5. CONSENT FOR EMERGENCY MEDICAL TREATMENT LIC 627
6. CHILD’S PRE-ADMISSION HEALTH HISTORY- PARENT’S REPORT LIC 702
7. PHYSICIAN’S REPORT - (CHILD’S PRE-ADMISSION HEALTH EVALUATION) LIC 701
8. PHOTOGRAPHY AND VIDEOGRAPHY CONSENT FORM
9. EMAIL ADDRESS AND MOBILE NUMBER RELEASE FORM​

Please review below files prior to enrollment of your child at Butterflies Academy preschool:​

• CALENDAR 2024-25

Immunizations required to enter Butterflies Academy preschool (depends on age when enrolling):

• Polio (OPV or IPV)
• Diphtheria, Tetanus, and Pertussis (DTaP or DTP)
• Measles, Mumps, and Rubella (MMR)
• Hib
• Hepatitis B (Hep B or HBV)
• Varicella (chickenpox, VAR or VZV)

GUIDE TO IMMUNIZATIONS REQUIRED FOR PRESCHOOL

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