Cut along dotted line. LIC 701 Physician’s Report – Child Care Centers . SpanishDict is the world's most popular Spanish-English dictionary, translation, and learning website. LIC 9224 Acknowledgment Of Receipt Of Licensing Reports. LIC 702 Children Pre admission Health History Parents Report. Child Care Eligibility Free Medical Help Rethink Your Drink Forms In order to enroll in Tiny Footprints these are the documents we require: Contract Forms required by Contra Costa County: lic995a lic700 lic627 lic282 lic613a lic 9150 lic9224 lic9212 lic9166 lic701A lic 627 (eng/sp) (5/01) (confidential) work phone ( ) ( ) state of california - health and human services agency california department of social services community care licensing consent for emergency medical treatment-child care centers or family child care homes as the parent or authorized representative, i hereby give consent to Give parents top part and keep bottom part in record. Folleto en blanco y negro – Proteja a Su Familia Contra el Plomo en el Hogar (Junio de 2017) (PDF) (10 pp, 1 MB) Proteja a su familia suplemento de 2 páginas para las versiones anteriores de enero de 2020 (PDF) (3 pp, 484 K) Contact Us to ask a question, provide feedback, or report a problem. Register Today. LIC 9150 Parents notification additional children in care.

We currently have openings in the following programs: • Preschool • Pre-K • Private Kindergarten • Before & After School. Enrollment Forms. Please print and fill out the following forms and bring them the first day of class. Program Openings. identification and emergency information child care centers/family child care homes to be completed by parent or authorized representative ... lic 700 (8/08)(confidential) state of california - health and human services agency california department of social services LIC 700- IDENTIFICATION AND EMERGENCY INFORMATION.