Early Childhood Learning Center
Parent Packet 2019-20

Please fill this form out once for each child. At the end of the form, there will be a link to return to the beginning to fill it out again for additional children.

At the end of this form, you will be required to acknowledge that you have received and read the following documents; if you have not yet read them, we recommend doing so before starting this form:

• Rosen JCC Early Childhood Learning Center Parent Handbook
• DCF Know Your Child Care Facility
• DCF Influenza Virus

Please use your mouse (or if on a tablet, then use your finger) to sign the signature boxes contained within these forms. We do not recommend completing these forms on a phone.

Questions? Contact Jill Schwartz at JillS@rosenjcc.org or 407-239-7411.

Please provide an emergency contact other than the parents/guardians listed on your membership account. If the event of an emergency, if we can not reach either parent, we will attempt to reach your listed emergency contact.

The more we know about your child, the better prepared we are to enhance his/her early childhood experience and can more fully meet his/her needs. Your partnership in this regard is critical and we want to work collaboratively to ensure that your child receives the most benefit from the Early Childhood Learning Center.

We respect the professional knowledge and expertise of the consultants and therapists visiting our center and are eager to collaborate. If your child has already been evaluated, we would appreciate access to the reports and information.