LSU Health New Orleans

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Sunday, December 17, 2017   3:21 PM    |   67°F
 

ENROLLMENT PACKET

The Enrollment Packet includes the following forms. Please ensure all the Enrollment Packet forms on this checklist are completed and signed where indicated. Permission can be denied for the optional forms.  Please note enrollment is not complete until ALL form, fees, and documents have been completed, signed and received by the ELC office.

 

  • Family Registration Form (attach child photo)
  • Medical History/Authorization for Consent to Treatment of Minors
  • Enrollment Agreement
  • Emergency Plan
  • Medication Administration Policy
  • Consent to Photograph
  • Parental Authorization for Medication (optional)
  • Permission to Apply Topical Ointments, Sunscreen (optional)
  • Permission for Water Play (optional)

Also please include copies of the following documents:

  • Parent(s) driver’s license or LA identification
  • Current Immunization Record

A full, fillable version of the Enrollment Packet can be found here. Please note that you will need to actually print the form and sign it where indicated on the printout. Alternatively, a blank form which can be printed and filled out by hand can be found here.

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