content top

Enrollment Forms

ALL ENROLLMENT FORMS MUST BE ON FILE PRIOR TO AUGUST 14, 2017 , PER STATE LICENSING REQUIREMENTS.

Please print and complete in full, the Enrollment Forms below.

Return to us via mail or drop-off at SPELC on

Thursday, August 3 or Monday, August 14 from 9 am-12 pm.

REQUIRED ENROLLMENT FORMS.  The following Forms must be completed in full, signed by both you and your child’s Licensed Health Care Provider (where applicable) and returned to SPELC no later than August 14.

Colorado Department of Public Health & Environment Immunization Information (For Reference Only)

DOES YOUR CHILD HAVE ALLERGIES OR A MEDICAL CONCERN?:

If your child requires any type of medication to be given while at school, please read the following carefully, download, print and complete the appropriate forms.

Allergies

Please notify the office if your child has allergies.  If your child has specific food allergies, please check with the ELC Office to review the list of ingredients in the daily snacks provided by SPELC.   If your child uses an EpiPen and/or an antihistamine such as Benadryl, SPELC requires FORM 6 – EpiPen & Antihistamine Health Care Plan, be completed and signed by Parent/Legal Guardian and a Licensed Health Care Provider.  If your child requires both an antihistamine and an EpiPen, only one form is required for these medications left at school.  All medications must be in their original container with the prescription label attached, when applicable. 

Medications

No medication will be dispensed by SPELC Staff, except for prescription medication to treat an on-going medical condition (such as, febrile seizures requiring medication for high fevers) where medication must be administered during program hours.  If any on-going medications need to be taken during program hours, SPELC requires FORM 7 – Authorization For The Administration of Medication Other Than EpiPen, be completed and signed by Parent/Legal Guardian and a Licensed Health Care Provider.  We will require one form for each medication left at school.  All medications must be in their original container with the prescription label attached, when applicable.

All medications must be provided to us no later than August 14 in their original container with the prescription label attached

Please contact the ELC Office at 303-972-9774, if you have any questions regarding the above Enrollment Forms.