Forms & Documents

Completing the forms below required for registration does not mean that your child is registered in our program. 

These form are made available to help speed up the registration process.

Registration is done in person by appointment with a KKCC staff member.

Please be sure to follow the directions for each form.

Part 1 of this form should be completed by parents.  Part 2 and the Lead Testing Certificate of this form may require a visit or examination by a physician or certified nurse practitioner.  With this form you must attach a printed record of immunizations by your child's physician or the form labeled Immunization Certificate (MDH 896).  Please have your physician's office stamp and sign the forms.

*Required for registration

This form must be completed by a physician or certified nurse practitioner.  If your physician does an attachment instead of filling the information in, it must be noted on the the form as well as signed and stamped by the physician.  

*Required for registration

​This form was designed to help us get to know your child and to assist us in providing a safe, stable, and healthy environment where your child will feel comfortable in.  Please provide as much information as possible regarding your child as well as any special adaptation that we might need to make to meet your child needs. 

*Required for registration

This form is used to contact parents in case of an emergency.  It is important that you also list family members or friends that can be contacted in case we are unable to reach parents.  On the back of the form please note any allergies, medical conditions, or medication your child may be taking.

*Required for registration

With this form, you authorize KKCC to initiate debit entries from your checking or saving account to pay tuition and or fees.  Please note that a Void check must be presented with this form.  The check should have your name and address printed as proof of account ownership.  If a check is not available for this account you must provide us with a letter from your bank to state the following: account owner(s), account status (active), account number, and routing number.  The letter must be printed on bank letterhead and signed by a bank representative.  Online payments are not available.


*Required for registration       

This brochure provides information about requirements that that a State-regulated family child care home or child care center must meet.  It also gives parents an understanding of their rights and responsibilities as the parent of a child in regulated care. 

*Required for registration       

The dates given indicate the day that you are responsible to have funds available for the ACH deduction from the checking or savings account.  These dates do not indicate the actual date of the ACH draft. 

Here you will find any important dates to take note of, as well as any dates the center is closed.  KKCC’s Yearly calendar is subject to change.  KKCC is closed for students on all Federal Holidays, except Veterans Day in 2020.

This provides a list of personal and classroom supplies needed on your child's first day. 

In most cases classroom supplies are used collectively.  Unused collective supplies will not be returned at the end of the academic or non-academic year or if a child withdraws from the program.  Remember to LABEL ALL your child’s belongings including the food containers, bedding, extra clothes, and book bags.

This form must be completed fully in order for child care providers and staff to administer any required prescription medication.  A new form must be completed at the beginning of each 12 month period for each medication and each time there is a change in dosage or change in time to administer medication. 



This form is to be used for non-medicated sunscreen, lip balm, Vaseline, lotions, creams, ointments, etc. that are to be applied to external areas only.  These non-medicated ointments must have already been applied previously at home with no adverse effects to the child (i.e. rash, irritation, or other reaction).  A separate form must be completed per over-the-counter topical, sunscreen, or bug repellent spray. 

Should you need to withdraw your child from from our program, use this form.  Withdrawals require a four-week written notice, with the week beginning on a Monday.

​If your child will be vacationing for 3 weeks or more, use this form.  A FOUR-week written notice is required for Extended Leave Requests, with the week beginning on a Monday. Vacation time must not exceed 90 days. 

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Kiddies Kollege Christian Center 
9292 Cherry Lane
Laurel, MD 20708