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Please download & fill following LIC forms and email them to villagepreschoolacademy@gmail.com
1. Application For a Community Care Facility or Residential Care Facility for The Elderly License – LIC200
1. Personal Rights – LIC613A
2. Consent For Emergency Medical Treatment Childrens Residential Facilities – LIC627
3. Consent For Emergency Medical Treatment Childrens Residential Facilities – LIC627B
4. Identification And Emergency Information Child Care Centers Family Child Care Homes – LIC700
5. Physician’s Report-Child Care Centers – LIC701
6. Childs Preadmission Health History-Parents Report – LIC702
7. Child Care Center Notification of Parents Rights – LIC995
8. Declining Participation Form MAY23 – CACFP11
9. Declining Food or Formula MAY23 – CACFP12
10. Child Meal Benefit Form MAY23 – CACFP29
11. Medical Statement to Request Special Meals or Accommodations in the Child and Adult Care Food Program – CACFP97