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FORMS



State LIC forms are also available on the community care licensing website



REG


Preschool
Registration
Form


LIC9221


Parent Consent
For Medication
Administration


HB/AA


Parent Handbook
& Admission
Agreement


LIC700


I.D. & Emergency
Information


LIC701


Physician's Report


LIC702


Child's Preadmission
Health History


LIC613a


Personal Rights


LIC627


Consent for
Emergency
Medical Treatment


LIC995


Notification of
Parent's Rights


LIC995E


Background
Check Process


BTPF


Beach Trip
Permission
Form


CCA


Credit Card
Authorization
Form


PUB515


Lead Poisoning
Facts




562.592.3814 | 16771 Pacific COast Highway, Sunset Beach (facility#304370352)
562.598-2900 | 223 Seal Beach boulevard, seal beach (facility#304371021)
714.740.5248 | 12518 Valley view Street, garden grove (FACILITY#304371603)



Marley's Preschool