All new students will need the following forms completed prior to beginning school. If you have questions please feel free to email the Executive Director, Nicole Butters at nbutters@whiteplainschildrenscenter.org.
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THIS FORM MUST BE PRINTED. The top-half needs to be completed by a parent/guardian. The bottom-half must be completed & signed by the child's doctor.
Children's Medical FormWPCC provides Rocky Mountian Broad Spectrum KIDS Sunscreen SPF 30 and we apply in the afternoon before going outside. If you prefer for your child to use a different sunscreen please reach out to administration.
Sunscreen Permission FormThis form is only necessary for children aged 15 months or younger.
Infant Feeding FormThis section includes reference links that are important for families to read and understand, but are not specifically a form and do not require a signature.
These forms are needed annually in July for all currently enrolled students.
WPCC provides Rocky Mountian Broad Spectrum KIDS Sunscreen SPF 30 and we apply in the afternoon before going outside. If you prefer for your child to use a different sunscreen please reach out to administration.
Sunscreen Permission Form
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*The U.S. Department of Agriculture (USDA) prohibits discrimination against its customers, employees, and applicants for employment on the bases of race, color, national origin, age, disability, sex, gender identity, religion, reprisal, and where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an individual's income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or funded by the Department. (Not all prohibited bases will apply to all programs and/or employment activities.)
