Pine Grove Early Learning Center
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Summer 2024

Summer 2024 Enrollment Contract For School Age Children
Preschool Summer 2024 Vacation Form 

2024 - 2025 School Year

School Age 2024- 2025 School Year
Preschool 2024 - 2025 School Year - 5 Day Enrollment

Forms for Newly Enrolled Children


The forms in this section must be completed and returned no later than one week prior to your child's expected start date.  The Health Inventory and Immunization form need to be completed by your child's Pediatrician.  Your child must have a complete file to begin care.  Clicking on the title of the form you need will take you to the appropriate link.  Please let us know if you have any questions.
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Emergency Card
Health Inventory
Immunization Form and Lead Testing
Handbook Acknowledgment

Getting To Know Your Child
Covid Addendum to the Parent Handbook

Covid Parent Waiver
Tuition Express Agreement
Topical Basic Care (sunscreen, diaper cream, bug repellent)

Additional Forms

Allergy and Anaphylaxis Medication Administration Authorization Form
Medication Administration Form

Asthma Action Plan and Medication Administration Authorization Form

Authorized Pick up List

Refer a Friend Program

Current families who refer a new family that enrolls their child/ren and stay for at least a month are eligible for a credit of $25.00 on their tuition. Print out the referral form from the link below this paragraph.  Please have your enrolling friend fill it out and return it to the office with their enrollment packet.  If you have any questions about this program that we are offering, please do not hesitate to contact a member of the management team.  (**This offer applies to new enrollment only. Does not apply to previous referrals.**)

Refer a Friend Form




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