Forms

For your convenience, you’ll find many of our form below. Click on their titles to download them.

waiting_list_reg_app— Please note that a $50 wait list application fee is due at the time of submitting your application. Wait list applications may be dropped off at the center during business hours or mailed to FLICC, 650 Harbor Edge Drive, Memphis TN, 38103.


Medication_Dispensation_Form—Should your child need to be given medicine during the day, we will be happy to administer it if medication is accompanied by this form.


Sunscreen_Authorization_Form—We will be happy to apply diaper cream and sunscreen to your child if indicated on this form


FYI—Please fill this out to notify us of anything new concerning your child.

Information to be written on these forms might include, but is not limited to:

  • Someone on your list of authorized pick-up individuals will be picking up your child
  • If you will be working or spending the day in a location that requires a different telephone contact number for the day
  • If you have a change of address, phone numbers, email, etc.
  • If your child is going to be out of care, as in a planned absence
  • If you plan to pick up your child early and would like us to have him or her ready.



 


 

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