FORMS

Each of these forms is required upon entrance into our program. These forms are issued by the Maryland State Department of Education and must be updated annually.

 

1. Health Inventory Form


2. Lead Testings Certificate

3. Emergency Card

 

4. Immunization Record Form


If applicable:


1. Allergy Action Plan Form

2. Asthma Action Plan Form

 

3. Medication Authorization Form

 

Additional forms specific to our center are required upon entrance including:

  • Child Care Agreement
  • Parent Handbook Signature Page
  • Photography/Videography Release
  • Wellness Policy
  • Off-site Walking Permission Slip

Contact Us Today ABOUT ONE OF OUR THREE LOCATIONS!

Berry Patch Early Learning Center, LLC


4510 Lower Beckleysville Rd

Suite O
Hamsptead, MD 21074


Phone: 410-374-3501

Fax: 410-374-3502

E-mail: berrypatchelc@yahoo.com

Our business hours

Monday - Friday06:30 AM - 06:00 PM

Maryland State Child Care Association

License # 154426

LET'S SOCIALIZE!

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