Student Forms

The Learning Center for Young Children (LCYC)

Student Forms

New Students
Please complete and turn in the following:

  • Bank Transfer Form (if desired)
  • Emergency Form* (doctors signature not required)
  • Photo Release Form
  • Health Inventory Form* (5-pages, please read through all pages for more instructions and to see if you need to complete lead blood testing. Only children living in certain zip codes (listed on page 5 of inventory form) need to have this testing done.
    • Part I (page 2) of Health Inventory Form completed and signed by parent
    • Part II (page 3) of Health Inventory Form completed and signed by physician
    • Immunizations - you may attach a computer generated immunization record from your physician's office in lieu of other form.
    • Vaccination Requirements
  • Consumer Education Form; link to Consumer Education on Child Care brochure
  • Email a photo of your child to lcyc@warnermemorial.org (for use in class roster)
  • If your child has allergies, Asthma requiring medication at school, seizures or will require other medication to be given at school please complete a form with your physician. Find the form below under Student Forms.

*The state of Maryland requires that these forms be complete and on file with our school before your child can begin school. Children cannot begin school without these forms completed.


Returning Students
Please complete and return the following:
*The state of Maryland requires that these forms be complete and on file with our school before your child can begin school. Children cannot begin school without these forms completed.


Student Forms
Miscellaneous Forms
Bank Transfer Form
Consumer Education Form; link to Consumer Education on Child Care brochure
Emergency Form (doctors signature not required)
Photo Release Form

Medical Forms
Allergy Action Plan (Must be accompanied by the Medication Admin. Auth. form)
Asthma Medication Admin. Auth. Form
Immunization Certificate
Lead Blood Testing Certificate
Health Inventory Form
Medication Administration Authorization
Seizure Medication Authorization
Vaccination Requirements


The Learning Center for Young Children

10123 Connecticut Ave., Kensington, MD 20895

301-949-2933
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