Additional Required Forms

The following Admission Forms are required to complete, and submitted along with the Application by each student* for every academic year.

Please bring or email the filled-out forms to Neo Immersion Montessori no later than school start date. Contact Us, if you have any further questions.

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• LIC 613A - Personal Rights - Child Care Centers

• LIC 627 - Consent For Emergency Medical Treatment - Child Care Centers Or Family Child Care Homes

• LIC 700 - Identification And Emergency Information Child Care Centers/Family Child Care Homes

• LIC 701 - Physician's Report - Child Care Centers (Child's Pre-Admission Health Evaluation

• LIC 702 - Child's Pre-Admission Health History Parent's Repor

• LIC 995A - Notification of Parents' Rights

• LIC 995E - Caregiver Background Check Process

• LIC 9212 - Family Child Care Consumer Awareness Information

• LIC 9166 - Consent/ Verification for Nebulizer Care

• LIC 9224 - Acknowledgement of Receipt of Licensing Reports

• PM 286 - California School Immunization Record (ask NIMS Staff or print on a blue card)

• CNP-925 - Medical Statement to Request Special Meals and/or Accommodations

• CACFP 11 - Parent/ Guardian's Form for Declining Participation in the Child Care Food Program

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*Enrollment Contracts and Parent Handbook will be provided to new students upon acceptance with Administrator at NIMS.