St. Luke Preschool & Early Childhood Center Forms

We must have at least one emergency contact other than Parents of child.

Please answer all questions. If you are certain there are questions that do not apply to your child, please enter N/A.

ST. LUKE PRESCHOOL

2023-2024 PARENT FORM CHECKLIST

THE BELOW FORMS NEED TO BE RETURNED TO THE SCHOOL OFFICE

NO LATER THAN AUGUST 15TH.

ALL HARD COPIES OF FORMS CAN BE OBTAINED IN THE PRESCHOOL OFFICE

You may have already received forms when visiting the school in a packet or when they were emailed to you.

Thank you for making sure that these forms are in by August 15th!

ALL FORMS ARE LINKED HERE AS WELL

________ EMERGENCY & CONFIDENTIAL FORMS (ALL STUDENTS)

________ IMMUNIZATION & MEDICAL STATEMENT (NEW STUDENTS ONLY) -

PLEASE NOTE: As long as your child has had a physical within the last 12 months, the doctor can fill out the medical statement -another physical is not necessary for the form to be filled out.
No student can attend school without the Immunization and Medical Statement on file in the school office.

________ FOOD ALLERGY ACTION PLAN (FOR STUDENTS WITH ALLERGIES)

________ INDIVIDUAL HEALTH CARE PLAN for a child with Special Health Care Needs

________ MEDICATION CONSENT FORM for students with medications

________ BEFORE/AFTER CARE FORM
(Pamphlet/form For those planning on using our Before and/or After Care extended hrs.)

If you have any questions, please call the school office at 631-462-5216.