EACH PARENT MUST COMPLETE AND RETURN ALL OF THE FOLLOWING FORMS
PRIOR TO THE BEGINNING
OF THE FIRST CLASS SESSION
1. Form Checklist (Check off as completed)
2. Identification and Emergency Form
3. Disaster Information
4. Consent Form
5. Verdugo Hills Hospital Form
6. Physician’s Report
7. Child’s
Health History Form
8. Admission Agreement
9. Admission Policy
10. Mandatory Parent Participation Form
11. Parent’s Rights
Form
12. Personal Rights Form
13. Personal Questionnaire
14. Photo Release Form
15. Comfort/Earthquake Kit