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Click the button at below right for detailed instructions on filling and submitting forms. You must use Adobe Acrobat Reader for the forms to properly function. Click the button below left to install a free copy of Acrobat Reader on your computer. This action will take you to the Adobe Acrobat Reader installation page. Uncheck the optional offers, click “Install Now,” and follow the instructions. Forms highlighted in blue are not electronically fillable and should be printed and completed with pen and ink.
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CHILD REGISTRATION AND ENROLLMENT

REGISTRATION  
1. Child Registration (LS-201) Download 2. Parent Handbook Download

 

ENROLLMENT  
1. Contract for Services (LS-206) Download 2. Tuition Express Account Registration
(LS-101)
Download
3. Electronic Key Fob Application
(LS-102)
Download 4. Parent Agreement (LS-205) Download
5. Child Enrollment (LS-202) Download 6. Health Care Summary (LS-204) Download
7. Child Care Immunization Form
(LS-215)
Download 8. CACFP Infant Meal Preferences
(LS-216)
Download
9. CACFP Enrollment (LS-217) Download 10. CACFP Household Income Statement2 Download

 

SPECIAL CONDITIONS  
1. Release to Administer Medication
(LS-207)
Download 2. Special Diet (LS-208) Download
3. Individualized Child Care Plan
(LS-218)
Download 4. Parent Consent for Swaddling
(LS-219)
Download
5. Parent Release for Rolling Over
(LS-220)
Download 6. Physician Directive for Sleep Position
(LS-221)
Download

 

CHILD CARE ASSISTANCE PROGRAMS  
1. Child Care Assistance Program
(MN-DHS-3550)1
Download 2.
Notes:
1 – These forms are fillable but require that you manually save and print them for filing & signature.
2 – These forms must be printed, completed with pen & ink, signed, and submitted.

 

EMPLOYMENT

PRE-HIRE EMPLOYMENT APPLICATION  
1. Application for Employment (LS-100) Download 2. Employee Information (LS-108) Download
3. Teacher Qualifications Documentation (LS-xxx) Not Available 4. Employee Agreement (LS-103) Download

 

POST-HIRE EMPLOYMENT FORMS  
1. Electronic Key Fob Application/ Instructions (LS-102) Download 2. Employee Handbook Download
3. Employment Eligibility Verification
(I-9)2
Download 4. Employee Withholding Allowance Certificate (W-4)1 Download
Notes:
1 – These forms are fillable but require that you manually save and print them for filing & signature.
2 – These forms must be printed, completed with pen & ink, signed, and submitted.