Required Admission Forms

Download, complete, and submit all 3 forms prior to your child's start date.

These are blank forms. Completed forms hold your child's private health details, so please hand them to Mrs. Ahmed in person or send them to bloomingstarschildcare@gmail.com. Do not post them anywhere public.

MDH Form 896

Immunization Certificate

Your child's vaccination record. It must be filled in and signed by a doctor, health department official or child care provider.

  • Required before your child can attend
  • A printed record from your doctor's office is also accepted
OCC 1215

Health Inventory

Health history and physical exam, with the Blood Lead Testing Certificate (DHMH 4620) included.

  • Part I: filled in by you
  • Part II: filled in by your child's doctor or nurse practitioner (exam within the last 12 months)
OCC 8506

All About Me

Tell us about your child: what they love, what they find hard, and the routines that help them feel at home.

  • Filled in by you
  • Helps Mrs. Ahmed plan your child's first weeks
How it works

Three steps to your first day

  1. Download and print

    Get the three forms above. Fill in the parts marked for parents.

  2. Visit your doctor

    Ask them to complete the immunization record, physical exam and lead test sections.

  3. Bring them to us

    Hand the forms in at your enrollment meeting. Book one here.