Child Care Forms

Smiling Kids

Below are all documents needed to enroll in our childcare programs. Please note that every form must be completed prior to a child entering the program. Please read over each document and description carefully.

Mandatory Registration Forms

  • M-NCPPC Participant Profile Form (PDF)
    • Basic information form for the participant(s).
      • When listing emergency contact, please choose someone other than the listed parents. In the event of an emergency, we will always contact parents/guardians first before attempting to reach emergency contact.
  • M-NCPPC Authorized Pick Up Form (PDF)
    • The form states who is allowed to sign out and pick up the participant(s).
      • Anyone authorized by this form must be 18+ years old to pick up participant(s).
      • Once this form has been submitted, only the head of the household, as listed on the household PARKS DIRECT account, can make changes to this form. 
  • Office of Child Care (OCC) Emergency Form (PDF)
    • Maryland State Department of Education: Office of Childcare Emergency Form
      • Please complete the same information as listed on the Participant Profile Form.
  • Office of Child Care (OCC) Health Inventory Packet (PDF)
    • The form lists any health concerns of the participant(s).
      • The first page of this packet is a parent's assessment of the participant's health.
      • The second page of this packet is a doctor's assessment of health. This requires a physical from a doctor. Have it completed and the form must be signed by the doctor or registered nurse. 
      • If the doctor notes asthma, allergies, seizures, or medications, you must also complete additional documents (see "Medical/Special Case Documents" category below)
  • Maryland Department of Health (MDH) Immunization Certificate (PDF)
    • The form shows the up-to-date vaccination/immunization record of the participant.
      • This document must be completed and signed by the doctor or registered nurse. If the doctor provides their own documentation of vaccination/shot records, that document must be signed by the doctor and attached to the Immunization Certificate. 
  • "All About Me" Form (PDF)
    • The form asks for information about child's likes and dislikes, as well as areas they excel or require assistance.
      • This form is only shared with programming staff to inform them of any activity modifications. 

Medical/Special Case Forms

These documents are only required if your child’s doctor states your child meets the specific cases outlined below. These are required if they are documented on the “Health Inventory” form.

All documents below must be completed and signed by a doctor or registered nurse and any medication taken on-site must be in its original packaging, even if self-administered.

Prescribed or Over-The-Counter Medication

Children who take doctor-prescribed or over-the-counter medication DURING PROGRAM HOURS will need:

  • Medication Administration Authorization Form (PDF)
    • A document that outlines the type of medication taken, steps to take medication including; dosages, storage, and schedule, and states who will administer medication on-site as well as tracks usage on site
      • Must be completed and signed by a doctor or registered nurse 
      • Accompanying medication must be in the original packaging, even if self-administered.

Allergies

Children with DOCTOR-DOCUMENTED ALLERGY will need this completed ALONG WITH Medication Administration Authorization Form:

  • Allergy Action Plan (PDF)
    • A document that outlines precautions and steps to take to handle participant’s specific allergy needs.
      • Must be completed and signed by a doctor or registered nurse

Asthma

Children with DOCTOR-DOCUMENTED ASTHMA will need this completed along with Medication Administration Authorization Form:

  • Asthma Action Plan (PDF)
    • A document that outlines precautions and steps to take to handle participant’s specific asthma needs.
      • Must be completed and signed by a doctor or registered nurse

Seizure Risk & Medication

Children with DOCTOR-DOCUMENTED SEIZURE RISKS will need this completed along with Medication Administration Authorization Form:

Disability Modifications

The Department of Parks & Recreation encourages and supports the participation of individuals with disabilities. Register a minimum of two weeks in advance of the program start date to request a disability modification.

Contact the area Program Access/Inclusion Offices:  

For therapeutic recreation programs, please contact: 

  • Special Programs Office: 301-446-3400

Parent Handbook