19824 Sussex Road, Shaker Heights, Ohio 44122  Phone: 216.991.9761  Fax: 216.283.3585
Hours:  7:00 a.m. - 6:00 p.m., Monday through Friday
Home   Our Program   Admissions   Initiatives/Links   Staff   Forms   Contact Us   Marketplace
~ many varied age-appropriate materials ~
FORMS
Each of the documents listed below requires at least one signature. Please download and print the form, fill it out completely, sign and fax it to ECEC at 216.283.3585.

New Enrollments
Child's Medical Form
Child Enrollment and Health Information for Child Care Centers and Type A Homes

Re-Enrollments
Update to Child's Medical Form
Child Medical Statement





Other Forms
Request for Administration of Medication