(614) 888-4414
827 E. Dublin Granville Rd (S.R. 161) - map it

Forms

Click on the following form names to download.

Download Individual Forms

JFS # Form Name
01217 Request for Administration of Medication
01138 Application for Child Care Benefits
01401 Child Care Center Change Request
01218 Basic Needs of the Child
01234 Child Enrollment and Health Information
01236 Child Care Plan for Health Conditions or Medical Procedures
01305 Child Medical Statement
LBLC Pre-Enrollment Form
LBLC Parent Agreement Form
LBLC Public Transportation Form
LBLC Infant Form (needed monthly)
LBLC Summer Program - No download. Parents must physically pick up Summer Program packet.

Packets

Infant Packet

JFS # Form Name
01234 Child Enrollment and Health Information
01138 Application for Child Care Benefits
LBLC Parent Agreement Form
01305 Child Medical Statement
LBLC Basic Need of the Child Form
LBLC Infant Form

Toddler / Preschool Packet

JFS # Form Name
LBLC Pre-Enrollment Form
01234 Child Enrollment and Health Information
LBLC Parent Agreement Form
01305 Child Medical Statement

School Age Packet

JFS # Form Name
LBLC Pre-Enrollment Form
01234 Child Enrollment and Health Information
LBLC Parent Agreement Form
1305 Child Medical Statement
LBLC Transportation Form

 

 

Important Note

Fall enrollment has begun for preschoolers and school-age children.

Upcoming Events