Enrollment Forms

NEW students to our program must turn in all 3 Enrollment Forms, A, B and C.  Please note – Form B requires a notary, and Form C requires a physician signature. 

RETURNING students are required to turn in Form A ONLY.

All forms and fees should be submitted to the LUMC Preschool Office by June 15, 2019.

• Information Form (Form A)
• Emergency Authorization Form (Form B)
• Kansas Department of Health Form (Form C)
• Parental Permission Form for Off-Premise Trips (Form D – Based on age)
• Automatic Tuition Payment Form