Step 3 of 6
Medications
Does your child need any medication given during daycare hours? Staff can only administer what you authorize here.
No medications
Yes — add medication
Step 5 of 6
Permissions & care
Texas requires these answers before your child's first day. You can change any of them later in writing.
Leaving the daycare Texas Minimum Standards
Both need a yes or no before admission.
Water activities Texas Minimum Standards
Covers splash pads, wading pools and swimming.
Flotation device required
Because your child does not swim competently, staff will fit a personal flotation device for every water activity.
Special care needs Texas Minimum Standards
Leave blank if none apply. Anything you write here goes to the staff caring for your child.
School Texas Minimum Standards
Shown because your child is 5 or older.
Step 6 of 6
Review & submit
Check everything, then send your application to Lisa Marie Peskin.
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