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School Kids

Family Applications & Documents

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Everything You Need to Get Started

At Eclectic Learning Center, we aim to make the enrollment and onboarding process as smooth and stress-free as possible. This page provides important forms and documents required for your child’s participation in our programs.

Please review, complete, and submit all required documents before your child’s start date. These forms help us ensure the safety, health, and well-being of every child in our care.

Required Enrollment Documents

All families must complete the following Maryland state–required forms. These documents are used to maintain accurate records and provide appropriate care for your child.

Emergency Information Form

📄 OCC Form 1214

 

This form provides essential contact and emergency information so we can respond quickly and appropriately if an emergency arises.

Includes:

  • Parent/guardian contact information

  • Authorized emergency contacts

  • Medical provider details

  • Emergency response permissions

Medication Administration Authorization Form

📄 OCC Form 1216

This form is required if your child needs to receive medication while in our care. Medication cannot be administered without a completed and signed authorization form.

Includes:

  • Medication name and dosage

  • Administration instructions

  • Parent/guardian authorization

  • Healthcare provider information (if applicable)

Health Inventory Form

📄 OCC Form 1215

This form helps us understand your child’s health needs, allergies, and medical history to ensure a safe and supportive environment.

Includes:

  • Immunization and health history

  • Allergies and dietary needs

  • Special health considerations

  • Physician information

How to Submit Your Documents

Once completed, forms may be submitted in the following ways:

📧 Email scanned copies to:

info@eclecticlearningctr.com

🏫 Bring printed copies to our center

Please ensure all forms are fully completed and signed to avoid delays in enrollment.

View our Privacy Policy here

View our Terms & Conditions

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Need Help?

We understand that paperwork can feel overwhelming. If you have questions about any form or need assistance completing them, our team is happy to help.

Affordable Childcare

Eclectic Learning Center is a community-focused learning space in Baltimore, MD, offering flexible childcare, before and after school care, and enriching programs that support the whole child. We celebrate individuality, nurture growth, and partner with families to inspire confident, compassionate learners.

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Contact Us:

📍 12 w 22nd Street  Baltimore, Md 21218
📧 info@eclecticlearningctr.com

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