
Family Applications & Documents

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:
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Parent/guardian contact information
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Authorized emergency contacts
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Medical provider details
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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:
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Medication name and dosage
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Administration instructions
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Parent/guardian authorization
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Healthcare provider information (if applicable)
How to Submit Your Documents
Once completed, forms may be submitted in the following ways:
📧 Email scanned copies to:
🏫 Bring printed copies to our center
Please ensure all forms are fully completed and signed to avoid delays in enrollment.

