DOCUMENTS REQUIRED

The Irvine Chinese Immersion Preschool is licensed and authorized by the California Department of Social Services to offer daycare for preschool age children. Certain forms are required by the CALIFORNIA DEPARTMENT OF SOCIAL SERVICES as part of the admissions process. Below is a list of essential documents required submission for the enrollment process to be finalized.
Forms D1 to D10


One Copy Per Family (Parents or guardians to complete the forms)

D4. Form LIC995 Parents Rights - Online Form / Form in PDF

D9. Parent Handbook Acknowledgment Form - Online Form / Form in PDF

One Copy Per Student (Parents or guardians to complete the forms) 

D1p. Preschool Admission Agreement - Online Form (Large Screen) / Online Form (Mobile Phone) / Form in PDF

D1s. Summer Program Agreement - Online Form (Large Screen) / Online Form (Mobile Phone) / Form in PDF

D2. Form LIC627 Consent for Emergency/ Medical - Online Form / Form in PDF

D3. Form LIC700 Emergency Information - Online Form / Form in PDF

D5. Form LIC613A Personal Rights - Online Form / Form in PDF

D8. Form LIC702 Child's Preadmission Health History-Parent's Report - Online Form / Form in PDF

D10. Basic First Aid & Personal Care Authorization Form - Online Form (Large Screen) / Online Form (Mobile Phone) / Form in PDF

One Copy Per Student  (Physician to complete form D6 and provide D7 Immunization Record) 

D6. Form LIC701 Physician's Report - Form in PDF 

D7. Current Immunization Record