Golden Future Montessori LLC
4034 San Giorgio Ct., Pleasanton, CA-94588
Breakfast and Snack Provided
License# 013419901
®™ ©
Dr. Maria Montessori
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Golden Future Montessori LLC
4034 San Giorgio Ct.
Pleasanton, CA 94588
United States
Ph: 925-463-0207                                                                               Copyright © 2011 Golden Future Montessori LLC.
info@goldenfuturemontessori.com                                                                   All rights reserved.  
Forms

Dear Parent / Guardian,

Following forms needs to be signed by Parent / Guardian during enrollment:

LIC9150 - Parent Notification Additional children in care.

http://www.dss.cahwnet.gov/Forms/English/LIC9150.PDF

LIC613A - Personal Rights.

http://www.dss.cahwnet.gov/forms/english/LIC613A.PDF

LIC995A - Family Child Care Home Notification Of Parents' Right

http://www.pattersondaycare.com/LIC995A.pdf

LIC627 - Consent For Emergency Medical Treatment

http://www.452dservices.com/files/childcare/LIC627.pdf

LIC282 - Affidavit regarding liability Insurance for family child care home.

http://www.dss.cahwnet.gov/Forms/English/LIC282.PDF

LIC700 - Identification and Emergency Information Child Care Center / Family child
care homes.

http://www.dss.cahwnet.gov/Forms/English/lic700.pdf

LIC702-  Child's PreAdmission Health History- Parent's Report

http://www.dss.cahwnet.gov/cdssweb/entres/forms/English/LIC702.pdf

Note: The LIC702 form link may not work, so please type the form name: LIC 702 on
google.com, and click on the first link, to print the form.