Forms

Childcare Washington University

Find important forms for your potential or current student. Forms should be mailed to:

Washington University Family Learning Center
840 Rosedale Avenue
St. Louis, MO 63112

Enrollment Interest Application

Parents interested in enrolling their child(ren) in the WUSTL Family Learning Center, please download and complete the Pre-Enrollment Interest/Waiting List Application form.


Currently Enrolled Families

Bright Horizons Family Guide

Standard Forms

Please visit Bright Horizons Enrollment page for standard forms in addition to the following center specific forms:

  • Missouri Child Care Enrollment Form* (found on BH Enrollment page)
  • Child Medical Examination Report* (found on BH Enrollment page)
  • Immunization Records* (from pediatrician)
  • Child’s Information Form (found on BH Enrollment page)
  • Informed Consent Form* (found on BH Enrollment page)
  • Parent/Guardian Phone/Email Authorization Form-Optional (found on BH Enrollment page)
  • Topical Ointment Administration (found on BH Enrollment page – for any lip balms, lotions or diaper creams not requiring prescriptions)
  • Medication Authorization Form (found on BH Enrollment page – for any medication not covered by Topical Ointment Administration form, including prescriptions, over the counter and any medications given not in accordance with medications labeled instructions for dosage or use.  Doctors signature may be required).
  • Sunscreen and Insect Repellent Permission Slip Form (found on BH Enrollment page)
  • Medical Release form (pdf) for authorization for requesting medical documents pertaining to providing care at the center including Medical Examination Report, immunization records and health care requirements
  • Payroll Deduction Authorization form (pdf) for Wash U payroll deduction
  • Online Payment instructions (pdf) for online payments

Infant/Toddler Addendum (6 weeks to 2 years of age)

  • Infant Personal Care Plan/Developmental History (found on BH Enrollment page)
  • Mat/Cot Release(found on BH Enrollment page)
  • Infant and Toddler Feeding and Care Plan*(found on BH Enrollment page)

Toddler Addendum (1 year to 2 years of age)

  • Toddler/Twos Personal Care Plan/Developmental History(found on BH Enrollment page)

Preschool/Kindergarten Prep Addendum

  • Preschool/Kindergarten/School Age Developmental History(found on BH Enrollment page)

For children with medically diagnosed or suspected allergies and/or food preferences:

  • Allergy Acknowledgement form (pdf) Required with any Allergy Health Care Plan or Suspected Allergy/Food Intolerance and/or Food Preference form
  • Allergy Health Care Plan* (found on BH Enrollment page) To be used for medically diagnosed allergies only, and requires pediatrician and parent/guardian signature 
  • Suspected Allergy/Food Intolerance Form (found on BH Enrollment page)
  • Food Preference form (pdf)
  • Asthma Health Care Plan*(found on BH Enrollment page)

indicates State of Missouri forms and information required for child to be in care


Back-Up Care Advantage Program (BUCA)

Please visit the BUCA website for information for registering for BUCA, which also provides a link for registration materials when using BUCA. Requires a Username and Password provided by your employer.