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Historical Child Care Center Forms

Contact us to check availability before completing the below forms.

CHILD MEDICAL STATEMENT
ENROLL & HEALTH INFO
BASIC INFANT INFO
ROUTINE TRIP PERMISSION FOR CHILD CARE
OHIO Department of Children and Youth

HISTORICAL CHILD CARE CENTER

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Day Care Center
2885 W. Broad St.
Columbus, OH 43204

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(614) 972-7582

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(614) 972-8542

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historicalchildcare@gmail.com

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Mon - Fri: 6:00AM - 6:00PM

LOCATIONS

PROGRAMS

Infant

Toddler

Preschool

School Age

FORM LINKS

Child Medical Statement

Child Enrollment & Health Info

Basic Infant Info

Routine Trip Permission For Child Care

Ohio Childcare Income Eligibility Standards

Ohio Department of Jobs & Family Services