Find Us

10123 Connecticut Ave., Kensington, MD 20895

Contact Us

301-949-2933 admin@lcycpreschool.org

Forms & Resources

Required Forms

Complete and return the following forms for ALL NEW STUDENTS:

Form NameDescriptionAction
Emergency FormPhysician signature required if your child has a medical condition.Download Emergency Form
Health Inventory Form**Part I:** Completed by parent/guardian. **Part II:** Completed by physician.Download Health Inventory Form
Immunizations RecordAttach a computer-generated immunization record or complete with your physician.Download Immunization Certificate

View Maryland Requirements
Blood Lead Testing CertificateCompleted with your physician.Download Blood Lead Testing Certificate
LCYC Student Allergy FormMust be completed for **ALL students**, regardless of known allergies.Download Student Allergy Form

Additional Forms

Complete and return the following forms as needed:

Form NameDescriptionAction
Food Sensitivity/Allergy FormNo medication/treatment required. Physician signature not required.Download Food Sensitivity Form
Allergy Action PlanPhysician signature required.Download Allergy Action Plan
Medication Administration AuthorizationSeparate forms required for each medication (e.g., EpiPen, Benadryl).Download Medication Authorization Form
Asthma Action Plan and Medication AuthorizationCompleted by physician for asthma management.Download Asthma Action Plan
Seizure Medication Administration AuthorizationCompleted by physician for seizure medication.Download Seizure Medication Authorization

Submission Instructions

All forms must be completed and returned to LCYC before your child can start school.

Submission MethodDetails
Emailadmin@lcycpreschool.org
Fax(301) 933-7704
MailLCYC Preschool
10123 Connecticut Ave.
Kensington, MD 20895

Families enrolled at the parent participation tuition level will work as a parent volunteer in the classroom as a co-oper. A limited number of volunteer positions are available each year for non-classroom roles. Contact admin@lcycpreschool.org if you’re interested in a non-classroom role. All volunteer positions require a minimum commitment of 3-4 hours monthly. 

If you would like to switch to NON-participation, please contact us as soon as possible.

Classroom co-opers help the teacher and assistant with hands-on activities in the classroom. You will typically be the third adult in the classroom, except on occasion where there may only be two adults if a teacher is out. Co-oping duties include engaging with the students throughout the day with classroom activities and outdoor play; as well as helping students wash their hands, assisting with transition times; and prepping and cleaning items in the classroom (sweeping, cleaning tables, washing items, etc.).

Co-opers are scheduled approximately once per month for a 3.5 hour commitment (9am-12:30pm), for a maximum of ten times per year (September-June), per student enrolled. Missed co-op shifts with no notice are subject to a missed co-op fee of $50, and the shift must be rescheduled. Co-opers must arrive on time at 9am; arrival after 9:10am will incur a $15 late fee charge.

All co-oping adults must complete all of the requirements prior to co-oping. If you are a returning co-oper with completed forms already on file from the previous school year, you only need to attend the in-person training in September. We cannot schedule you to co-op until your requirements are completed and you will be invoiced the tuition difference for each month until you can be scheduled to co-op. All co-op forms are due in August in order to be placed on the co-op schedule for September. Mandatory co-op training for all co-oping adults (new and returning) is held the first week of school in September.

Form NameDescriptionAction
In-person LCYC Co-op TrainingHeld the first week of school in September.Attend Training
State & Federal Fingerprint Background CheckBring a completed Livescan Form to your fingerprint appointment. Provide LCYC with a copy of your receipt as proof of completion.Download Livescan Form / Find Fingerprinting Locations
Complete Online Basic Health & Safety TrainingRegister and complete the training. Save a copy of your certificate to email to LCYC. Training is available once a month with a strict registration window.Register & Complete Training / Save Certificate
Medical Release FormNecessity for TB test is up to your physician.Download Medical Release Form
Noncriminal Justice Applicant’s Privacy Rights FormForm to be completed and returned.Download Privacy Rights Form
Release of Information Form (2-pages)Must be notarized. Return the completed original form via mail or in person to LCYC.Download Release of Information Form

Not all jobs are available every year. Please contact admin@lcycpreschool.org to inquire about interest.

Role NameDescriptionCommitment
Fundraising ChairLeads, plans, and promotes approximately 6 fundraisers per year, including Kids Kreations, restaurant dine-outs, and a community-focused fundraiser like Parents' Night Out.Plan and promote 6 fundraisers over the school year.
Auction ChairLeads and coordinates the annual spring silent auction. Solicits donations, enters auction information online, and creates promotional content. Expected to commit 3 hours monthly starting in the fall.Commit 3 hours monthly from fall to spring.
Library AssistantShelves books twice a month, maintains library organization, updates online catalog, and provides admin support to the LCYC Office during school hours.Two 1.5-hour shifts per month during school hours.
Weekly Email CoordinatorCreates and schedules weekly reminder emails for families. Requires familiarity with email layouts and self-starter skills to complete tasks with minimal assistance.Weekly emails scheduled for Sunday evenings.
Housekeeping ChairCoordinates monthly housekeeping shifts, communicates with volunteers, and is present on the first Saturday each month to oversee housekeeping duties. Ensures classrooms are locked and supplies are put away after shifts.Available on the first Saturday monthly and as needed.
Snack ManagerPurchases and delivers fruit and/or vegetable snacks weekly for all classes. Food must be dropped off before Monday morning drop-off. LCYC reimburses up to a designated amount monthly with receipts.Weekly snack purchases and drop-offs.
Social Media & Website ManagerPosts on social media weekly per class, highlights events, and updates the LCYC website as requested. Familiarity with social media, photo editing, WordPress, and Procare Connect is required.Social media posts weekly and website updates as needed.