ECC Parent Consent Form 2020-2021

Park Avenue Synagogue Early Childhood Center

ECC Parent Consent Form 2020-2021

Please complete this form by Friday, September 4, 2020.

Family Information

Consent/Release Questions

Lice Check Consent

Specialist Consent

Photo/Video Release

Trip Consent

Diapering, Toileting, Accidents, and First Aid


We ask all parents to consent to allow staff to administer an EpiPen in case of emergency (whether your child has known allergies or not). Only those staff certified to administer an EpiPen are permitted to do so.

After submitting this form, you will be able to return to the Student Forms section of the ECC website, where you will find the formal EpiPen Consent Form. Please print this form for your pediatrician to fill out, and return to the ECC Office.

If you have any questions, please contact the ECC Office at (212) 369-2600, x150 or at