Enrollment Forms - Infant-Toddler/Preschool

Enrollment forms only need to be completed after you have been offered a space in one of PACCC's programs. Forms must be completed and returned to the center where your child is enrolled prior to their first day of attendance.

Click on each link to download the form to your computer. Open the saved documents on your computer, make the changes, print, sign and then give the forms to your center director or site supervisor. Signatures must be original.

If you have more than one child enrolled at PACCC, you may want to copy the forms to make updating information easier in the future.

Resources

Introduce Us To Your Child

Required upon enrollment.

Download File

Evacuation Procedures

Required reading; not a form.

Download File

Disaster Release Form

Required upon enrollment. Provide center director/site supervisor with updated form if changes occur.

Download File

Notification of Parent's Rights LIC 995

Required upon enrollment.

Download File

Parent's Rights Information LIC 995E

Required reading; not a form.

Download File

Personal Rights LIC 613A

Required upon enrollment.

Download File

Physician's Report LIC 701

Required upon enrollment. Provide updated immunization records to center director/site supervisor as immunizations occur.

Download File

Preadmission Health History LIC 702

Required upon enrollment.

Download File

Identification and Emergency Information LIC 700

Required upon enrollment. Provide center director/site supervisor with updated form if changes occur.

Download File

Sunscreen Release

Required upon enrollment. Provide center director/site supervisor with updated form if changes occur.

Download File

Field Trip / Medical Consent

Required upon enrollment. Provide center director/site supervisor with updated form if changes occur.

Download File

Integrative Pest Management (IPM)

Optional form.

Download File

Family Handbook

Required reading.

Download File

Family Handbook Acknowledgement

Required upon enrollment. After reading the Family Handbook, please sign and return this form to your center director/site supervisor along with your other enrollment forms.

Download File

Parent Information About Inhaled Medication Procedures

Required reading; not a form.

Download File

Inhaled Medication Authorization

Required upon enrollment if your child requires inhaled medication.

Download File

Parent Information About Epinephrine Procedures

Required reading; not a form.

Download File

Epinephrine Authorization

Required upon enrollment if your child requires an EpiPen.

Download File

Photo Release

Required upon enrollment.

Download File

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