ENROLLMENT FORMS | AFTER SCHOOL KIDS' CLUBS
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.
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.
Notification of Parent's Rights LIC 995
December 29th, 2012
Required upon enrollment. Provide center director/site supervisor with updated form if changes occur.
Sunscreen Release
December 29th, 2012
Required upon enrollment. Provide center director/site supervisor with updated form if changes occur.
Field Trip / Medical Consent
December 29th, 2012
Required upon enrollment. Provide center director/site supervisor with updated form if changes occur.
Identification and Emergency Information LIC 700
December 29th, 2012
Required upon enrollment. Provide center director/site supervisor with updated form if changes occur.
Family Handbook Acknowledgement
February 1st, 2016
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.
Parent Information About Inhaled Medication Procedures
February 2nd, 2016
Required reading; not a form.
Inhaled Medication Authorization
February 3rd, 2016
Required upon enrollment if your child requires inhaled medication.
Epinephrine Authorization
February 5th, 2016
Required upon enrollment if your child requires an EpiPen.
