ENROLLMENT FORMS | INFANT-TODDLER & PRESCHOOL
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.
Sunscreen Release
Required upon enrollment. Provide center director/site supervisor with updated form if changes occur.
Field Trip / Medical Consent
Required upon enrollment. Provide center director/site supervisor with updated form if changes occur.
Disaster Release Form
Required upon enrollment. Provide center director/site supervisor with updated form if changes occur.
Notification of Parent's Rights LIC 995
Required upon enrollment. Provide center director/site supervisor with updated form if changes occur.
Physician's Report LIC 701
Required upon enrollment. Provide updated immunization records to center director/site supervisor as immunizations occur.
Identification and Emergency Information LIC 700
Required upon enrollment. Provide center director/site supervisor with updated form if changes occur.
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.
Parent Information About Inhaled Medication Procedures
Required reading; not a form.
Inhaled Medication Authorization
Required upon enrollment if your child requires inhaled medication.
Epinephrine Authorization
Required upon enrollment if your child requires an EpiPen.
Safe Infant Sleep Policy and Procedure
Required reading for infant-toddler families; not a form.
