Enrollment

Enrollment is open to all children without regard to race, color, religion, national origin, or ancestry. Our forms are available for you to download right here. Print, sign and bring the below forms to your child's first day of attendance as we are required to have a hard copy on file with a wet signature. The Enrollment Package consists of: 

• Identification and Emergency Information - (LIC 700).
  
• Child's Pre-admission Health History - Parents’ Report (LIC 702).
  
• Child's Pre-admission Health Evaluation if not enrolled in a public or private elementary school - Physician's Report (LIC 701).
  
• Consent for Medical Treatment (LIC 627).
  
• Authorized representative exempting a child from medical assessment, immunizations, and treatment because of adherence to a religious faith that practices healing by prayer or other spiritual means; or
  
• Physician's statement that immunization is not indicated.
  
• California School Immunization Records (“blue cards”, PM 286) for non-school-age children.
  
• Current Admission Agreement, with authorized signature(s).
  
• Centrally Stored Medication and Destruction Record (LIC 622), if medications are handled.
  
• Document unusual behavior or signs of illness, or special needs.
  
• Unusual Incident/Injury Report (LIC 624).
  
• Signed and dated receipt of Notification of Parents’ Rights (LIC 995).
  
• Personal Rights -(LIC 613A) receipts, signed and dated.
  
• Authorizations for dispensing medication, signed by each child’s authorized representative.
  
• Documentation required for health-related services (e.g., blood-glucose monitoring and nebulizer care). (LIC 9166)
  
• Acknowledgment of receipt of licensing reports (LIC 9224), if applicable.
  
• Sunblock Authorization form
  
• Multi-Media Authorization Release form
• All fees paid in full