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Enrollment Forms

Program Pricing is individually based on family care days & hours needed and additional requirements being requested. It may vary from what is listed depending on these factors. 

Please schedule an enrollment meeting with the Director for an accurate rate quote based on your families needs.  Child Care Scholarships, Military Assistance  and Foster Care Subsidy is Accepted.

 

Enrollment Application

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All About Me Form

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Service Contract

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Waiver Agreement

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ACH Withdrawal Form

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Emergency Form

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Medical Administration Authorization

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Immunization Certification Form

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Health Inventory Form

DOWNLOAD FILLABLE FORM

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