Current family forms

Child care

Please complete the enrollment forms for your child and submit them below:

"*" indicates required fields

Child's name*

First Last

Child's age*

Parent's PCC email*

CDC registration form*

Download the CDC registration form, complete, and attach below

Accepted file types: jpg, jpeg, jpe, png, gif, webp, pdf, vtt, Max. file size: 20 MB.

Child and family information*

Download the infant child and family information form, complete, and attach below

Accepted file types: jpg, jpeg, jpe, png, gif, webp, pdf, vtt, Max. file size: 20 MB.

Child and family information*

Accepted file types: jpg, jpeg, jpe, png, gif, webp, pdf, vtt, Max. file size: 20 MB.

Immunization form*

Download the immunization form, complete, and attach below

Accepted file types: jpg, jpeg, jpe, png, gif, webp, pdf, vtt, Max. file size: 20 MB.

Emergency card*

Download the emergency card, complete, and attach below

Accepted file types: jpg, jpeg, jpe, png, gif, webp, pdf, vtt, Max. file size: 20 MB.

Billing agreement*

Download the childcare billing agreement, complete, and attach below

Accepted file types: jpg, jpeg, jpe, png, gif, webp, pdf, vtt, Max. file size: 20 MB.

Billing form*

Download the infant billing form, complete, and attach below

Accepted file types: jpg, jpeg, jpe, png, gif, webp, pdf, vtt, Max. file size: 20 MB.

Billing form*

Download the toddler billing form, complete, and attach below

Accepted file types: jpg, jpeg, jpe, png, gif, webp, pdf, vtt, Max. file size: 20 MB.

Billing form*

Download the preschool billing form, complete, and attach below

Accepted file types: jpg, jpeg, jpe, png, gif, webp, pdf, vtt, Max. file size: 20 MB.

Captcha

Phone

This field is for validation purposes and should be left unchanged.