At this time our enrollment packet is not available online. However, we can email or fax you a copy if you desire.
Please stop by our office at 1990 Archer Ave. Live Oak, CA 95953 to pick up our enrollment packet:
Emergency Card, Allergy Form, Physician's Report, Parent's Report, Parent's Rights, Personal Rights, Consent for Emergency Medical Treatment, Admission Agreement, Fraud Policy, Uniform Complaint, Privacy Notice & Consent Form, Employment Verification, Parent Permission Agreement, and Social History.
Please stop by our office at 1990 Archer Ave. Live Oak, CA 95953 to pick up our enrollment packet:
Emergency Card, Allergy Form, Physician's Report, Parent's Report, Parent's Rights, Personal Rights, Consent for Emergency Medical Treatment, Admission Agreement, Fraud Policy, Uniform Complaint, Privacy Notice & Consent Form, Employment Verification, Parent Permission Agreement, and Social History.
In addition to our enrollment packet, please present the following documents:
Current Income Information |
One full month's paystubs dated within 30 days, AND/OR CashAid
Proof of child's income | if applicable
Child Support
One full month's paystubs dated within 30 days, AND/OR CashAid
Proof of child's income | if applicable
Child Support
Need Verification |
Employment Verification, School Schedule, etc.
Proof of Residency|
PG&E, Comcast, water bill, etc.
Employment Verification, School Schedule, etc.
Proof of Residency|
PG&E, Comcast, water bill, etc.
Physical |
Including current immunizations, TB test, and Physician's Report (on licensing form)
Birth Certificates |
For ALL of the children in the home
Including current immunizations, TB test, and Physician's Report (on licensing form)
Birth Certificates |
For ALL of the children in the home
Here is the QRC code for our New Online Waitlist through Care Connect.
