Enrollment Forms
The forms listed below will need to be completed, along with a one-time family enrollment fee of $25 per child/$75 dollar maximum per family, and submitted to Kessel Kids CcLc prior to enrollment. This fee can be broken down into payments if it creates a financial burden for the family. The family will need to communicate with the director regarding this fee if they would like payments to be arranged.
- Application for Child Care Services
- Child Health Statement - Infant, Toddler, Preschool - Schoolage Child
- Parent Statement
- Physician's Statement
- Immunization Record
- Emergency Contact Information
- Pick-up Permission Form
- Picture Release Authorization
- Activity Authorizations
- Service Contract
- CACFP Application & Enrollment Info
- Video/Surveillance Acknowledgment
- Statement for Professionally Prescribed Treatment if any
- Acknowledgement and Receipt of the Parent Handbook
Kessel Kids CcLc may require additional statements from a parent(s)/guardian or physician if needed.
The information on these forms needs to be updated annually and will remain confidential. All information needs to be completed prior to the first day of attendance and will be returned to the parent(s)/guardian for completion if not completely filled out.