ÇÑ×ÓÊÓƵ

Be prepared to send the following documentation:

• Proof of Birth-County issued Birth Certificate, duly attested baptism certificate, or a non-expired passport. When none of the foregoing is obtainable, the parent/guardian may provide any other appropriate means of proving the age of the child (Ed. Code 48002)
• Immunization Record –Current and up-to-date. Both name and date of birth must be on the immunization record
• Child’s TB Test (PPD) or Completed TB Risk Assessment (completed within the past 12 months)
• Child’s Physical Exam (completed within the past 12 months) or an appointment date *
• Child’s Dental Exam (completed within the past 12 months) or an appointment date
• Child’s Medical Insurance Card
• Proof of W.I.C. (if applicable)
• Current and consecutive 30 days of any/all income documentation such as check stubs, disability, SSI/TANF/CalWorks statements for all adults
• Employment Verification Form (Full-day and State preschool options)
• Address Verification (current SMUD/PG&E/Water or lease/rental agreement) **
• Birth Certificate(s) for all siblings under 18-years-old living in the home

In addition:

• Need Verification (Full-day only) i.e., work schedule, school/training schedule or self-certification of seeking employment
• Individualized Education Plan (IEP) if your child is receiving Special Education services, including speech
• Health condition documentation; including but not limited to asthma, food allergy, heart history, seizure disorder and bee sting
• Guardianship/Foster Care/Custody documents (if applicable)
• If you would like to volunteer you must complete a volunteer packet and provide copies of a TB clearance (dated within 12 months) and Immunizations against Influenza, Pertussis and Measles

*Child’s Physical Exam is due within 30 days of enrollment or your child will be excluded until one is provided.

**If residing with another person (relative, etc.), please complete the Declaration of Residence form of the person identified on applicable verified address document.