Information for PACCC Families

In order to make this process easier for you, we've made the following forms downloadable. These forms are necessary for each child's center file.

 

Select each form and save it to your computer's hard drive. If you have more than one child enrolled at PACCC, you may want to duplicate the forms to make updating information easier in the future.  All you'll need to do is go to your saved documents on your computer, make the changes, print, sign and give the forms to your center director. Remember, signatures must be original.

 

PACCC's Waiting List Priority

Auto Debit Form

2009-2010 PACCC Monthly Fee Schedule, Infant-Toddler and Preschool

2009-2010 PACCC Monthly Fee Schedule, School-Age

2008-2009 Employee Holiday Schedule & Staff Development Days

2009-2010 Employee Holiday Schedule & Staff Development Days

 

Enrollment Forms for Parents

 

Infant/Toddler/Preschool (ITP) Enrollment Forms
 

Introduce us to Your Child

Identification and Emergency Information LIC 700

Preadmission Health history LIC 702

Physician's Report LIC 701

Personal Rights LIC 613A

Parent's Rights Information LIC 995E -- required reading; not a form

Notification of Parent's Rights LIC 995

Disaster Release Form

Evacuation Procedures -- required reading; not a form

Field Trip / Medical Consent

Photo Release

Sunscreen Release


 
School-Age (SA) Enrollment Forms
 

Introduce us to Your Child

Identification and Emergency Information LIC 700 *

Preadmission Health history LIC 702 *

Personal Rights LIC 613A *

Parent's Rights Information LIC 995E -- required reading; not a form

Notification of Parent's Rights LIC 995 *

Field Trip / Medical Consent *

Photo Release *

Sunscreen Release *

Requirements for Non-Ambulatory Persons

* Required forms for summer.

 


2008-2009 Employee Holiday Schedule & Staff Development Days


Independence Day HolidayFriday, July 3, 2009
Staff Development Days
Infant-Toddler & Preschool
Thursday, August 20, 2009
Friday, August 21, 2009
Staff Development Days
School-Age
Mon - Fri, August 17-21, 2009
Labor DayMonday, September 7, 2009
Thanksgiving HolidaysThursday, November 26, 2009
Friday, November 27, 2009
Winter HolidaysThursday, December 24, 2009
Friday, December 25, 2009
New Year's HolidayThursday, December 31, 2009
Friday, January 1, 2010
Martin Luther King, Jr. Day       Monday, January 18, 2010
President's DayMonday, February 15, 2010
Staff Development Day
All Programs
Friday, May 14, 2010
(tentative)
Memorial Day Monday, May 31, 2010
School-Age
Staff Development Day
Friday, June 11, 2010


Questions?

For Infant-Toddler & Preschool information contact:
Lisa Rock, Infant-Toddler & Preschool Program Coordinator
650-493-2361 x18
lrock@paccc.com


For School-Age Program information contact:
Kristiane Turner, School-Age Program Coordinator
650-493-2361 x16
kturner@paccc.com

 

[ back to top ]

Fed Tax ID: 94-2242823

3990 Ventura Court, Palo Alto, CA 94306   Phone: (650) 493-2361   Fax: (650) 493-0936