Please complete, sign, and return the following forms to the main office prior to your child’s first school day. For the well-being of your child, we ask that you inform us immediately of any changes in the information provided during registration.

Kiddieland ECE I Forms		Kiddieland ECE II Forms
K 001 001 CHILD INFORMATION		K 002 001 CHILD INFORMATION
K 001 002 PERSONS TO CALL IN CASE OF EMERGENCY		K 002 002 PERSONS TO CALL IN CASE OF EMERGENCY
K 001 003 AUTHORIZATION FOR CHILDREN PICK UP FROM CENTER		K 002 003 AUTHORIZATION FOR CHILDREN PICK UP FROM CENTER
K 001 005 CONSENTS		K 002 005 CONSENTS
K 001 006 MEDICATION AUTHORIZATION FORM		K 002 006 MEDICATION AUTHORIZATION FORM
K 001 007 SPECIAL DIET FORM		K 002 007 SPECIAL DIET FORM
K 001 008 AUTOMATED PAYMENT PROCESSING (if applicable)		K 002 008 AUTOMATED PAYMENT PROCESSING (if applicable)
K 001 009 WITHDRAWAL AUTHORIZATION FORM		K 002 009 WITHDRAWAL AUTHORIZATION FORM
K 001 010 DEPOSIT FORM		K 002 010 DEPOSIT FORM
K 001 011 SUBSIDIES ACKNOWLEDGEMENT FORM		K 002 011 SUBSIDIES ACKNOWLEDGEMENT FORM
K 001 012 QUESTIONNAIRE		K 002 012 QUESTIONNAIRE
K 001 0A1 CONTRACT		K 001 0A1 CONTRACT
K 001 0A2 SUMMER CAMP CONTRACT		K 002 0A2 SUMMER CAMP CONTRACT
K 001 0A3 FIELD TRIPS CONSENTS		K 002 0A3 FIELD TRIPS CONSENTS
DCFS Forms • CFS 428 Application Records of Child Info • CFS 593 Consent to Daycare • CFS 600 Certificate of Child Health Exam		DCFS Forms • CFS 428 Application Records of Child Info • CFS 593 Consent to Daycare • CFS 600 Certificate of Child Health Exam
Other Documents •  Birth Certificate •  Copy of Medical Insurance Card • ISBE Annual Enrollment Form July 2017 • ISBE Household Eligibility Application		Other Documents •  Birth Certificate •  Copy of Medical Insurance Card • ISBE Annual Enrollment Form July 2017 • ISBE Household Eligibility Application