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Enrollment Forms

Child’s pre-admission health check
Physician’s Report
Parent’s Rights
Personal Rights
Admission Agreement
Family Questionnaire
Picture Release Form
Food Program Application
Attendance Policy
Emergency Form
Training Verification
Employment Verification
ASQ Screening “Link” (To be Completed by Parent Online)
Single Parent (Initial Self-Certification at the time of enrollment)
ASQ Consent
Remind Consent forms(Laney)
Remind Consent forms(Merritt)
Alameda County Pilot Program Agreement
Covid 19 Addendum
Talking Points
Family Handbook Receipt
Additional Forms
Seeking Employment Plan
Self-Employment Verification
Self-Declaration of Income
Self-Declaration of $0 (Zero) Income
Seeking Permanent Housing Plan
Self-Declaration of Homeless
Statement of Parent Incapacity
CPS/At Risk Referral
Declining a Provider’s Food
Medical Statement to Request Special Meals or Accommodations

  • Child Care

    Thursday 20 January 2022
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  • Peralta Community College District

    The District comprises four colleges serving northern Alameda County.