Forms & Documents

Completing the forms below required for registration does not mean that your child is registered in our program. 

These form are made available to help speed up the registration process.

Registration is done in person by appointment with a KKCC staff member.

This form may require a visit or examination by a physician or certified nurse practitioner.  With this form you must attach  the form labeled Immunization Certificate (MDH 896).  Forms MUST be stamped and signed by the physician's office.

 

*Required for registration

​This form was designed to help us get to know your child prior to starting care.  Please provide as much information as possible regarding your child as well as any special adaptation that we might need to make to meet your child needs. 

*Required for registration

With this form, you authorize KKCC to initiate debit entries from your credit card, checking, or savings account to pay tuition and fees.  

*Required for registration

Here you will find any important dates to take note of, as well as any dates the center is closed.

This form must be completed fully in order for child care providers and staff to administer any required prescription medication.​​

Should you need to withdraw your child from from our program, use this form.  

This brochure provides information about requirements that that a State-regulated family child care home or child care center must meet and gives parents an understanding of their rights and responsibilities.

This form must be completed by a physician or certified nurse practitioner.  If your physician does an attachment instead of filling the information in, it must be noted on the the form as well as signed and stamped by the physician.  

*Required for registration

This form is used to contact parents or family members in case of an emergency.  Remember to note any allergies, medical conditions, or medication your child may be taking.

*Required for registration

The dates given indicate the day that you are responsible to have funds available for the ACH deduction from the checking or savings account.  These dates do not indicate the actual date of the ACH draft. 

This provides a list of personal and classroom supplies needed.  Remember to LABEL ALL your child’s belongings including the food containers, bedding, extra clothes, and book bags.

This form is to be used for non-medicated over the counter topicals or sprays used on external areas only.  A separate form must be completed per item.

​If your child will be vacationing for 3 weeks or more, use this form.  A FOUR-week written notice is required for Extended Leave Requests, with the week beginning on a Monday. Vacation time must not exceed 90 days.