Center Paperwork

Enrollment Paperwork

CHILD HEALTH REPORT
EMERGENCY CONTACT FORM
Care Plan Form

Infant Room Paperwork

YOUNGER INFANT DAILY CARE SHEET
NON-BOTTLE FED INFANT DAILY CARE SHEET
CHILD MEDICATION AND DIAPER CREAM FORM

Toddler Room Paperwork

General Paperwork

CHILD MEDICATION AND DIAPER CREAM FORM
VERBAL REQUEST FOR RELEASE OF CHILD
2022 PARTIAL WITHDRAWAL REQUEST

COVID-19 Paperwork

COVID-19 LIABILITY FORM
COVID-19 Health and Safety Plan

Preschool Room Paperwork

CHILD MEDICATION FORM

School Age Room Paperwork

2022-2023 RESERVED SPOT FOR FALL
CHILD MEDICATION FORM
Transportation Policy for Fleetwood Students

Summer Camp Paperwork

Staff Paperwork

STAFF HEALTH REPORT - NEW STAFF
EMERGENCY CONTACT FORM
NATIONAL SEX OFFENDER REGISTRY CLEARANCE
W-4 Form
Disclosure Form
2022 Camp Parent Handbook
CHILD HEALTH REPORT
EMERGENCY CONTACT FORM
CAMP CODE OF CONDUCT
SUNSCREEN FORM
CAMP MEDIA RELEASE FORM
CAMP CELL PHONE/ELECTRONIC POLICY
2021 CAMP BOWLING FORM
CHILD MEDICATION FORM
Transportation Policy

Christ Church Children’s Center is monitored by the Pennsylvania Department of Human Services (DHS).

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DHS Contact Information:

Northeast Region Office of Child Development and Early Learning

100 Lackawanna Avenue

3rd Floor Scranton State Office Building

Scranton, PA 18503

1-800-222-2108

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Click here to visit the DHS Online Child Care Center Regulations.
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