Skip to Main Content

Loading

Loading
Homepage
  1. Our County
  2. Departments & Offices
  3. Services
  4. Doing Business
  5. How Do I?
Search 1
Home Button 2
Disability-Icon
  1. County Home
  2. Departments & Offices
  3. Departments & Offices E-Z
  4. Human Resources
  5. Employee Benefits
  6. Kids at Work Child Care Center
  7. Enrollment Forms
  1. A
  2. A

CONTACT US/ENROLLMENT DETAILS

Two kids hugging








Enrollment forms: 

  • LIC613A-Personal Rights (PDF)
  • LIC700-I.D. and Emergency information (PDF)
  • LIC701-Physician Report (PDF)
  • LIC995-Parents Rights (PDF)
  • LIC627-Consent for emergency medical treatment (PDF)
  • LIC702-Health History (PDF)
  • Infant Needs and Service Plan (PDF)
  • Admission Agreement (PDF)
  • Emergency Card (PDF)
  • Medication Authorizations (PDF)
  • Photo Release (PDF)
  • Biting Policy (PDF)
  • Toddler Needs and Service Plan (PDF)
  • Parents Handbook (PDF)
  • Pandemic Policy (PDF)
  • Access Form-KAW Policy (PDF)
  • Access Card Request Form (PDF)

These forms are intended for those who have paid a registration fee for their child.

Come join our family. Call today to schedule a tour.

Kids at Work reading and playing

For more information, please call (925) 313-2380 or email Kids at Work.

  1. Our Teachers
  2. Infants
  3. Toddlers
  4. Preschool
  5. Pre-Kindergarten
  6. Healthy Meals
  7. Additional services and special events
  8. Enrollment Forms
Board & District Agendas
Agenda Center
Permits
Jobs
Video/Media
Taxes
Next Previous
    1. The Seal of Contra costa County California

    1. Contact Us: Public Information Contacts   Media Inquiries   Contact Webmaster 
                           
      County Administration Building:         
      1025 Escobar Street, Martinez, CA 94553
      1st Floor:  Clerk of the Board
      2nd Floor:  Human Resources
      3rd Floor:  County Counsel
      4th Floor:  County Administration

      For all other County departments and offices, see their web pages.

    Accessibility
    Twitter 1
    Nextdoor
    Youtube 1
    Linkedin 1
    1. Site Links:
    1. Home
    1. Website Accessibility
    1. Contra Costa FOCUS
    1. Employees
    1. Legal Terms of Use
    1. Site Map
    1. Stay Connected
    /QuickLinks.aspx

    1. Back to Top

    site tools 1

    1. Home
    2. My Account
    3. Printer Friendly
    4. Email Page
    5. Contact Us
    6. Hear This Page
    7. RSS
    8. Site Map
    9. Translate Page
    10. Notifications
    11. Documents
    12. Help
    © 2022 Contra Costa County
    Government Websites by CivicPlus®
    Arrow Left Arrow Right
    []
    Slideshow Left Arrow Slideshow Right Arrow