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"Shaping the future of children through quality early education and therapeutic intervention while teaching compassion for diversity"

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Forms

Here are a list of forms in PDF format. Must have Adobe Reader to view. If you don't have Adobe Reader it can be downloaded for free here.

Attendance Contract
Birth History
Child Enrollment Form
Child Medical Exam Report
Children's Rights
Employment Application
Food Program Enrollment Form
Food Program Income Eligibility Form
Gold Room attendance contract
Gold Room Medical Exam Form
Individual Information Sheet
Individual Plan for Specialized Care
Information Tracking Form
Medication Authorization
Medication Order
NKC School District transportaion form
Photo Print release
Platte Count R-III transportation form
policy procedure review
Release of Information - Specific
Release of Information
Specialized Instructions for Infants and Toddler
Transportation Agreement



8630 North Oak Trafficway • Kansas City, MO 64155 • Tel: 816-420-9005 • Fax: 816-420-9010 • Contact Us