Get Child Enrollment Forms - The State Of Connecticut Website

Filling out the Child Enrollment Form is a crucial step in ensuring your child's place in a care program. This guide provides clear instructions to help you complete the form accurately and efficiently online.

Follow the steps to complete the Child Enrollment Form online.

1. Click ‘Get Form’ button to obtain the form and open it in your editor.
2. Begin by entering the date of application, date of enrollment, and last day of enrollment. This information helps establish the timeline for your child's care.
3. Fill in your child's name, date of birth, and address including city and zip code. This section ensures the care facility has accurate identification and location information.
4. Provide your name and address, including city and zip code, as well as your email address, home telephone number, and cell number. This enables the care provider to contact you effectively.
5. Enter your employer's details, including the address and work telephone number. Should you need to be reached during work hours, this information is vital.
6. Repeat the previous step for the child's father or other parent, ensuring to include contact information that may differ from yours.
7. Indicate the weekly care schedule by filling out the hours your child will be in care for each day of the week to clarify the care arrangement.
8. List persons authorized to be contacted in the event of an emergency or to whom the child may be released. Include their names, addresses, phone numbers, and relationships to the child.
9. Provide the name and contact information of your child’s physician. This is essential for health-related communications.
10. Answer the question on whether your child is related to the caregiver and specify the relationship, if applicable.
11. Finally, ensure all provided information is correct, then submit your signatures and dates in the designated sections to validate the form.
12. After completing the form, save any changes made, then download, print, or share as needed. Ensure you retain a copy for your records.

Complete your Child Enrollment Form online today for a smoother enrollment process.