Forms

Contracts

Grafton, WI 2018 Contract

West Bend, Wi 2018 Contract

Enrollment forms for 2years to 12 years

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Enrollment forms for infant to 2 years

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YourGuide

Your Guide To Licensed Child Care brochure (Please print and use this guide as reference when looking for child care)

State Forms

Enrollment Forms for Children Ages 1 to 5:

CFS-0060   CHILD HEALTH REPORT
CFS-0062  CHILD CARE ENROLLMENT
CFS-2345 HEALTH AND HISTORY CARE PLAN
CFS-61 INTAKE FOR CHILD UNDER 2YRS.(IF UNDER 2 YRS OLD ONLY)
F-44192 DAY CARE IMMUNIZATION RECORD

ebtCardholder: How to pay child care provider

 

ADDITIONAL FORMS YOU MAY NEED ARE:

NON- DISCRIMINATION CLAUSE: Little Friends does not In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English. To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: Mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW Washington, D.C. 20250-9410; or by Fax: (202) 690-7442; or by Email: program.intake@usda.gov .  This institution is an equal opportunity provider.o.