Mila Zavaleta 707 967-0774
957 Brown St.
​St. Helena Ca 94574
Mila's Preschool and Childcare Center Inc.
  • Home
  • Preschool Program
    • Preschool Schedule
  • Toddler Program
    • Toddler Schedule
  • Infant Program
    • Infant Schedule
  • Contact
  • Parents Handbook
  • What do I bring?
  • Forms
  • Pictures
  • Fees and Calendar
  • Donations

Forms


This is the list of forms required to start at Mila's Preschool and Childcare Center, In addition to these forms if your child  is under three, please ask the teacher for the daily feeding and sleeping plan.

Identification and emergency report 
https://www.cdss.ca.gov/Portals/9/Additional-Resources/Forms-and-Brochures/2019/I-L/LIC700.pdf?ver=2019-10-24-143032-763

Child's Pre-admission Health History-Parent/Authorized Representative report
https://www.ltsc.org/wp-content/uploads/2020/01/LIC702.pdf

Personal Rights
https://www.cdss.ca.gov/cdssweb/entres/forms/English/LIC613A.PDF

Child Care Notification of Parent's Rights
https://www.cdss.ca.gov/cdssweb/entres/forms/English/LIC995.PDF
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Physician's Report
https://www.cdss.ca.gov/cdssweb/entres/forms/English/LIC701.pdf

Consent For Emergency Medical treatment
https://www.cdss.ca.gov/cdssweb/entres/forms/English/LIC627B.pdf

Important Information for parents
https://www.cdss.ca.gov/cdssweb/entres/forms/English/LIC995E.PDF

Consumer Awareness Information
https://www.cdss.ca.gov/cdssweb/entres/forms/English/LIC9212.PDF

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https://www.cdss.ca.gov/cdssweb/entres/forms/English/LIC9221.pdf

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