Registration packets are now available at Child Family Center, the Culver Center and our Provider Centers 

Please have the following to register your child:

Original Birth Certificate

Immunization Record


Proof of Residency - *Drivers' licenses are not proof of residency.

Acceptable Proof of Residency:

Property Tax BillsUtility Bills for the stated address in the same person's name

Deed, Lease, Contract of Sale or Mortgage

Letters from Landlords and other evidence of property ownership/tenancy/residency

Delivery receipts and/or evidence of personal attachment to a location (secondary proof

maybe required)

Court Documents or State Agency Placements

Voter Registration

Completed Enrollment Form

Food Stamp Number (if it applies)*

*Your child will not be placed until each of these documents have been submitted.

Required Immunizations Needed For Pre-School 3 & 4 Year Olds

DTaP - 4 dates

Polio - 3 dates

MMR - 1 date after 1st birthday

HIB - 1 date after 1st birthday

PCV - 1 date after 1st birthday

Varivax - 1 date after 1st birthday or written proof of chicken pox disease

FLU between 9/1 & 12/31 each year

Health History

Physical Exam by Doctor or Nurse Practitioner

All Records Must Be Signed by the Physician

Recommended Immunizations: Hepatitis B Series