Click on the links below to view and print important forms.

Application

If you wish to try us out once before filling out all of the forms, you may turn in the Drop-In Form for your first visit.  The Drop-In form does not allow us to give medications or go on any field trips so make sure to speak with a Director to make sure we have everything needed.

Additional Forms

Once your Application is complete, you will also need to submit an Emergency Form, initial and Sign our Child Care Policies, and have your Physician complete the Health Status and send in an updated Immunization Form. Depending on your child’s needs we may also need Medication Orders and Care Plans from your physician as well.

Policies

Here are all of the guidelines, policies and procedures that families need to be aware of.  To see our complete policies and procedures, please ask the Director.

Financials

We have 3 ways to pay:

  • Private pay beginning at $13/hour
  • CES Waiver for Respite Care, Personal Care, and Community Connector
  • CCCAP at the disability rate.

Rates and payment options will be discussed with a director at the initial meeting. Click here for more information about funding assistance for respite care.