Forms Needed for Child's Enrollment:
1. CY 867 - Emergency Contact/Parental Consent Form
2. CD 51 (formerly CY 51) Child Health Assessment
3. Agreement
4. Signed Back Page of Family Handbook
11. Any applicable custody forms
STAFF FORMS: made available from: www.dpw.state.pa/partnersproviders/childcareearlyed/003671041.htm
CY 322 - Staff Health Assessment
CY 142 - Day Care Staff Data Sheet
CY 863 - Verbal Request for Release of Child
CY 113 - Pennsylvania Child Abuse History Clearance