• JC Sunshine Childcare Enrollment Packet

    Please complete all required sections to enroll your child at JC Sunshine Childcare. Have relevant documents ready for upload.

  • Child Information

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Sex / Gender*
  • Language(s) Spoken

  • Enrollment and Schedule Requested

  • Requested Start Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Expected Days of Attendance*
  • Drop-Off Time*
  • Pick-Up Time*
  • Care Type Requested*

  • Parent/Guardian 1

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Parent/Guardian 2 (optional)

  • Optional section
  • Format: (000) 000-0000.

  • Home Address

  • Emergency Contacts

  • Emergency Contact 1*
  • Emergency Contact 2*
  • Emergency Contact 3*
  • Emergency Contact Availability Confirmation

  • Authorized Pick-Up List

  • Authorized Pick-Up Person(s)*
  • Release Authorization Notes
  • Verification Method(s) Required*
  • Acknowledgment of Pick-Up Authorization List

  • People Not Authorized to Pick Up and Custody Notes

  • People Not Authorized to Pick Up

  • Child Health and Medical Information

  • Known Medical Conditions*

  • Allergies and Special Diet

  • Food Allergies*
  • Environmental Allergies

  • Doctor, Dentist, and Insurance Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Developmental and Individual Needs

  • Does the child have an IEP or IFSP?*
  • Which developmental, disability, or special needs apply?*

  • Uploads

  • Upload a File
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  • Upload a File
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  • Upload a File
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    Choose a file
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  • Upload a File
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    Choose a file
    Cancelof
  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof

  • Permissions and Consents

  • Emergency medical care and 911 authorization*
  • Outdoor play permission*
  • Neighborhood walks permission*
  • Photo/video permission for parent app*
  • Photo/video permission for classroom use*
  • Photo/video permission for social media and website*
  • Note

  • Tuition and Attendance Agreement

  • Tuition and Attendance Agreement
  • Late Pick-Up Policy: JC Sunshine Childcare closes at 6:00 PM. Late pick-up fees apply after closing. Repeated late pick-ups may lead to a parent meeting or termination of care.
  • Early Drop-Off Policy: Children may only be dropped off at their approved scheduled time. Early drop-off must be approved in advance and may require an early care fee or add-on.
  • Nonpayment Policy: Tuition and parent balances are due as agreed. Payment is required to hold the child’s spot. Unpaid balances may result in late fees, pause of care, a required payment plan, or termination of care.
  • Termination of Care Policy: Care may be terminated for ongoing nonpayment, repeated late-pick-ups, unsafe behavior that cannot be safely supported, failure to follow program policies, or missing required paperwork. Notice will be given when possible, but immediate termination may happen for serious safety or payment concerns.
  • Sick Policy: Children must stay home for fever, vomiting, diarrhea, contagious illness, untreated lice, unexplained rash, or symptoms that prevent participation. A child may return when fever-free without medication and symptoms have improved, or with doctor clearance when needed. Parents must pick up a sick child promptly when contacted.
  • Acknowledge Tuition and Attendance Terms*

  • Digital Signature and Date

  • Date Signed*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: