Country Child Care
404 W Irma Maize, KS 67101
Labeled Enrollment Forms
Each child is to have one of each of these forms below.
Failure to fully complete the form may result in a delay in enrollment until fully completed.
Please Sign and Return UPDATED JUNE 2016– This is a required document (several pages) that you will complete with our policies and critical information regarding your child and your child’s needs. It also includes an enrollment contract. Due before the first day of attendance.
ENROLLMENT PACKET updated JUNE 2016– This is a required document (several pages) that you and your doctor will complete. If your child has any food allergies, diet restrictions, or texture of food modifications your doctor must complete this form. We require a physical less than six months old as well as current shot records. If you are immunization exempt there is also paperwork for that family choice.
REQUIRED CACFP FORM FOR ALL STUDENTS JULY 2015-JULY 2016 – We participate in the C.A.C.F.P. food Program. ENROLLMENT Every child must be enrolled in the CACFP to claim meals. Parts 1 and 4 must be completed by the parent in order for meals to be claimed in CACFP. Name, date of birth, arrival and departure times, days of care, meals served and parent signature. If the parent leaves any of these fields blank, the enrollment is not complete and meals cannot be claimed. Doublecheck the form when the parent returns it and have the parent complete any missing items as soon as possible. Incomplete forms will result in lost reimbursement income. If the parent does not complete the ethnicity/race columns, center staff can enter information based on visual observation and initial the update. English Alternative Version
Form_4B_Meal_Modification_12_2016 – (SOY MILK/RICE MILK/GLUTEN/PEANUT/ ETC.) If your child requires a special diet or a diet free of an ingredient or food item you are required to have this form completed. – we are a nut free center so we do not serve almond or coconut milk
parent_handbook NOV 2015– This is a document that you will keep for your family regarding our policies and practices.
If you are interested, please review the requirements and download our application, then call the center to set up an interview (316) 722-4500.
+ A minimum of 6 months in a licensed childcare center.
+ Infant and Child C.P.R. & First Aid certified
+ Driver’s License
+ Clear KBI and Background
+ Negative Drug Test
+ High School Diploma
Click to download
COUNTRY CHILD CARE APPLICATION FOR EMPLOYMENT NOV 2015 – You can print this form and fill it out or file/save/and complete, sending it to email@example.com