Enrollment Forms

14 Osborn Way
Danville, CA  94526
Directions

Phone:  (925) 743-4187 
Fax: (925) 743-4151
bxm9@aol.com

Please print and complete the forms below
before your child's first day at Autumn Creek Learning Center.

• Registration Form
   

• Identification and Emergency Information
   

• Child's Preadmission Health History - Parent's Report
   

• Consent for Emergency Medical Treatment
   

• Consent to a Medical Examination
   

• Notification of Parents Rights
  Important Information for Parents - Caregiver Background Check Process
   

• Personal Rights
   

• Physician's Report
   

• Parent Agreement

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