Get the free CCS Extended Care Enrollment and Authorization Form

CCS Extended Care Enrollment and Authorization Form Name of Child Nickname Birthdate Does your child have allergies? Yes Date entered care Age at entry Now To what? Please list details Parent(s) or

How to fill out ccs extended care enrollment

How to fill out CCS extended care enrollment:

1. Visit the CCS website or contact the CCS office to access the enrollment form.
2. Provide your personal information, such as name, address, and contact details, in the designated fields.
3. Fill in the required information regarding your child, including their name, birth date, and any allergies or special needs they may have.
4. Indicate the days and times when you will require extended care for your child.
5. Specify the duration of enrollment, whether it is for a single day, a week, a month, or an ongoing basis.
6. Sign the form and submit it to the CCS office either in person, by mail, or by email, as instructed by the enrollment guidelines.

Who needs CCS extended care enrollment:

1. Parents or guardians who require supervision and care for their children outside of regular school hours.
2. Families who have work or other commitments that make it necessary to have extended care for their children.
3. Children whose parents or guardians want them to participate in enriching activities or receive additional support during extended care hours.

For pdfFiller’s FAQs

What is ccs extended care enrollment?

CCS extended care enrollment is a process where parents or guardians enroll their children in extended care services provided by the California Children's Services program.

Who is required to file ccs extended care enrollment?

Parents or guardians of children who are receiving services from the California Children's Services program are required to file CCS extended care enrollment.

How to fill out ccs extended care enrollment?

CCS extended care enrollment can be filled out online through the program's website or by submitting a physical form to the program office.

What is the purpose of ccs extended care enrollment?

The purpose of CCS extended care enrollment is to ensure that children receiving services from the program have access to extended care services when needed.

What information must be reported on ccs extended care enrollment?

CCS extended care enrollment typically requires information about the child, such as their name, age, medical condition, and contact information for parents or guardians.

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