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FDP Online Interest Form

Please complete the form below. Required fields marked *

Please use this form if you are interested in learning more about the Full-day Preschool Program and allow at least 2 business days for a return call or email.  You may contact us at (626) 858-0527 with questions.

NOTE: Submitting this form is not approval to begin care. You must first speak with an enrollment staff person.

I need care in the following cities:*
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I need full-day care for the following reason*
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Upload any/all of the following Express Enrollment documents if you are ready to enroll:

  • Completed enrollment packet
  • Birth certificates for ALL children in the household
  • Current (within 12 mo.) physical exam & TB test with results for enrolling child
  • Up-to-date immunization record for enrolling child
  • Working parents: All paycheck stubs received in the last 30 days (for set work schedule) to 4 months (for variable work schedule).
  • Parents in school/training: Current school enrollment/training schedule
  • Proof of any other income: TANF, unemployment, disability, child support, etc.
Upload ALL documents here:
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Thank you for your interest in our program!

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