Preschool Forms

Enrollment Forms
Complete the forms below only after you have been offered a spot and have been instructed to complete the forms by our Registrar, Chyna Darby. 

​Paperwork is due April 15 for families who receive a spot by April 1. Families that receive a spot after April 1 have two weeks to complete and return their paperwork.

(NOTE: If you are just starting this process, please complete the appropriate interest form(s) found here. After completing the interest form, you may call 831-425-7002 to schedule a tour on a Monday from 1:00-3:00 if desired. Please do not complete the forms below yet.)
Enrollment Forms Due for All Students within Two Weeks of Accepting a Spot in Pacific Preschool (for student file)​​
  1. Copy of the student's birth certificate
  2. Admission agreement in English or Spanish - include a $100 enrollment deposit, unless you are applying for a free state spot
  3. Preschool Family Language Instrument (in both English and Spanish)
  4. Identification and Emergency Form in English or Spanish
  5. Notification of Parents' Rights in English or Spanish
  6. Health History Parent's Report in English or Spanish
  7. Physician's Report in English or Spanish (make your appointment immediately and get this to us as soon as possible)
  8. Required Vaccinations - usually included with a Physician's Report.  Pacific Preschool follows all state guidelines regarding vaccinations. There is information available here in English or Spanish.

Additional ​Forms Required for State-Subsidized Preschool (CSPP) - Make an appointment to meet with the Registrar, Chyna Darby, by April 15. Complete  forms. Provide ALL required documents listed here AND above. (for family file)
  1. Birth certificates for ALL children in the household under the age of 18, even if the children are not going to be enrolling in preschool
  2. Confidential Application in English or Spanish
  3. Notice of Action in English or Spanish
  4. Family Needs Assessment (in English and Spanish)
  5. Family Language and Interest Questions (in both English and Spanish)
  6. Authorization to Contact Employer
  7. Proof of Residency - utility bill, bank statement, or other official documentation of residency
  8. Documentation of Income or Eligibility for EACH parent in the household, which includes:
  • If you receive CalWorks, Medical, CalFresh, WIC, or other similar public assistance programs, provide relevant documentation. In this case, you do not have to provide any of the additional information below. 
  • Most recent W2 form or 1040 form OR​ paycheck stubs representing one complete recent month of income if your income is consistent OR up to 12 complete months if your income fluctuates. For fluctuating income please use this form.
  • Documentation of all other sources of income (i.e. Public assistance, Disability/Unemployment, Workers Compensation, Spousal Support, Child Support, Survivor Benefits, Retirement Benefits, Dividends/Interest, Rental Income, Foster Care Grant, Financial Assistance for child, Veterans pension, Annuity/Pension, Inheritance, Housing included in pay, Auto included in pay, Student loan living expenses, Insurance settlements, Net gain from property, other income)​
  • Does Not Apply to Most People: Declaration of Self-Employment and Income - Please use this form only if you do NOT have W2, 1040, or paycheck stubs representing your income.

​Back-to-School Information Items:​​
Picture
Teacher Julia and Teacher Rosie celebrating Halloween