Does this child have any special dietary needs ? If this child have special dietary needs, please describe: Please list known allergies of this child. If you also selected "other" for allergies for this child, please describe: If any, please describe any special accommodation(s) may be required to most effectively meet this child's needs while at the center ? I will provide the Center Director a copy of this Child's Immunization record from the Physician and a Birth Certificate I will download and fully complete the CACFP Food Eligibility Form located on the center's website and give it to the Center Director. If this child is transferring from some other GA Pre-K Program, please list the School/Center and the last date in attendance: If you are enrolling your child in Georgia Pre-K, the Social Security Number of this child is required: If enrolling my child in the Georgia Pre-K Program, I understand I will need to download and complete GA Pre-K's General and Photo/Videotape releases. If enrolling my child in the Georgia Pre-K Program, I will provide the center an Eye-Ear-Dental-Nutrition Form (Form 3300) from my child's physician. I understand this child will not be added to the online Procare system without an uploaded photo (head shot only) of this child.
Does this child have any special dietary needs ? If this child have special dietary needs, please describe: Please list known allergies of this child. If you also selected "other" for allergies for this child, please describe: If any, please describe any special accommodation(s) may be required to most effectively meet this child's needs while at the center ? I will provide the Center Director a copy of this Child's Immunization record from the Physician and a Birth Certificate I will download and fully complete the CACFP Food Eligibility Form located on the center's website and give it to the Center Director. If this child is transferring from some other GA Pre-K Program, please list the School/Center and the last date in attendance: If you are enrolling your child in Georgia Pre-K, the Social Security Number of this child is required: If enrolling my child in the Georgia Pre-K Program, I understand I will need to download and complete GA Pre-K's General and Photo/Videotape releases. If enrolling my child in the Georgia Pre-K Program, I will provide the center an Eye-Ear-Dental-Nutrition Form (Form 3300) from my child's physician. I understand this child will not be added to the online Procare system without an uploaded photo (head shot only) of this child.
Procare_Add_Child_To_Existing_Account_Form.docx