Prairie Valley Christian Center
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Childcare Enrollment Forms

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  • Childcare Enrollment Forms

Below you will find enrollment forms. Please don't hesitate to call us if you have questions (608-592-2273). Also, may not need all of the forms below. 

Downloads
  • Child Care Parent's Policy - Revised 02-22-2022.pdf
  • Welcome Letter.pdf
  • Child Care Enrollment.pdf
  • Application for Enrollment.pdf
  • Intake for Child Under 2 Years.pdf
  • Health History and Emergency Care Plan.pdf
  • Child Health Report.pdf
  • Child Care Immunization Record.pdf
  • Diaper Ointment and Sunscrean Permission.pdf
  • CACFP enrollment_form.pdf
  • Policy Booklet agreement and Photo Permission.pdf
  • Alternate Arrival - Release Agreement.pdf
  • Household Size Income Statement.pdf
  • Household Letter.pdf
  • Location

    923 Development Dr Lodi, WI 53555
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About

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Contact

  • Phone: 608-592-2273
  • Email: pastorchris@prairievalley.org

Office Hours

Pastor's -- Mon - Thurs 9AM - 3PM
Daycare's -- Mon - Friday 6AM - 5:30PM

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