Forms
Current Families
| Name | Description |
|---|---|
| 2024-2025 IPCDC Calendar | View the dates that the IPCDC is open/closed |
| Child Care Rates / How To Pay Your Bill | View childcare rates and instructions on how to pay your bill. |
| Identification & Emergency Information Changes | Make changes to address, phone number, or people authorized to pick-up/drop-off your child. |
| Schedule Adjustment Request | Make changes to your child's current childcare schedule. $20 fee may apply. |
| Enrollment Status Change Form | Use this form to request an extended absence due to illness/injury, withdraw from the program, request a leave of absence, or change your parent status. |
| Absence Verification Form | FOR STATE SUBSIDY PARENTS ONLY. Must be completed each time your child is absent. |
| Dietary Accommodations Form | Parents/legal guardians must complete this form if children have any food, milk or formula accommodations. You may also complete this form to decline participation in our food program. |
Registration
| Name | Description | Due Date |
|---|---|---|
| Medical Statement to Request Special Meals or Accommodations | Parents/legal guardians who indicated their child has any food allergies and/or special accommodations must submit this form to christopher.columna@csulb.edu after completion from your child’s physician. | Preferably by the child's first day |
| Physician’s Report | Parents/legal guardians submit this form to christopher.columna@csulb.edu after completion from your child's physician. | Two weeks after start date |
Waiting List
| Name | Active Period |
|---|---|
| Waiting List & Program Information | Ongoing |
| Waiting List Application | Ongoing |
