2037 22nd Avenue
Kenosha, WI 53140
262-551-0866
1409 43rd Street
Kenosha, WI 53140
262-654-6094
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Enrollment
Forms & Manuals
Parents' Manual:
The parents' manual describes all aspects of Just Kid Inn. You may download a copy by clicking here.
Enrollment Forms:
Below are forms required for enrollment. Information sheets are also provided.
| Form Description | Name |
| Information Sheet | Infosheet |
| Day Care School - Age Agreement | CFS-104 |
| Household Size & Income | Income |
| Policy Statement | Policy |
| Child Enrollment & Health History | CFS-62 |
| Schedule | Schedule |
| CACFP Enrollment Form | PI6077 |
| Fee Schedule - Page 1 | Rates |
| Day Care Immunization Record | DPH 4192 |
| Health History & Emergency Care Plan | CFS-2345 |
| Child Health Report | CFS-60 |
| Photography Permission | Photo |
| Child Care Center Transportation Permission | CFS-56 |
| Emergency Card - Front | Emergency-f |
| Emergency Card - Back | Emergency-b |
| Infants & Children Under Also Require the Form Below | |
| Intake Information for Child Under 2 Years | CFS-61 |
Click to retrieve the state forms (CFS, DPH) at Wisconsin's DHFS Forms Index Site.
