Forms

CYSS Forms

Health Screening Tool (SNAP Tool # 1) (Required by all patrons).  If answered yes, fill out appropriate SNAP forms below. Special Needs children require medical documentation prior to registering with Child, Youth and School Services. Allergies are also considered a special need.

• SNAP Respiratory Medical Action Plan (Asthma Action Plan) (if applicable)
• SNAP Diabetes Medical Action Plan (if applicable)
• SNAP Seizure Medical Action Plan (if applicable)
• SNAP Allergy Medical Action Plan (if applicable)
• Special Diet Statement (if applicable)

Waiting List Form

Waiting List Renewal Form

USDA Food Program Eligibility Form

USDA Food Program Enrollment Form

Hourly Care Statement of Understanding

DD2652 Application for DOD Child Care Fees

Health Assessment/Physical Form

KOS (Kids on Site) Request Form