Please click here for the application.  After you complete the preliminary application, we will need the following documents to enroll your child:

  • Child’s birth record (showing birth date and name of parent)
  • Birth record of all siblings included in the household (showing birth date and name of parent)
  • Child’s updated immunization record (see requirements in the immunization tab below)             
  • 1 Proof of address with a 9 digit zip code (Edison, gas, cable, water, etc.)
  • Verification of one month of current gross income from all adults living in the household that are included in the family size (Pay stubs, Self-employed logs/receipts/taxes, CALWORKS, Child support, EDD, Social Security, etc.)