1 Smoketree Lane
Irvine CA 92604
Phone (949)936-5890
FAX (949)936-5859


 

Enrollment

Forms Required for ECLC Enrollment:

1. Online Web Enrollment Forms (*if new to ECLC): CLICK HERE

Underlined Documents are available in PDF to print and complete. Click on the title to access the PDF .

2. Admissions Agreement

3. Parent Consent Form

4. Health Consent Conditions Card

5. Health and Development Packet

6. Health Screening Consent Form

7. Immunization Record

8. Birth Certificate of child

9. Residency Verification Packet

10. Physician's Report

11. Parent Rights

12. Personal Rights

13. Consent For Medical Treatment

Additional Information Needed:

1. Parent Identification

3. 2 Utility Bills or other proof of residency

4. Birth Certificates of all children under 18 if applying for Sliding Scale

5. Income Verification if applying for Sliding Scale

To determine eligibility for sliding scale fees, Click Here