Forms and Applications

If you would prefer to submit your Care 4 Kids forms online, please click the button below and fill out/upload your information on their site.

Kids Lane Enrollment Package

If you are interested in enrolling your child at Kids Lane, please fill out the following paperwork and drop it off in person. If you have any questions, feel free to call or email us.

Care 4 Kids Application

If you are interested in enrolling in Care 4 Kids, please fill out the following paperwork and drop it off in person. You will also need to fill out the Parent-Provider Agreement (PPA) form which is also located on this page. If you have any questions, feel free to call or email us.

Solicitud de Care 4 Kids

Si está interesado en inscribirse en Care 4 Kids, complete la siguiente documentación y entréguela en persona. También deberá completar un formulario de PPA que también se encuentra en esta página. Si tiene alguna pregunta, no dude en llamarnos o enviarnos un correo electrónico.

Care 4 Kids Redetermination

Please fill out this form and drop it off in person. If you have any questions, please feel free to call or email us.

Redeterminación de Care 4 Kids

Por favor complete este formulario y entréguelo en persona. Si tiene alguna pregunta, no dude en llamarnos o enviarnos un correo electrónico.

Parent-Provider Agreement (PPA) - Care 4 Kids

If you are enrolling in Care 4 Kids, please fill out the parent portion of the PPA and drop it off to us in person. If you have any questions, feel free to call or email us.

Formulario del Acuerdo Entre Padre y Proveedor (PPA) - Care 4 Kids

Si se está inscribiendo en Care 4 Kids, complete la parte para padres del PPA y entréguenoslo en persona. Si tiene alguna pregunta, no dude en llamarnos o enviarnos un correo electrónico.

 

(860) 563-6205

38 New Britain Ave, Rocky Hill, CT 06067, USA

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