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.