Drop-In Child Care Center

Parent/Guardian Forms

Drop-In Center Parent Info Packet Pre-Kindergarten Info Packet Early Childhood Health Assessment School-Aged Child Health Assessment Authorization to Administer Medication Enrollment Checklist Summer Enrichment Info Packet 2026

Applied Learning Internship Applications

Student Teaching Internship/Employment ApplicationVolunteer Internship Application

Contact Information

Kelly McCarthy
Drop-In Childcare Center
Clarence Carroll Hall
141
860.832.2125
kellymccarthy@ccsu.edu

Hours

Monday - Thursday 9 a.m. - 7:30 p.m.
Friday 9 a.m. - 1 p.m.

Enrollment Checklist

Downloadable Enrollment Checklist

Enrollment Form:

  • Complete all sections thoroughly, (blank sections will delay enrollment)
  • Blue Card ID number is required to request front gate access

Authorized Permission for Emergency Pick Up: Adults who may be contacted in an emergency when the parent/guardian cannot be reached and to with whom the child may be released. Emergency personnel will only release a child to someone on this list in an emergency.

  • You must list at least one person who is not the child’s parent/guardian
  • Please give the first and last name of everyone on this list

Authorized Permission for Alternate Pick Up: Adults who are authorized to pick up the child. The Drop-In Center staff will only release your child to adults on this list. It is your responsibility to tell the staff at drop off if there will be an alternate pick up and the name of the adult picking up. Adults authorized to pick up a child should be prepared to show their license at the time of pick up.

Complete, sign, & date the following:

  • Emergency Authorization
  • Parent Information Packet & Behavior Management Policy Agreement
  • Permission for Activities away from Premises (optional)
  • Photographic Consent & Release Preference Form: (A preference must be selected. Children without authorization will be unable to be photographed during special events).

Health Assessment Record

  • HAR Part 1 – completed, signed, dated by parent/guardian
  • HAR Part 2 – completed, signed, dated by physician (date of exam must be within the year and updated every year)
  • HAR Immunization – updated immunizations
  • (I don’t need the dental section)
  • If your physician requires emergency medication at school/child care facility, additional paperwork is required.
  • Connecticut law requires that children ages 24–59 months receive at least one dose of the flu vaccine each year between August 1 and December 31 to attend school. This includes children who attend licensed child care programs.

 

Student-parents/guardians:
ELECTRONIC COPY OF YOUR CCSU SCHEDULE

  • Electronic version of your CCSU Academic schedule each semester