On-line Registration Form 22-23

Physical Form

Pick-up List

Verification of Zero Earned Income

Verification of Employment

The following items will also be needed:

• Child Physical Form

• Birth Certificate or Hospital Record

• Child's Social Security Card

• Child's Insurance Card

• Child's Pick-up List

• Immunization Record

• USDA Food Program Eligibility Form

• Proof of Income: Total Family Income

Welcome to CHE Pre-K.  I am Director, Mrs. Summers.  Thank you for enrolling your child/children in our Center.  We are committed to providing each child a safe, clean, and nurturing learning environment.

 Shaundala Summers, CHE Pre-K Director