Orange County 2006-2007 Voluntary Pre-Kindergarten Program (Vpk)

ORANGE COUNTY VOLUNTARY PRE-KINDERGARTEN PROGRAM (VPK)

CLASSROOM ENROLLMENT / ADDITION CONFIRMATION FORM

Provider Name: ______Address: ______Vendor #: ______Classroom letter: ______

(Complete a separate Enrollment form for each class & keep copies of all documents for your files) ______fall _____ Summer

Complete and submit with original Certificate of Eligibility to:
Community Coordinated Care for Children (4C)
Attn: VPK Enrollment Department
3500 W. Colonial Drive
Orlando, FL 32808
Child LAST & FIRST NAME (Date of birth) / Include Certificate of Eligibility # (item #2) / Class Transfers
Include effective date & submit to the VPK Enrollment Dept., by fax or email / GRAY AREA FOR
VPK OFFICE USE ONLY
·  Cynthia Aguilar –
·  Wydalis Hernandez-Negron –
·  Lora Petty –
·  Elizabeth Diaz –
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