Completing Your Registration in Pennsylvania: Required Forms & Common Issues

To finalize your child’s enrollment, all required forms must be completed and submitted. Below is a list of what’s needed, along with tips to avoid the most common registration delays.

Required Forms

✅Emergency Contact Form

• All lines must be filled in. If you prefer not to share certain details, write N/A (do not leave it blank).

• The phrase "Same as above" cannot be used—each section must be completed.

• Authorized pickup contacts must include name, address, and phone number.

• The bottom signature box must be signed. (You may write N/A in the “wading and swimming” section if not applicable.)

  
  

✅Child Health Assessment / Physical Form

• A school health form is acceptable in place of the childcare form.

• If using the childcare form, the parent must sign beneath the top information box.

  
  

✅Immunization Records

• Upload your child’s immunization record.

• Use the shot record tracker provided to ensure all vaccines are documented.

  
  

✅Parent Agreement

• Must be signed and list who may pick up your child.

• Include your drop-off and pickup times.

  
  

✅Program Agreements & Policies

• Parent Handbook Acknowledgment that includes Discipline Policy Agreement and Tuition/Payment Agreement

  
  

✅Parent Letter

• Fill in the names of individuals authorized to pick up your child.

• Signature required.

  
  

✅Medication Authorization Form (if applicable)

• Only needed if medication will be administered during program hours (e.g., EpiPen, inhaler).

  
  

✅IEP (if applicable)

• If your child has an IEP, it must be provided so staff can follow it.

Common Things that cause delays

❗Missing or Incomplete Health Assessments

❗Incomplete Emergency Contact Info

• Missing phone numbers or addresses.

• Missing authorized pickup details.

  
  

❗Immunization Records Not Uploaded

Families often assume this is included with the health form—upload separately.

❗Skipped Electronic Signatures

All required signature fields in the portal must be completed.

❗Policy Acknowledgements Not Checked

Registration cannot proceed until all policy boxes are checked.

❗Duplicate or Conflicting Registrations

Avoid creating multiple entries—resume your existing application if already started.

If you are having trouble unloading a document into the portal, feel free to email it to us at paregistration@healthykidsprograms.com and we will upload it for you!

💬 Questions or Need Support?

We understand that registration can feel overwhelming. As a state-licensed program, we take these requirements seriously—but we’re here to make it as easy as possible for you. If you have questions or run into any issues, give our team a call at 📞 (845) 330-0200.

📌 Related Articles:

• Completing Paperwork in Playground

• How to Contact the Healthy Kids Team