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ELECTRONIC FUNDING APPLICATION FORM - PUF/MM/ELL

  • *max file size - 20MB jpg or pdf
  • Parent / Guardian

  • Where child resides
  • If different than child's address
  • Emergency Contact Information

    This is a person who could come to pick up your child in the case of illness or emergency if the school is unable to reach the parent.
  • Child's Medical Information

    ***FCB will not administer medication without written authorization from the legal guardian. A special form is required.
  • Immunizations

  • Early Learning Program Child Will Attend September 2021 - June 2022

  • If you have any questions or concerns please call 403.478.8618

  • I give permission to Foothills Creative Beginnings Preschool and ECS Association to release records, assessments and therapy reports for my child to their receiving school.


  • Program Unit Funding (PUF) and Mild/Moderate Funding (M/M) administered by Foothills Creative Beginnings (FCB) Policies Confirmation

  • If you have any questions or concerns please call 403.478.8618