Form

We make it easy to start the enrollment process online. You can submit your child’s information to Kodesh Academy using the online forms below.

• CAREGIVER BACKGROUND CHECK PROCESS CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
• CONSENT FOR EMERGENCY MEDICAL TREATMENT
• CONSUMER AWARENESS INFORMATION
• ENROLLMENT QUESTIONAIRE
• IDENTIFICATION AND EMERGENCY INFORMATION
• NEBULIZER CARE CONSENT/ VERIFICATION Nebulizer Consent LIC9166
• PARENT NOTIFICATION
• CHILD’S PREADMISSION HEALTH HISTORY

INSTRUCTIONS

If you are using Google Chrome Browser:

1. Click the downloadable forms.
2. Open the file and click the field to type in your information.
3. After completing the form, right click and click SAVE (to save a copy for your records).

To submit the file:

1. Log in to your email account
2. Create a new message (type: ENROLLMENT FORMS in the “Subject” line
3. Send it to kodeshacademy4kids@gmail.com

If you open forms using the Adobe Reader:

1. Download the fillable PDF File
2. Open the downloaded Fillable PDF using Adobe Reader
3. Click the field on the PDF file to enter your information
4. After completing the fillable form, click on “SAVE” which can be found in the upper left corner of Adobe Reader. File then Save.