2021-2022 Enrollment Forms

1) 2021-2022 WCPC Admission Application

2) 2021-2022 WCPC Admission Agreement


Please fill out the above attached forms. Email the forms to Kim Kotas at [email protected]. to establish the availability.


All forms required for admission will be due before your child begins school. Please click on the forms you wish to download:  


1) Admissions Agreement

2) Walnut Creek Admission application

3) Child Preadmission Health History LIC 702

4) Consent for Medical Treatment LIC 627

5) Emergency Information Form

6) Identification and Emergency Information LIC 700

7) Notifications of Parent’s Rights LIC 995

8) Personal Rights LIC 613A

9) Physician’s Report LIC 701

10) ACH Bank Form

11) Procare Sign In/Out and Photo Form

12) Parent Volunteer Forms



You can email forms to [email protected] or [email protected]

Forms can also be mailed to the preschool office at:

Walnut Creek Presbyterian Church
Attention: Preschool
1801 Lacassie Avenue
Walnut Creek, CA 94596

Contact Information:
Preschool Office: (925) 935-1669
Church Office: (925) 935-1574
Church Fax: (925) 935-1737
Church Website: wcpres.org