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) K12 Alert and Photo Form

8) Notifications of Parent’s Rights LIC 995

9) Personal Rights LIC 613A

10) Physician’s Report LIC 701

11) Sign-in/Sign-out Signature Form

12) ACH Bank Form

13) WCPC Preschool Covid-19 Safety Procedures 


You can email forms to or

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: