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  • Siskiyou County Office of Education
  • Preapplication Packet

SCOE State Preschools

  • State Preschool Home
  • Preapplication Packet
  • 2022-2023 Preapplication Packet


    Links to each page in the Pre-Application Packet for Siskiyou (SCOE) State Preschool. All documents must be completed in full and signed. The cover letter lists the documentation that must be included with the packet in order for it to be processed. The Pre-Application Packet can be mailed to:

    Siskiyou (SCOE) State Preschool

    609 S. Gold Street

    Yreka, CA 96097

    Attn: Elizabeth Robinson

    Our offices are closed to the public at this time. If you prefer to drop off the paperwork, please call Elizabeth at 530-842-8405 to schedule a time to drop it off. 

    License #475402239

    Cover Letter

    Immunization Requirements

    ID and Emergency Form

    Child's Preadmission Health History

    Notification of Personal Rights

    Notification of Parents Rights

    Physician's Report - Fill Out Part A ONLY

    Medical Consent Form A

    Medical Consent Form B

    Family Intake Form

    Pesticide Form

    Consent Form

609 South Gold Street, Yreka, CA 96097530.842.8400 530.842.8436

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