Army Child, Youth & School Services (Cyss) Parent Central Services Office Registration Checklist printable pdf download

Army Child, Youth & School Services (CYSS)

Parent Central Services Office Registration Checklist

To expedite the registration process, please have the following information available.

ITEMS/INFORMATION TO BRING TO YOUR REGISTRATION APPOINTMENT:



Sponsor’s Social Security Number (Required by Army CYSS Fee Policy)



Proof of Eligibility (Military ID, CAC ID Card, Border Patrol Badges or Legal Guardianship papers)



Sponsor Home Information:

Full Name: ______________________________________________________________________

Home Address: __________________________________________________________________

Home Phone: ___________________________ Cell Phone: _____________________________



Sponsor Duty Information:

Active Duty Unit/Office Location: ____________________________ Rank: ___________________

Duty Phone: _______________________ Duty Email: ___________________________________



Spouse Work Information (if applicable):

Full Name: ______________________________________________________________________

Office Location: ________________________________ Office Phone: ______________________

Email: ________________________________________ Cell Phone: ________________________



Email Address (Any additional private email addresses that are checked regularly):

_______________________________________________________________________________



Proof of Household Income (LES/Pay Statements/ If spouse is full-time student, bring proof of school

enrollment)



Local Emergency and Child Release Designees – Minimum of 2 local contacts outside the home



Family Care Plan - DA 5305 (required for single/dual military families due within 30 days)



Child’s Official Shot Records (required for children under 6

grade in child care program)



Deployment Orders, if applicable

FORMS TO BE COMPLETED BEFORE YOUR APPOINTMENT:



Child Health Assessment/Sports Physical (Due within 30 days or before participation in any sports activities)



USDA Income Eligibility Form (Allows CYSS to receive additional funding to support meals/snacks provided)



Health Screening Tool (to evaluate overall health of child)



Medical Action Plan (MAP)

o Respiratory Action Plan – if child has asthma, reactive airway disease, or breathing problems.

o Allergy Medical Action Plan – if child requires any rescue medications (Benadryl, albuterol, EpiPen)

o Diabetes Medical Action Plan

o Seizure Medical Action Plan

o Special Diet Statement – if child has food allergies, food intolerance, or dietary religious restrictions.



CYSS Waivers (Transportation, Internet/Media Agreement, CYB-MFLC)

Registrations are by APPOINTMENT ONLY

PLEASE CONTACT PARENT CENTRAL SERVICES FOR APPOINTMENTS AT (520) 533-0738

Hours of Operation: 0700 – 1800 Monday through Friday

Army Child, Youth & School Services (Cyss) Parent Central Services Office Registration Checklist

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