Thank you for choosing CAMP Preschool for your child's early education needs. Please complete the online application with all requested information. If you have any questions, please don't hesitate to contact us 209.789.6445. The following documents will be needed for your child's enrollment: Child's immunization records, health insurance card, & proof of birth for all children in the household. You may also submit household income documentation, parent photo ID, & proof of address.
Parent/Guardian
Welcome to the CAPC online application. Please complete all requested information.
First Name (Required)
Last Name (Required)
Birthday (Required)
Gender
Female
Male
Email Address (Required)
Confirm Email Address
It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.
Mobile Phone
Opt In for Text Messages
Yes
No
Home Phone
Work Phone
Ext.
It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.
Race
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Other Language
American Sign Language
Arabic
Cantonese
English
Farsi
Hindi
Other non-English
Pashto
Punjabi
Spanish
Spanish
Vietnamese
Employment Status
Full-time & Training
Full-time (35 hours/week or more)
Part-time & Training
Part-time (Under 35 hours/week)
Retired or Disabled
Seasonally Employed
Training or School
Unemployed
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Address
Please provide the address at which you and your child or children live.
Is your family experiencing homelessness?
Yes
No
Living Address (Required)
Address Line 2
City (Required)
State (Required)
ZIP (Required)
Click here
to find a provider in your area.
Additional Parent/Guardian
Is there another parent/guardian in the family?
Yes
No
First Name (Required)
Last Name (Required)
Birthday (Required)
Gender
Female
Male
Mobile Phone
Opt In for Text Messages
Yes
No
Home Phone
Work Phone
Ext.
It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.
Race
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Other Language
American Sign Language
Arabic
Cantonese
English
Farsi
Hindi
Other non-English
Pashto
Punjabi
Spanish
Spanish
Vietnamese
Employment Status
Full-time & Training
Full-time (35 hours/week or more)
Part-time & Training
Part-time (Under 35 hours/week)
Retired or Disabled
Seasonally Employed
Training or School
Unemployed
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Family Information
Please complete this section. Have your documentation ready to upload to the application.
Number of Parents/Guardians
One Parent Family
Two Parent Family
Relationship to Participant(s)
Foster parent(s) not including relatives
Grandparent(s)
Other
Parent(s) (e.g. biological, adoptive, stepparents)
Relative(s) other than grandparents
Primary Language at Home
American Sign Language
Arabic
Cantonese
English
Farsi
Hindi
Other non-English
Pashto
Punjabi
Spanish
Spanish
Vietnamese
Number in Household
Number in Family
Gross Annual Income
Is your family receiving cash benefits or other services under the Temporary Assistance for Needy Families (TANF) program?
Yes
No
Is your family receiving Supplemental Security Income (SSI)?
Yes
No
Is your family receiving services from WIC?
Yes
No
Is your family receiving services under the Supplemental Nutrition Assistance Program (SNAP), formerly referred to as Food Stamps?
Yes
No
Child (Applicant)
Please provide necessary information, you may be asked to upload any supporting documents.
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Nickname
Birthday (Required)
Gender
Female
Male
Race
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Other Language
American Sign Language
Arabic
Cantonese
English
Farsi
Hindi
Other non-English
Pashto
Punjabi
Spanish
Spanish
Vietnamese
Other Language Proficiency
Little
Moderate
None
Proficient
Primary Health Coverage
Children's Health Insurance Program (CHIP)
Combined Medicaid/CHIP
Medicaid
Other
Private Health Insurance
State-Only Funded Insurance
Insurance Number
Doctor/Medical Home
Adventist Health
Apex Medical Group
Brentwood Health Center
CAPC Outpatient
Castro Valley Pediatrics
Ceasar Chavez Family Practice
Channel Medical Center Manteca
Children Health Services
Community Medical Center
Community Medical Center (Channe
Community Medical Center (March)
Community Medical Center Waterlo
Community Medical Center West La
Community Medical Centers
Community Medical Centers
Community Medical Centers Maripo
Dr. Aejaz Ahmed
Dr. Anat Lotan
Dr. Angeline Hadiwidjaja
Dr. Ann Truscello
Dr. Anna B Derdzinska
Dr. Anuradha Dubey
Dr. Arlaine Gutierrez
Dr. Balduzzi (Sutter Health)
Dr. Betalina Bumatay
Dr. Carmelita C. Nisperos
Dr. Carol Cahill
Dr. Cesar C. Pabustan
Dr. Charles McCormick
Dr. Christine Battaglia
Dr. Christopher Doria
DR. Cyndi C Eden
Dr. Daisy Jones
Dr. Daniel Cooper
Dr. Daniel Yumul
Dr. De Ocampo Emillie
Dr. Eric Wells
Dr. Felipe Dominguez
Dr. Florinda Mallorca
Dr. Gary E Bean
Dr. Geny B Burgos
Dr. Harleen Kailey
Dr. Helene Novesteras
Dr. Jagmohan S Bhinder
Dr. Jaling Hua
Dr. Jessica Yasnovsky
Dr. Katie Meyer
Dr. Kenneth Kwong Yau
Dr. Krystle M. Balduzzi
Dr. Linda Sakimura
Dr. Mamta Jain
Dr. Manuel De La Cruz
Dr. Mark M Lessner
Dr. Moosa Lunat
Dr. Natesan Rama
Dr. Parikh Rajul
Dr. Patricia C Apolinario
Dr. Princess Dela Pena
Dr. Roy Anunciacion
Dr. Sandra Lee
Dr. Shou I Lin
Dr. Soma Krishnamoorthi
Dr. Surinder S. Raron
Dr. Theresa Ng
Dr. Trinh Vu
Dr. Wivina T. Urbano
Dr. Yee
Eaton Pediatrics & Medical
Escalon Health Clinic
Family First Medical Care
Family Medicine Clinic
Gardner Packard Children's Heath
Gettysburg Medical Clinic
Golden Valley Health Center
Health Beginnings Clinic
HT Family Physicians
Kaiser Permanente Elk Grove
Kaiser Permanente Fremont
Kaiser Permanente Manteca
Kaiser Permanente Modesto
Kaiser Permanente Stockton
Kaiser Permanente Tracy
Lodi Pediatrics
March Lane Pediatrics
Newark Health Center
Oakdale Community Health Center
Pacific Urgent Care
Pediatric Assoc. of Stockton
San Joaquin General Hospital Chi
Sierra Health Center
Stanislaus County Family and Ped
Stockton Children Clinic
Stockton Pediatric
Stockton Pediatric Medical Gr
Tracy Family Practice
Tri-City Health Center
Dentist/Dental Home
1st Lathrop Dental
AllSmile Dental
Atienza Family Dental
Bethel Kids Dental
Bright Smiles
Central Coast Pediatric Dental
Charter Way Dental
Children's Dental Fun Zone
Comfort Dental
Community Medical Center Waterlo
Davinder Manak DDS
Donald C. Huang DDS
Dr. Chris Anderson
Dr. Daisy Ison
Dr. Fleming
Dr. Francisca Acuman
Dr. Frank Chen
Dr. Joanna Cheung
Dr. Rafat S. Razi
Edward Geropias DMD
El Dorado Dentist Center
Elite Dental
Forever Fun Children's Dentistry
Golden Valley Health Center
Impressions Dental
James Rore DDS
Janice R Work DDS
Kids Care Dental
Kids Care Dental
Kids Care Dental and Orthodontic
Kids Care Dental Stockton
Kids World Dental
Le Chabot Dental
Market Place Smiles
Modern Dental
Modesto Kidz Dental
My Kid's Dentist & Orthodontics
My Kids Dentist & Orthodontics
My Kids's Dentist
Oakdale Kids Dentist
P. J. Singh DDS
Park West Dental
Pavilion Dental Office
Pediatric Dentristry of Tracy
Premier Dental Practice
Realon Marisol
River Oak Dental Spa
Riverbank Dental Practice
Rolando De Jesus
Rommel K. Bal DDS
Sami Smiles Pediatric Dentistry
Smile Designs Dentistry
Smiles Depot Dental Group
South California Dental Practice
Stadium Dental Group And Orthodo
Star Dental
Tracy Smiles Dentistry And Ortho
Valley Oak Dental Group
Valley View Dental
Weberstown Dental
Wesley Wong DDS
Western Dental & Orthodontics
Western Dental & Orthodontics
Western Dental & Orthodontics
Western Dental & Orthodontics
Western Dental Hammer Ln
Will Cacho DDS
William Russ DDS
Yosemite Dental Arts
Yosemite Dental Care
Does your child have a disability or do you have any concerns about your child's development?
Yes
No
Is there anything else you want to tell us about your child?
Location Preferences
Which program are you applying for? (Required)
CCTR 24-25
CSPP KIPP 24-25
MUSD 24-25
CSPP 24-25
Location Preference
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1st Location Preference
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2nd Location Preference
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3rd Location Preference
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- Your Address
- Available Locations
Click a location on the map to see more info
Click here
to find a provider in your area.
Additional Applicant
Do you want to apply now for another child in your family?
Add Another Applicant
Siblings
Are there other children in the family?
Add a Sibling
Please select Submit to complete your application. An enrollment specialist will be contacting you to schedule an appointment to collect all necessary documents needed to complete the application.
Required information is missing, see above.