• If not already on file: the child’s original birth certificate (for verification purposes only)
• If not already on file: a physical or well check, no older than 2 years, signed or stamped by physician (NEW ENROLLEES)
• If not already on file: immunization records, signed or stamped by physician (NEW ENROLLEES).
  • The following School Entrance Health Form can be used for your child’s health records; must be completed by a parent/guardian and the child’s Medical Provider.
  • Health Record Release Form  If you have turned in your health records to your school they can make a copy for us upon completion of this form. Please submit to your school’s main office along with a copy of your driver’s license.

A $60.00 non-refundable registration fee (per child) and fees for the first month enrolled to attend are due to finalize enrollment.

• Payment Methods: Credit/Debit Card online through your Brightwheel account; Checks, Cash or Money Orders in person. Checks and money orders must be written in black or blue ink.
• FCCC does not hold payments or accept post-dated checks.

August Pro-rated fees (Full-Time and Part-Time Cares)

September – May Types of Care and Fees

Fees are not reduced or refunded for non-school days or extended absences due to any circumstances, including Out of School Care Days, or emergency closures. 

Fees will be pro-rated if starting mid-month, September through May.  

To set up a payment arrangement please complete and submit the following form to ericacataldi@fcccva.org:

Request for a Payment Arrangement Form 

Finance will review your request and contact you if they have any questions, You will receive confirmation once processed.

Qualifying for a sliding scale tuition rate (Step 1, Step 2 or Step 3 Fees) requires proof of your annual household income. Household annual income includes all wages, child support, social security, etc.  of all income earning members residing in the household. Two most recent pay stubs and FCCC’s Income Verification Form are required for proof of income.  You will be charged full fee tuition until required documentation is received and verified. Paystubs can be emailed to either ericacataldi@fcccva.org or kylebeck@fcccva.org

If you have been approved for assistance through the DSS Daycare Assistance Program FCCC will need to see your verification letter from DSS.  To contact the Department of Social Services for assistance call (540) 422-8450.

If your child requires emergency medications the following forms must be on file along with the prescribed medication:

• MAT Medication Consent Form, 12-month (valid for 12 months, parent & physician signatures required)
• Food Allergy & Anaphylaxis Emergency Care Plan (parent & physician signatures required)
• Virginia Asthma Action Plan (parent & physician signatures required)
• Seizure Action Plan (parent & physician signatures required)
• Short-term Medication Authorization Form (completed by parent, authorization not to exceed 10 days)
• Insect Repellant Authorization Form  (completed by parent, for daily insect repellant usage)

If your child has food allergies and will need an alternate snack the Special Dietary Prescription Form needs to be completed in its entirety.

• Special Dietary Prescription Form

To make changes to your enrollment complete and submit the following form:

Change of Care Form

Fees will be pro-rated if changes are made mid-month.

To view your payment history through Summer Camp 2026, login to your online account at www.myprocare.com.  Starting School Year 2026-2027 your payment history will be available through your Brightwheel account.  You have direct access to your account balance and payment history, and can view or print statements and summary reports for your taxes, flex spending accounts, etc.

Tax ID #: 54-1590790

Withdrawal from the program must be received, in writing, a minimum of two weeks prior to the last date of your child’s attendance.

• Fees are due for the entire withdrawal period and will be pro-rated if your withdrawal carries over into the next month.  
• Once complete the following form can be turned in at any FCCC site, e-mailed (ericacataldi@fcccva.org) or faxed to the Main Office at (540-347-3518): Withdrawal Form