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CHPPNS
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2025 Summer Program
Family Portal
CHPPNS
About
Program
Gallery
History
Apply
Forms
Reviews
Fundraisers
2025 Summer Program
Family Portal
About
Program
Gallery
History
Apply
Forms
Reviews
Fundraisers
2025 Summer Program
Family Portal

Enrollment Forms

Please return to the Chair of Parents in person or via email at chppns.info@gmail.com

 

STUDENT FORMS:

CHPPNS Application

Student’s Health History (Paren’t Report)

Consent for Medical Treatment

Emergency Contact Form 

Student’s Physician Report (To be filled out by Pediatrician)

CHPPNS Liability/Media Release

PARENT/VOLUNTEER FORMS:

Health Report Facility Personnel (To be filled out by Parent/Volunteer’s Doctor)

City of Long Beach Volunteer Liability Waiver

LiveScan Directions

CHPPNS

1500 E. Carson St. / Long Beach, CA 90807
General: chppns.info@gmail.com

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