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New Families
Families with a child enrolling in MVPNS for the first time.

Welcome to Mountain View Parent Nursery School! We are delighted to have your family join our preschool. In preparation for the upcoming school year, there are many forms that must be completed by a parent/legal guardian. Be assured that all information submitted to MVPNS is handled and maintained in a confidential manner.

Download a checklist of required forms with explanations and links. Please read the information and explanations carefully. Portions of the medical forms listed must be completed by a physician, so please allow adequate time. We suggest you make copies for your files.

Please mail all forms to:
Mountain View Parent Nursery School
Attention: Membership
PO Box 4174
Mountain View, CA 94040

MVPNS Sign-up Forms

Medical Forms

Required by the California Department of Social Services for all classes


Vaccination Records Required

According to California Senate Bill 792, effective September 1, 2016, licensed child care programs are required to maintain vaccination records for influenza, pertussis and measles for their volunteers.

  • Influenza

We must have ONE of the following records for each volunteer:

• A copy of an immunization record for influenza dated between August 1 and December 1 of each year

• A statement from the volunteer’s physician that there is a medical reason not to vaccinate the volunteer

• A statement from the volunteer’s physician that the volunteer is already immune to influenza

• A signed statement from the volunteer stating they have declined to be vaccinated again the flu

  • Pertussis (Whooping Cough)

We must have ONE of the following records for each volunteer:

• A copy of an immunization record for pertussis

• A statement from the volunteer’s physician that there is a medical reason not to vaccinate the volunteer

• A statement from the volunteer’s physician that the volunteer is already immune to pertussis

  • Measles

We must have ONE of the following records for each volunteer:

• A copy of an immunization record for measles

• A statement from the volunteer’s physician that there is a medical reason not to vaccinate the volunteer

• A statement from the volunteer’s physician that the volunteer is already immune to measles

Emergency and Security Forms

Automobile License and Liability Information (For Co-op classes only) 
  • Photocopy of current automobile insurance that includes your name, dates of policy coverage, and automobile Bodily Injury Liability coverage.

    Mountain View Parent Nursery School’s insurance company requires drivers on field trips to carry a policy that provides Bodily Injury Liability coverage of $30,000 per individual and $60,000 per accident, or hold an umbrella policy. This information is part of your automobile insurance policy. An insurance card alone does not provide all the necessary information.
  • Photocopy of current driver’s license(s)
If you have any questions regarding the above requirements, please send email to info@mvpns.org or leave a message for Membership at (408)-883-KIDS.
NAEYC Accredited Mountain View Parent Nursery School is
accredited by the National Association for the
Education of Young Children. Learn more >
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    1535 Oak Avenue, Los Altos, CA 94024

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