Forms

Program Forms

Daruma no Gakko Code of Conduct and Family Pledge (click to review PDF)

Administration of Medication
Please bring corresponding medications on the first day of program, and pick up any unused medication on the last day. Remember, we cannot give any medications without the forms below.

PDF that can be completed on the computer and then printed (preferred)
PDF that must be printed and filled out by hand (if fillable PDF is not compatible)
Food Allergy & Anaphylaxis Emergency Care Plan

Additional Forms

More Information on the Summer 2024 Program

Applications

Teacher Application
2024 Morning Aide Application Guidelines
2024 Aftercare Recreation Leader Application Guidelines
Tuition Support Form (PDF)

2024 Family Forms

Library / Sponsor-A-Book Program
2024 Daruma Shirt For Sale - Order by May 14. Design and details here.
2024 Bento Orders - Order by June 14 Details and menu here. Prepared by Musashi. Bentos will be distributed at Undokai Community Day, June 29th, at Canyon Trail Park in El Cerrito. Please let us know if you will arrive later than 1pm or your bento may be resold.