Child Development Center - New Families

Thank you for your interest in MercyOne Dubuque Child Development Center and Preschool. Please complete the applicable forms below and submit them via email to dqcdcsch@mercyhealth.com or in person. Forms can also be mailed to:

MercyOne Dubuque Child Development Center and Preschool


250 Mercy Drive


Dubuque, IA  52001

You must submit the general enrollment forms (6 pages) and all other forms specific to your child's classroom. 

If you have additional questions, please reference our handbook or contact us:

Phone: 563-589-9680 


Fax: 563-589-9559 


Email: dqcdcsch@mercyhealth.com

General Information

• General Enrollment Forms (submit one packet per child)

Healthm

• Health Form (submit one per child, must be signed by a medical professional)
• Health Form – Rainbow Only (submit one per school-age child, to be completed by a parent) 
• Diet Modification/Food Allergy Form (submit 1 per child with a food allergy)
• Care Plan Form (submit 1 per child with a food allergy or other health/developmental need)

Classroom Forms


Submit one per child for their enrolling classroom

• Violet Room
• Indigo Room
• Blue Room
• Green Room
• Teal/Yellow/Orange/Red/Rainbow Room

Tuition Assistance


Submit one per eligible family

• Tuition Assistance Application Form (for full or part-time benefit-eligible MercyOne/Trinity colleagues)
  
  
  Benefit-eligible is any MercyOne/Trinity colleague who is budgeted to work 32 hours or more per pay period.