*N.Y. State Mandatory Requirements* 

Immunizations records including MMR Vaccine



Here you can download the forms pertaining to K.A.P.


All forms should be emailed to mrs.rcloud@yahoo.com




Please Read Before Printing Form

MLK and School 16 KAP Enrollment Form.pd[...]
Adobe Acrobat document [145.9 KB]
KAP Learning POD Enrollment Form.pdf
Adobe Acrobat document [146.3 KB]
Transportation Form
This form is used if your child requires free transportation from any Yonkers Public School
transportation form board of ed 2019.pdf
Adobe Acrobat document [50.2 KB]

Use These Forms Only If Neccessary

medication consent form
● This form may be used to meet the consent requirements for the administration of the following: prescription medications, oral over-the-counter medications, medicated patches, and eye, ear, or nasal drops or sprays. ● Only those staff certified to administer medications to day care children are permitted to do so. ● One form must be completed for each medication. Multiple medications cannot be listed on one form. ● Consent forms must be reauthorized at least once every six months for children under 5 years of age and at least once every 12 months for children 5 years of age and older.
medication consent form pdf.pdf
Adobe Acrobat document [290.4 KB]
Asthma action plan
This form is used for children with Asthma
asthma action plan all files.pdf
Adobe Acrobat document [44.7 KB]
Health Care Plan
You may use this form or an approved equivalent to document an individual health care plan developed for a child with special health care needs. A child with a special health care need means a child who has a chronic physical, developmental, behavioral or emotional condition expected to last 12 months or more and who requires health and related services of a type or amount beyond that required by children generally
health care plan for special health care[...]
Adobe Acrobat document [334.2 KB]
K.A.P. Employment application pdf.pdf
Adobe Acrobat document [184.6 KB]

Charter School of Excellence Only

All parents are required to go in person to the Transportation Department at the Board of Education. Please inform them that you need the neccessay paperwork for transportation from the Charter School to the K.A.P. location of your choice. Transportation is guarnteed! Below is the list of documents you will need to bring with you. 


Required Documents:


Proof Of Residence - Three proofs of residency are required.  These proofs must be dated within the last 30 days. 


                                             Acceptable documents are:


Con Edison Bill                Current Water Bill            DSS Budget Sheet     Telephone Bill

Property Tax Statement   Letters from Agencies or Caseworkers  Bank Account Statements

Payroll Stubs                   Credit Card Statements    Cablevision Bill         Lease or Deed

Section 8 or Municipal Housing Statement          W-2 Form          Voters Registration Card



Original Birth Certificate - Birth Certificates for students born in the City of Yonkers may be obtained from:

                                                 Department of Vital Statistics

                                                 City Hall - Room 107

                                                 Nepperhan Avenue

                                                 Yonkers, NY 10701



        Birth Certificates for children born outside of the City of Yonkers may be                                             obtained from the city or state where the child was born.

Our Program Locations:



Martin Luther King Jr Academy

Closed When Yonkers Public Schools Are Closed

After School Program 

135 Locust Hill Avenue

Yonkers NY 10701



School 16

Closed When Yonkers Public Schools Are Closed

After School Program 

759 North Broadway

Yonkers NY 10701



Opened When Yonkers Public Schools Are Closed

Opened Year Round Except (Weekends, Juneteenth, Memorial Day, Labor Day, Thanksgiving, Christmas and New Years)

Remote Learning,

After School Program 

38 Tuckahoe Road

Yonkers, NY 10710



For more information: 


Contact:  Mrs. Cloud (914) 513-8898


Contact:  Mr. Cloud (914) 562-3632


How to Register:

Register On-Line. You can download all enrollment forms on this website, just go into "REGISTRATION FORMS" on the top of the page and download the enrollment application and emergency card. Please email the forms to mrs.rcloud@yahoo.com and to pay your $35.00 registration fee (includes fee for application) go into "RATES" on the top of this page and go under "REGISTRATION FEE" and "click on" add to shopping cart.  *note*  when paying your fee the cart will take you into "pay pal" (you can log in as Guest) its the most trusted payment center for protecting your financial information and identity. Please text Mrs.Cloud at (914)513-8898 once you have completed the registration.


To register by mail download the enrollment form.


Please mail all forms back to:



420 Palisade Avenue

Unit 3D

Yonkers N.Y. 10703 

C/O Mrs. Cloud

(Please be sure to include a $35.00 money order or check made payable to K.A.P.)




Now more than ever, kids need summer camp.  According to health officials, the risk of transmitting COVID-19 in an outdoor enviroment like camp is low, but the benefits of socialization, exercise, and learning would be tremendous.


The KAP team is taking steps to keep campers and staff safe this summer by implementing guidelines from CDC and New York State Department of Health.  KAPs team priority is to provide a safe and fun enviroment while adhering to the CDC and Department of Health guidelies and are committed to sharing timely communications with our families.  We've designed our COVID-19  safety plan to be flexible, so we can adapt and refine our responses.


KAP summer program safety protocols include the following:



*Monitoring health of campers throughout the day.


*Cleaning and disinfecting all activity areas, equipment, and supplies


*Mandatory handwashing between activities


*Providing EPA approved soap and hand sanitizer at activity and food locations


*Reducing groups limited to no more than 10 campers with 2 staff


*Maintaining the same group of 10 campers and dedicated staff the enitre 6 weeks of camp


*Maintaining safe social distancing between groups


*Having trained medical staff on-site

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