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Preschool Registration: 2011-2012: Age Cost Frequency

New Life Community Preschool is now accepting registration applications for the 2011-2012 school year. Families must submit a completed registration form and $100 monthly tuition fee plus a $30 registration fee by September 1, 2011 for their child to be admitted. The preschool offers a 3 day/week program on Mondays, Tuesdays, and Wednesdays from 9am to 12pm for children ages 3-5.

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114 views8 pages

Preschool Registration: 2011-2012: Age Cost Frequency

New Life Community Preschool is now accepting registration applications for the 2011-2012 school year. Families must submit a completed registration form and $100 monthly tuition fee plus a $30 registration fee by September 1, 2011 for their child to be admitted. The preschool offers a 3 day/week program on Mondays, Tuesdays, and Wednesdays from 9am to 12pm for children ages 3-5.

Uploaded by

NewLifePreschool
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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PRESCHOOL REGISTRATION: 2011-2012

We are now accepting completed registration applications for the 2011-


2012 school year. To register your child for preschool, please complete
the registration form and prepare your registration fee. These two items
must be submitted together for your child to be successfully admitted.

Age Cost Frequency


Ages 3-5 $100/month, due by the 3 days/week
Must be 3 years old 1st of each month Monday, Tuesday, and
by September 1, 2011 + $30 registration fee Wednesday
9:00 am - 12:00 noon

Our Mission

To create a foundation for lifelong learning by knowing God and making


Him known to children and their families in our community.

Our Goals

New Life Community Preschool seeks to…

Teach Biblical principles and values that will help children develop an
understanding of who God is,

Value and encourage God-given gifts and abilities in each child,

Create a positive environment where every child can explore academics


with a learning style that is suitable to their personal growth,

Help each child discover their unique personality and how to value and
relate to others,

Develop the spiritual, social, physical and artistic needs of every child,

Provide affordable preschool education and parent training that will serve
families in our community, and

Assess the progress and development of each child and provide feedback
to their families on an ongoing basis.
Registration Form 2011-2012
Student Information

Child's Name:
Nickname: Circle One: Male Female
Date of Birth: Home Phone:
Address:

Father's Name: Occupation:


Address (if different): Phone Number:
Cell Number:

Mother's Name: Occupation:


Address (if different): Phone Number:
Cell Number:

I give permission for our address and telephone number to be included in


the preschool directory.

Yes No

I would like to receive the preschool newsletter as:

Paper Email

For emergency cancellations or special announcements (no heat/electric


or announcements of preschool events/newsletters), please provide us
with your email address. This will be one more means New Life
Community Preschool can use to keep in touch with you.

Email Address:

FOR INTERNAL USE ONLY

Received (MM/DD/YY) Amt Pd/Ch No. Received By


Additional Student Information

Other Persons in Household (and their relationship to the child, including


siblings' names and ages):

Does your child: CIRCLE ONE

Have any unusual fears? Yes No


If yes, please explain:

Need assistance with routine


bathroom procedures? Yes No
If yes, please explain:

Prefer using their: Right Hand Left Hand

Attend Sunday School? Yes No


If yes, where?

Have any known, diagnosed special


needs? (ex - ADHD, Autism,
Speech, etc.)? Yes No
If yes, please explain:
Additional Student Information

What interests your child?

Explain your child's preferred learning style:

Please list any additional information about your child that would be
helpful to the teacher in caring for your child.
Emergency Information

Child's Name: DOB:

Parent/Guardian #1:
Phone Numbers: Home Work Cell

Email Address:

Parent/Guardian #2:
Phone Numbers: Home Work Cell

Email Address:

Other Emergency Contacts

Emergency Contact #1:


Relationship:
Phone Numbers: Home Work Cell

Emergency Contact #2:


Relationship:
Phone Numbers: Home Work Cell

Who will be allowed to pick up your child?

Pick-up person #1:


Relationship:
Phone Numbers: Home Work Cell

Pick-up person #2:


Relationship:
Phone Numbers: Home Work Cell
Emergency Information (continued)

Child's Name: DOB:

Medical Information

Physician: Phone:
Dentist: Phone:
Preferred hospital in case of an emergency:

Does your child have any special medical needs?

Does your chlid have any allergies?

Does your child have any food allergies?

Please list and explain any medication your child may need or use on a
regular basis.

I hereby give my consent for the named child to be admitted to the


designated New Life Community Preschool program. I understand that
acceptance is at the discretion of the preschool. I will not hold any
personnel associated with the designated preschool program liable for
any injury whatsoever my child may sustain in the activities thereof.
After New Life Community Preschool staff has made every attempt to
contact a parent or guardian, I authorize New Life staff to secure first aid
and/or the services of any legally qualified physician or hospital and
agree to assume all financial obligations connected therewith.

Signature of parent or guardian Date


Allergy Policy

I, ____________________________, acting for myself and my


child(ren) hereby indemnify and hold harmless the New Life Community
Preschool (and its staff members) from any claim or liability for food
allergy reactions related to my child(ren)'s consumption of food provided
by the preschool.

Student's Name:

Parent/Guardian Signature Date

Preschool Director's Signature Date

If your child has a food allergy, please fill out and sign the form
below. Otherwise, leave blank.

If your child has any food allergy, parents must be willing to supply the
child's snack. That snack will include a small food item and a drink. The
snack should be in a labeled container and brought daily to preschool.
Preschool will serve only the food items brought in by the
parent/guardian to a child with a food allergy. In the event of a peanut
allergy, the classroom will be kept free of peanuts and peanut products.

Food Allergy:
Yes, I commit to providing a snack for my child on each preschool day.

Parent/Guardian Signature Date

Preschool Director's Signature Date


Photographs/Videotaping Policy

Occassionally the preschool staff or approved visitors take pictures/video


of the children. These pictures are used to publicize and promote New
Life Community Preschool events or activities. Pictures may appear in
local newspapers, brochures, or on our website. No additional notice
may be given of picture-taking sessions.

The form below is for parental/guardian approval/release for photographs


and videotaping. Please sign and date where indicated below. No photos
or videos will be taken of children whose parent/guardians do not grant
permission.

Please check only one box

I give permission for my child to be photographed or


videotaped while at the preschool or on preschool field trips
for the purposes of promoting the preschool and its activities
in school and outside promotion. (Examples: cubbies,
placemats, wall posters, PowerPoint presentations at open
houses, newspapers, etc.)

I give permission for my child to be photographed or


videotaped while at the preschool or on preschool field trips
for the purposes of promoting the preschool and its activities
in school only. (Examples: cubbies, placemats, wall
posters, PowerPoint presentations at open houses, etc.)

I do not give permission for my child to be photographed or


videotaped while at the preschool or on preschool field trips
for the purposes of promoting the preschool and its
activities.

Student's Name:

Parent/Guardian Signature Date

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