Child's birthday. Must be 3 and potty trained to enroll.
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Home Address *
Your answer
Contact number *
Your answer
Do you intend to have your child enrolled in our program for the entire school year? If not, please explain why. School year is from August 22nd to June 10th, January session from January 3rd to June 10th *
Your answer
What school experience has your child had? I.e daycare, nursery school, church program, story time at libraries, gym classes, etc. *
Your answer
Is your child fully potty trained. Meaning they do not need any assistance going to the bathroom, will say when they need to go to the bathroom, does not need to where pull-ups or diapers, is free from accidents. Children who are determined to not be fully potty trained will be dismissed from the preschool program. *
Is English your child's main language? *
If no, what is there main language?
Your answer
Does your child currently, or previously, receive special education services? These include services such as speech therapy, occupational therapy, behavior intervention, or physical therapy, etc, *
If yes, please explain
Your answer
Does your child experience any medical issues that may impact them at school? If so, what accommodations may they need?
Your answer
Is your child on any long term medication, and would it need to be administered while in class? *
Has your child ever been expelled from a child care or school setting? *
If yes, please explain why
Your answer
Do you understand that the monthly tuition is due on the first of each month. Failure to pay by the first, will add a late payment fee of $5 for each day. If payment is not received by 5th day, child will not be allowed to return until payment is received. After two weeks child is dismissed from the program. *
How did you hear about us? *
Your answer
What are your priorities for your child this year? *
Your answer
Do you understand that there will be monthly field trips that you may be required to participate in? *
Do you understand that your child will hear bible stories? You do not have to be Christian to attend our program but bible stories to teach social emotional skills happen at the beginning of each class. *
Which class would you like to will you attend? *
Child's allergies
Your answer
Dietary restrictions *
Do you understand that to save your spot you must pay the registration fee of $65 *
Required
I hereby certify that the above information is correct. I understand that this information is being given for consideration to be accepted into The Dreamers Kingdom programs. Filling out this form does not guarantee enrollment. Please type out your name.
Your answer
I understand that by typing out my name clicking submit, I am electronically signing this document.