Application Form - Shaker Heights Cooperative Preschool
17300 Van Aken Boulevard
Shaker Heights, OH 44120      
(216) 302-4711      
www.shakerpreschool.com
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Email *
A non-refundable $100 application fee shall accompany each application.
Please send via PayPal trusted/friends & family to shcpdirector@gmail.com or make checks payable to Shaker Heights Cooperative Preschool.
Child's Name *
Preferred Name
Child's Birthdate *
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DD
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Child's Gender *
Parent's First & Last Names *
Home Address *
Phone *
Siblings Names & Ages *
May we share your phone & email with other families at the co-op? *
Class Option *
Additional Information
At SHCP, we are committed to providing a positive learning experience for children with a range of abilities. Enrollment decisions are made considering the child's unique circumstances and needs, as well as the needs of the school and/or each class.
Has your child attended a previous preschool? If yes, please list all schools and reasons for leaving. *
Is your child currently receiving assistance/therapy from an occupational therapist, physical therapist, speech/language pathologist, developmental therapist, psychiatrist or counselor/psychologist/social worker, or has he/she been seen by one of these professionals in the past? If yes, please explain. *
Why have you chosen SHCP for your child? *
The Cooperative Nature of our School
We are a cooperative preschool, and we know that parental contributions of time and talent are essential to the success of our program. We also feel that the more you share of yourself, the more you and your child will benefit from our school's program. Due to the cooperative nature of the program, the school board reserves the right to remove a child from the school if they child's parent does not meet the required obligations set for below.
Your obligations as a parent of the Shaker Heights Cooperative Preschool are as follows:
1. To parent help in the classroom approximately 1-2 days per month for each child enrolled (when state licensing allows).
2. To attend two Member Meetings per year.
3. To fulfill a parent job, participate on a committee, or participate on the parent board.
As a parent of the Shaker Heights Cooperative Preschool, I agree to meet the above obligations. *
A copy of your responses will be emailed to the address you provided.
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