2023-2024 Children's House, Early Childhood Program New Student Registration Form

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Completion and submission of this New Student Registration Form does not guarantee nor quantify placement.

Please submit one form per child you wish to enroll.

Please hit the submit button to initiate form acceptance. A successful submission will provide you a confirmation message.

Email *

Child's Grade Placement - Your child must be specified age by August 31st, 2023 *

Preschool (Three years old)

Preschool (Four years old)

Private Kindergarten (Five years old) - Family is responsible for tuition

Child's Last Name *

Child's First Name *

Child's Date of Birth *

YYYY

Child's Gender *

Female

Male

Undeclared

First Contact-Parent/Legal Guardian Name *

Relationship to enrollee *

1st Contact Phone Number *

1st Contact Mailing Address (Street Number, Street Name, City, Zip Code) *

2nd Contact-Parent/Legal Guardian Name *

Relationship to Enrollee *

2nd Contact Phone Number *

2nd Contact Mailing Address (Street Number, Street Name, City, Zip Code)

Email *

Child resides with *

Both Parents

Legal Guardian(s)

Mother

Father

Required

Does your child have previous daycare or preschool experience? Please note the previous program below, enter N/A if not applicable *

Does your child have an IEP or IFSP in place? Note: Children's House does not discriminate based on any disability, gender, race, religion or individual need. This question is solely included to accommodate for transition planning including welcoming your child into our program. *

Yes

Schedule preference-please note, preferences are not guaranteed. All spaces are filled on a first come, first serve basis; noting your preference does not guarantee schedule placement. *

Full Day Program (Mon.-Thurs.)

Morning Half Day Program (Mon.-Thurs.)

Afternoon Half Day Program (Mon.-Thurs.)

Our center is currently closed to students on Fridays, please help us to assess the need in our community. Your input will assist our program in determining if the need and/or interest for an additional day services is great enough to amend our program offerings. If offered at an additional fee, would your family be interested in enrolling for child care on Fridays? *

Yes-Full days

Yes-Half mornings

I have read, understand and agree to abide by the information contained herein. Please check each box as you agree. *

Children's House "Guiding Principles" describe our whole child, whole school and whole community approach. To support our school, each family is asked to contribute a minimum of ten Family Partnership hours during the course of the year. By submitting this registration, you agree to engage in this positive community effort.

Upon notice of placement, you will be required to complete additional paperwork including but not limited to: providing proof of immunizations, proof of a well child check up signed by a physician, enrollment documents, etc. I understand these forms are required before my child may attend on their first day.

Submission of this form does not guarantee enrollment. Spaces are filled on a first come, first serve basis. In the event all spaces have filled, you will be contacted and placed on a wait list. Placement confirmation will be conducted in May 2022.

Tuition and associated fees: A $150.00 non-refundable registration fee is invoiced upon acceptance, a $65.00 Materials Fee is invoiced once per semester. Monthly snack fees apply according to your child's confirmed schedule. Tuition Assistance can not be applied towards fees. Kindergarten families will invoiced a one time materials fee in the amount of $225.00

Required

Please hit the submit button to initiate form acceptance. A successful submission will provide you a confirmation message.

A copy of your responses will be emailed to the address you provided.

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