Westminster Preschool 2024/2025
Westminster Preschool Registration 2024-2025
Fall Start Date: September 3 & 4, 2024 

Please Enter the BEST Email to reach you with School Information
Sign in to Google to save your progress. Learn more
Email *
Application for Enrollment
Child's First, Middle, Last Name *
Child's Age *
Child's Birth-date *
MM
/
DD
/
YYYY
Child's Address: Number and Street (Please add Unit if applicable Apt 2, Unit B) *
Child's City *
Child's Zip Code *
Mother's Full Name and Age *
Mother's Email Address *
Mother's Occupation *
Mother's Cell Phone Number (    ) ___ -____ *
Mother's Work Phone Number (   ) ___ - ____
Father's Full Name and Age *
Father's Email Address *
Father's Occupation *
Father's Cell Phone Number (___) ___ - ____ *
Father's Work Phone Number (___) ___-____
Are Both Parents Living at home? *
Does your child have any siblings? Please provide their names and ages? *
FULL DAY OPTIONS
Which session are you interested in attending? Please do not sign up for more than you intend to take in the Fall.
9:00 am - 3:30 pm
Clear selection
HALF DAY OPTIONS
9:00 am - 12:00 noon
Clear selection
12:00 noon - 3:30 pm (PM session includes Lunch Bunch)
Clear selection
Monthly Additional Fees: 
These three options can be added for an additional monthly fee. Please contact Kendra Holly if you have any questions
8:30 am Early Drop Off
Clear selection
Lunch Bunch: If you are a morning student only, you can add Lunch Bunch and stay till 12:30 instead of the 12:00 noon pick up. Pack a lunch for them as well as their morning snack. (Full Day students do not pay extra for Lunch Bunch)
Clear selection
AFTERNOON NAPS: 12:30-2:30 : Napping is NOT required but offered at an additional fee
Clear selection
Health and Family History
Help us learn a little more about your child
Boy or Girl
Clear selection
Physician's Name *
Physicians Phone Number *
Child's Health *
Required
Does your child have Allergies? What are they allergic to?
 Do they have an Epi Pen
*
Toileting Independence: Your child must be toilet trained for Preschool Admission *
Required
Language Development *
Required
Emotional Development *
Required
Tuition and Registration Agreement
1. I understand that Tuition is based on the tuition cost for the school year, broken down into 9 Monthly Equal Payments. Each Month is the same payment
2. I understand that if my child is sick or I take them out of school on a leave of absence, I am still required to pay the FULL MONTHLY TUITION
3. I understand that if my child attends "Part" of a month, I am responsible for the Full Months Tuition
4. I understand that if i am LATE picking up my child from school, I will be charged a late fee of $1.00 per  minute. If my child is sent to Lunch Bunch I will be charged $10.
5. I understand that the registration fees are NON REFUNDABLE
6.Tuition is due on the 1st of each month. After the 10th of the month, there will be a $10 late fee
We DO NOT send home monthly reminders for tuition payments.
I understand and agree to the Tuition and Registration Fee Agreement *
Required
Cluster Photo Sharing App:
Westminster Preschool used a Private Photo Sharing App called Cluster that can only be seen by parents and teaching staff. We post pictures of the students activities during the day as well as posting reminders for Parents.
Cluster give us a PRIVATE space to share photos and memories away from Social Media
Once your child attends the school, you will be sent a link to join the Westminster Preschool Burbank group.

Permission to post your child's photo on the Private Photo Sharing APP Cluster
Clear selection
You will need to download the APP Cluster
Venmo QR Code:  When making Tuition Payments please put your child's First and Last name in the Memo section
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Westminster Presbyterian Church. Report Abuse