2021-2022 Registration Application - Primary Class (Pre-school through Kindergarten)

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Fill in all the fields in this online Application form. There is a non-refundable application fee that is required; $55 for individual registration and $70 for families. Payment can be made online with a credit card.

Child First Name *

Child Middle Name

Child Last Name *

Preferred Name/Nickname

Gender *

Female

Male

Date of Birth *

YYYY

Age *

Program (select one) *

Primary (preschool)

Extended Day (Focus on Kindergarten readiness. Child must turn 5 before January 1st)

Kindergarten (Child must turn 5 before August 1st)

Select a preference (Primary class only) *

Morning Class: 8:30 am - 11:30 pm Monday-Thursday

Afternoon Class: 12:30 pm – 3:00 pm Monday-Thursday

n/a

Child Profile Questionnaire: Your answers to the following questions will enable us to get a sense of your child’s needs. List any school or daycare your child is currently or has attended; School Name

School Address:

Year(s) Attended:

If a language other than English is spoken at home, which language(s), and by whom?

At what age did your child learn to speak?

Please indicate your child's current stage of the following: *

Communicates primarily through gesturing and non-verbal communication

Speaks in 2-3 word phrases

Speaks in full sentences

Please indicate your child’s current toileting needs: *

Wears diapers/Pull-Ups full time

Wears diapers/Pull-Ups but is using the toilet inconsistently and with assistance

Wears underwear but still needs reminders to use the toilet. Has occasional accidents and needs assistance with clothing, wiping, etc.

Wears underwear and does not need regular reminders to use the toilet, but still needs assistance with wiping and clothing

Wears underwear, does not need reminders, and can manage clothing and wiping independently

Please indicate your child’s level of independence with drinking from a cup: *

Still nurses and/or drinks from a bottle

Drinks independently from a cup with a lid (‘sippy cup’)

Drinks independently from a cup with no lid

Please indicate your child’s level of independence with taking shoes on and off: *

Shows no interest in putting shoes on independently and relies on caregiver

Shows interest in putting shoes on independently but needs some help

Can independently take shoes off but needs help getting them on

Can independently put shoes on but needs help taking them off

Can independently take shoes on and off (but may put them on the wrong feet)

Please indicate your child’s current level of following directions: *

Can follow 1-step directions (“Put the book on the shelf.”)

Can follow 2-step directions (“Get a spoon from the drawer and put it on the table.”)

Can follow multi-step directions (“Brush your teeth, put your pajamas on, and choose a story to read before bed.”)

Is your child able to sit independently (not on a caregiver’s lap) and listen to a short story from start to finish? *

Sometimes, but not consistently

Yes

Please indicate your child’s current ability to separate from a caregiver: *

My child cries, has a tantrum, holds on to caregiver.

My child cries but just for a minute or two

My child is shy and hesitates, but typically warms up to new people/environments

My child separates easily

Does your child have any unique needs such as dietary restrictions, food allergies, behavioral concerns, learning differences, physical limitations, or other health considerations? *

Yes

If yes, please describe:

Are there areas in which you believe your child may have challenges, delays, or advanced abilities? *

Yes

If yes, please describe:

Describe your child’s special interests and qualities *

Are you familiar with the Montessori Method of education? *

Yes

What were the primary factors in your decision to apply to Around the Sun? *

Our school serves children from preschool through grade 6. Through what grade or age level do you plan to have your child attend Around the Sun? What factors will impact your decision? *

Please share any additional information about your child or your family that will help us get to know you better. *

Parent/Guardian 1 Name: *

Relationship *

Home Address *

Phone Number *

Email Address *

Parent/Guardian 2 Name

Home Address

Phone Number

Email Address

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