1st Emergency Contact (Name, Relationship to Child, Phone Number) *
Your answer
2nd Emergency Contact (Name, Relationship to Child, Phone Number) *
Your answer
Authorized Pick Up List (Name, Relationship to Child, Phone Number) *
I, the parent or guardian, give permission to the employees of The Nature School Pre-K to release my child into the custody of the following individuals (Please List):
Your answer
Are you enrolling in Full Day or Half Day? *
Do you have any siblings that attend The Nature School or The Nature School Pre-K? *Please list siblings name and grade enrolled. *
Your answer
Has your child attended school prior to The Nature School Pre-K? *
How did you hear about The Nature School Pre-K? *
Your answer
Does Child Have Allergies? *
Please explain. If there are no health considerations, please answer N/A.
Your answer
Does your child currently take any medications? *
Please explain. If there are no medications, please answer N/A.
Your answer
Do you have concerns about your child's development? *
Please explain. If there are no concerns, please answer N/A.
Your answer
In Case of Emergency *
In the event that my child becomes ill or sustains injury while at The Nature School Pre-K, I hereby give my permission for the school to administer first and and/or obtain the services of emergency medical personnel. I understand that I will be contacted via phone. Should I be unavailable, those listed under emergency contacts will be called. I understand that I am responsible for any costs that may arise.
Medical Release *
I understand that it is my responsibility to make sure that my child's immunizations are current and up to date. If my child is not current on immunizations or I am unable to provide proper immunization exemption documentation, my child will be unable to attend The Nature School Pre-K per the requirements of the Indiana State Health Department.
Outdoor Consent *
I hereby grant permission for my child to use all play equipment and participate in learning activities outside on the grounds of the The Nature School campus. I understand that if my child uses the play equipment or school grounds, outside of school operating hours, I am responsible for the safety and well being of my child.
Photo Release *
The Nature School Pre-K has a website and social media presence. Both will be updated with new information, photos and video. I agree that The Nature School Pre-K has permission to feature images of my child on the website, social media sites and other promotional material.
Will your family be in need of before/after school care? *
My typed signature on this form indicates my decision to have my child attend The Nature School of Central Indiana Pre-K. Furthermore, my typed signature also indicates my awareness that TNS teachers and staff receive prioritized-placement within this program and that I will be required to submit further documentation should my child receive a spot. *