Imlay City Tuition Preschool Application

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Our tuition preschool program has a limited number of spots available. After the application has been filled out, you will receive a call within 2 weeks to notify you of your child's application status as well as to potentially set up a meeting for April 25th for Preschool Round Up. Your child is not considered as enrolled until $25 non-refundable registration fee is received at Preschool Round Up, all documentation is turned in, application is signed and you receive a welcome letter from Imlay City Preschool.

Email *

Tuition Preschool Options

AM Preschool

o8:50 AM – 11:50 AM

oFor 3 year olds (3 by September 1, 2024)

oMust be fully potty trained

o$1,650 ($412.50 payments made September 15, November 15, February 15, and April 15)

PM Preschool

o12:40 PM – 3:40 PM

oFor 3 year olds (3 by September 1, 2024)

oMust be fully potty trained

o$1,650 ($412.50 payments made September 15, November 15, February 15, and April 15)

Full Day Preschool

o8:40 AM – 3:40 PM

oFor 4 year olds (4 by December 1, 2024)

oMust be fully potty trained

o$3,200 ($800 payments made September 15, November 15, February 15, and April 15)

Program Requested *

AM Preschool (3 year olds)

PM Preschool (3 year olds)

Full Day Preschool (4 year olds)

If this classroom is full, *

Add my child to the waitlist.

I would be interested in the other tuition preschool option.

I would be interested in learning more about GSRP. (Full Day State funded Preschool for 4 year olds)

Please contact me.

Other:

Child's Full Name *

Gender *

Male

Female

Date of Birth *

YYYY

Child's Birthplace *

City, State, Country

Child's Home Address *

Number & Road

City *

Zip Code *

County of Residence *

Home School District *

Primary Phone *

Secondary Phone *

Birth Father's Name *

First & Last

Birth Mother's Name *

First & Last

Birth Parents are: *

Please check all that apply.

Together

Not Together

Married

Separated

Divorced

Other:

Required

Child lives with: *

Birth Father and Birth Mother

Birth Father

Birth Mother

Step Parent

Grand Parent(s)

Foster Parents

Other:

Required

Is your family living in any of the following situations? *

Staying in a shelter, temporary trailer, or waiting for foster care placement

Doubled-up -- sharing the housing with others/relatives due to loss of housing, economic hardship or similar reason

Living in a car, park, campground, public space, RV, substandard housing, or similar

Living in a motel or hotel due to loss of housing, economic hardship or similar reason

In an emergency or transitional shelter

Moving from place to place

Living with an adult that is not a parent or legal guardian

None of the above

Race *

American Indian/Alaska

Asian/Asian American

Black/African American

Caucasian/White

Hawaiian/Pacific Islander

Other:

Required

Hispanic or Latino *

Yes

Primary Language *

English

Spanish

Other:

Does your family migrate? *

Yes

If yes, approximate dates of migration?

Parent/Guardian Information

Father/Legal Guardian Name *

First & Last

Father/Legal Guardian Employer *

If not applicable, please write none

Father/Legal Guardian Occupation *

If not applicable, please write none

Father/Legal Guardian Employer Phone *

If not applicable, please write none.

Mother/Legal Guardian Name *

First & Last

Mother/Legal Guardian Employer *

If not applicable, please write none

Mother/Legal Guardian Occupation *

If not applicable, please write none

Mother/Legal Guardian Employer Phone *

In not applicable, please write none.

Siblings

Sibling#1 Name & Date of Birth *

First, last & date of birth (If not applicable, please write none)

Sibling#2 Name & Date of Birth *

First, last & date of birth (If not applicable, please write none)

Sibling#3 Name & Date of Birth

First, last & date of birth

Sibling#4 Name & Date of Birth

First, last & date of birth

Sibling#5 Name & Date of Birth

First, last & date of birth

Sibling#6 Name & Date of Birth

First, last & date of birth

Active US Military *

Yes

US Military Veteran *

Yes

Comments/Additional Information

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