2022-23 Preschool Registration

Registration Date

Registration Class

Pre-K (4 years old by August 1st) 3 Year Old (3 years old by August 1st and potty trained)

Optional Early Drop off (begins at 7:45am) See fees in Tuition/Payment Section

Yes No

Optional Afternoon care (ends at 2:15pm) See fees in Tuition/Payment Section

Yes No

CHILD'S INFORMATION:

First Name (Please also include what name they go by if different than their legal name)

Middle Name

Last Name

Gender

Male Female

Child's Address

Child's Date of Birth

Child's Current Age

Please list any existing medical conditions, allergies, or special needs your child may have:

PARENT/GUARDIAN INFORMATION:

This address will receive a confirmation email

Mother/Guardian

First Name

Last Name

Occupation/Worplace

Work Phone

Mobile Phone

Father/Guardian

First Name

Last Name

Occupation/Workplace

Work Phone

Mobile Phone

EMERGENCY CONTACTS & AUTHORIZED PICKUP PERSONS (Not listed above):

First & Last Name

Primary Phone Number

Relationship to Child

TUITION/PAYMENT INFORMATION:

Registration Fee: $50 per student upon enrollment.
Current Tuition Amount: $100 per month.
Optional Early Drop Off: add $40
Optional Afternoon Care: add $100 (lunch not provided)

COMMENTS & INFORMATION:

Who lives in the house with the child? Age of siblings:

Church you attend:

List any other information that would be helpful to our management and teaching staff:

May your child be photographed and/or recorded for classroom, promotional and/or media purposes?

Yes No

A copy of your child's immunization records must be provided to the Preschool Director by the start of school.

Description

The Converse Church of Christ's Preschool operates on a non-profit basis and is sponsored by the church, with the ultimate authority resting with the Church Board. The program provides constructive experiences for each child through planned activities, creative play, music, speech, art projects, physical education, and personal attention. Children attending MUST be potty-trained.

Our objectives are to begin laying a solid foundation in developing social and academic skills that enable success in a classroom setting as well as to share Christian beliefs, values and Biblical teaching in a nurturing Christ-like atmosphere.

If this sounds like the place for your child complete this form to get registered today!

2022-23 Preschool Registration

Description

Please Fix the Following