Application for Enrollment

Application for Enrollment

NON-REFUNDABLE registration fee of $100 due at time of enrollment. $80 Supply Fee due in Fall AND Spring. Summer- No registration fee Summer Supply Fee $30 each session. This can be paid through Smartcare, mailed in, or dropped off at the office. St. Christopher's Episcopal Preschool 2800 Trimmier Rd. Killeen, TX 76542
Registration for:

School Year 2022/2023*
*Please note for the SCHOOL YEAR 2022-23, 3 year old and 4 year old classes are currently on a waitlist. Please continue with the registration form if you are interested in being on the waitlist. When an opening comes available, you will be contacted by the Head of School, Becca Davis.

I am interested in being on the waitlist for the 3 year old class.I am interested in being on the waitlist for the 4 year old class.
Student Name

First Name Middle Name Last Name
NICKNAME:
Date of birth:*

MonthDay Year
Date
Parent/Guardian Name:

First Name Last Name
Email
example@example.com
Parent/Guardian Name:

First Name Last Name
Email
example@example.com
Gender:
ARE THERE ANY ALLERGIES, SPECIAL FOOD CONSIDERATIONS, OR MEDICAL CONDITIONS? Please also include any outside therapies or services, i.e. speech therapy, physical therapy, occupational therapy.
Please list:
Health Assessment forms need to be completed once per school year unless something has changed and we need to be updated.

Immunization records need to be updated any time a child receives an additional vaccine.

Medical plan for Epi Pen or Inhaler. If your student requires and epi pen or inhaler please fill out the Aurthorization to Depense form found in the forms section on the website. Their medication will be kept in front office with the form in the event it needs to be dispensed. If you have a form from your doctors office please upload it with any other medical forms below.
Upload your child's immunization and health assessment record here.

Browse Files
Immunization Record and/or health assessment form Cancelof
Name of Physician

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
I AUTHORIZE ST. CHRISTOPHER'S EPISCOPAL PRESCHOOL TO OBTAIN MEDICAL CARE AND TO TRANSPORT MY CHILD FOR EMERGENCY MEDICAL TREATMENT.
Signature

Clear

Registration for another student
Registration for:

School Year 2022/2023*
*Please note the 2 year old, 3 year old, and 4 year old classes are currently on a waitlist. Please continue with the registration form if you are interested in being on the waitlist. When an opening comes available, you will be contacted by the Head of School, Becca Davis.

I am interested in being on the waitlist for the 2 year old class.I am interested in being on the waitlist for the 3 year old class.I am interested in being on the waitlist for the 4 year old class.
Student Name

First Name Middle Name Last Name
NICKNAME:
Date of birth:

MonthDay Year
Date
Age: (as of Sept. 1, 2021)
Gender:
ARE THERE ANY ALLERGIES, SPECIAL FOOD CONSIDERATIONS, OR MEDICAL CONDITIONS? Please also include any outside therapies or services, i.e. speech therapy, physical therapy, occupational therapy.
Please list:
Health Assessment forms need to be completed once per school year unless something has changed and we need to be updated.

Immunization records need to be updated any time a child receives an additional vaccine.

Medical plan for Epi Pen or Inhaler. If your student requires and epi pen or inhaler please fill out the Aurthorization to Depense form found in the forms section on the website. Their medication will be kept in front office with the form in the event it needs to be dispensed. If you have a form from your doctors office please upload it with any other medical forms below.
Upload your child's immunization and health assessment record here.

Browse Files
Immunization Record and/or health assessment form Cancelof
Name of Physician

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
I AUTHORIZE ST. CHRISTOPHER'S EPISCOPAL PRESCHOOL TO OBTAIN MEDICAL CARE AND TO TRANSPORT MY CHILD FOR EMERGENCY MEDICAL TREATMENT.
Signature

Clear

Parent/Guardian Name:

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Email
example@example.com
Employer:
Smartcare App access permission- We use the Smartcare system to provide the best communication between school staff and families. The Smartcare management software enhances the school's safety and security plus offers easy billing and payments.

At drop off and pick up, you will need app access to sign your students in and out. Giving us permission to the Smartcare app we will enter the parent, guardians, and emergency contacts to allow student pick up. App access requires an email address. In your app store please download the Smartcare for Parents app.
Permission to Smartcare App Access:

YesNo
Parent/Guardian Name:

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Email
example@example.com
Employer:
Permission to Smartcare App Access:

YesNo
Signature:

Clear
YOUR DOB:

MonthDay Year
Date

***EMERGENCY INFORMATION***

In the event parents/guardians are not available, I authorize the school to contact or release my child to the following people: This information is required by the state of Texas. YOUR EMERGENCY CONTACTS CANNOT BE LISTED UNDER PARENT/GUARDIAN INFORMATION AND MUST BE WITHIN 25 MILES.
1. Name

First Name Last Name
Relationship to student:
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Email
example@example.com
Permission to Smartcare App Access for school pickup:

YesNo
2. Name

First Name Last Name
Relationship to student:
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Email
example@example.com
Permission to Smartcare App Access for school pickup:

YesNo
3. Name

First Name Last Name
Relationship to student:
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Email
example@example.com
Permission to Smartcare App Access for school pick up:

YesNo
PLEASE REMEMBER TO KEEP ALL EMERGENCY INFORMATION CURRENT.

Are you interested in the before or after school program? Only available during the school year, not summer sessions.

YesNoPlease see comment section
Permission for water activities especially for summer sessions.

YesNoPlease see comment section
Siblings and their ages:
Comments:
Any questions or comments
Photo/Social Media Consent Form

St. Christopher's Episcopal Preschool Photo/Social Media Consent Form
Dear Parent/Guardian,

During the school year, we at St. Christopher's Episcopal Preschool, take photographs and videos of students during their activities within the premises. Some photographs may captue your child's participation, directly or indirectly. In this regard, we seek your consent for the publishing or use of photos which your child may be included on our website, Facebook page, school program videos, or through promotion of our school.The photos and videos may be used for bulletin boards, marketing or advertising, and/or marketing updates posted via the facebook page, website, and/or within the walls of the premises. Should you decided to take back your authorization later on, you may do so by writing to us.
Photo Consent

Yes, I consent to my children's photo being used.No, I do not consent to my children's photo being used.
St. Christopher's Episcopal Preschool Handbook Consent Form
Parents and Guardians,

Our student handbook is available online. Click on the admissions tab and then school forms. You can find it labeled St. Christopher's Episcopal Preschool Handbook e-signature Consent form. It can also be found under the admissions tab, click on Parent Handbook.

We ask that all families review our policies and procedures. There is a lot of information contained in our handbook from our philosophy, our admission and registration, fees, medical and safety questions, special events at school, and also a list of items your child will need on the first day school.

If you had read and understand the guidelines for St. Christopher's Episcopal Preschool and Kindergarten, please check the box yes. If not please find the handbook online and sign or please contact us with any questions.
I understand and agree that clicking yes in the Handbook Consent box that it will act as my signature and will be valid that I have read and understand St. Christopher's Episcopal Preschool Handbook.
Handbook Consent

Yes, I have read and understand the handbook.
SIGNATURE:

Clear
Today's Date

MonthDay Year
Date
Should be Empty:

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Application for Enrollment

***EMERGENCY INFORMATION***

Photo/Social Media Consent Form

St. Christopher's Episcopal Preschool Handbook Consent Form

EMERGENCY INFORMATION