Greenhouse Preschool Registration

The goal at Greenhouse Preschool is to prepare children for the next stage of their lives through the development of motor abilities, thinking skills and healthy interactions with their peers.

Greenhouse Preschool adheres to a holistic approach of early childhood education. When we expose children to different environments and various learning experiences, we allow them to explore their self-awareness and gain a sense of the world around them.

Mrs. Greene has 20 years of teaching experience at various levels and has a Masters of Education degree. Having taught kindergarten, she knows the expectations for success and is dedicated to helping your child thrive and advance.

Morning Class	Afternoon Class - (offering based upon demand)
Tues/Wed/Thurs	Tues/Wed/Thurs
9:30 - 11:30am	12:30 - 2:30pm

Tuition

$50 deposit (nonrefundable)

$100 tuition per month (September to May)

Due the 1st of every month. Payments accepted via Venmo (preferred), PayPal (preferred), check, or cash. Please see the Parent Handbook for additional details and policies.

Checks should be made payable to Anna Greene – “Child’s First Name” in the memo line.
Venmo = @annamgreene
PayPal = @annamgreene

I have read and agree to the policies and procedures in the Parent Handbook.

YesNo

First Name*

Last Name*

Gender*

FemaleMale

Birth Date*

MonthDayYear

Home Phone*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

City

Zip Code

My child will be 4 years old by 8/31/2021.

YesNo

My child is potty trained.

YesNo

Full Name*

First NameLast Name

Home/Cell*

Area CodePhone Number

E-mail*

Address - Same As Child*

YesNo

Full Name

First NameLast Name

Home/Cell

Area CodePhone Number

E-mail

Address - Same As Childs

YesNo

Does your child have any allergies?*

YesNo

If yes please list, including any food or drug allergies.

Does your child have any medical conditions I should know about?

Do I need to be aware of any medications your child takes?

My Child has allergies, asthma, diabetes, or seizures. (If yes, complete the appropriate form(s) on the school website.)

YesNo

My child requires a medication that Mrs. Greene may have to administer during school. (If yes, complete the School Medication Authorization form on the school website.)

YesNo

I have completed the Media Release Form (found on the school website).

YesNo

Please list the people authorized to pick up your child.

Please include phone numbers.

Does your child have any siblings?*

If yes, what are their name(s) and age(s)?

Tell me about your child! What do they like, dislike, how can I connect with them, and what concerns do you have?

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

City

Postal / Zip Code

Home/Cell*

Area CodePhone Number

All applications are received and reviewed in a first come, first serve basis. Upon filling all open spots, all additional submissions will be added to our waiting list.

Mrs. Greene will administer Utah’s Pre-kindergarten Entry and Exit Profile (PEEP) at the beginning and end of the school year. There will not be regular classes during the PEEP administration dates. Instead, I will meet individually with your child (and you) to complete the profile. It is untimed, but is expected to take less than 20 minutes. I will schedule extra time for the Entry Profile so your child and I can get to know each other and they can become familiar with the classroom environment.

PEEP Entry Dates - August 24, 25, and 26 of 2021

PEEP Exit Dates- May 17, 18, and 19 of 202

I consent to have my child take the PEEP Profile.

YesNo

I, the parent/guardian, agree to the policies and procedures outlined in this application and registration form as well as the Parent Handbook.

YesNo

Signature

Greenhouse Preschool Application and Registration

Preschool Information

Parent Handbook

Student Information

Parent/Guardian Information 1

Parent/Guardian Information 2

Other Infomation

Emergency Contact - Other than Parent/Guardian

PEEP Entry and Exit Profile