2022-2023 MMP Application- New Families

2022-2023 Application for Enrollment

Fill out a separate application for each child. Submit by February 23 at 1:00pm
Registration

Deadline for Applications for our new students for the 2022-2023 school year will be February 23 at 1pm. The preschool will be in touch with each family with their status of enrollment by February 25. If your child did not receive your choice, we will discuss another class offering or the waitlist. A registration fee of $150 is due within one week of acceptance to secure a child’s placement.
Child's Class Choice

Select the class offering you would like to enroll. PLEASE NOTE: Class is based on the age of your child as of August 31, 2022.
Child's Enrollment: *
Student Information
Child's Name *

First Name Last Name
Birth Date *

Month Day Year
Address *

Street Address

City State / Province

Postal / Zip Code
Parent/Guardian Information
Mother's Name *

First Name Last Name
Cell *

Area Code Phone Number
E-mail *
Father's Name

First Name Last Name
Cell

Area Code Phone Number
E-mail
Other Infomation
Child's Doctor *
Doctor's Practice *
Is your child current on all immunizations? *

Yes No
Does your child have allergies? *

Yes No
If yes please list, including any food or drug allergies.
Does your child have any medical conditions?
Does your child require any medication? If yes, please list these medications.
Additional Information or professional evaluations or assistance (speech, developmental) to help us best serve your child
Does your child have any siblings that are enrolling at MMP? *
Do you give permission for your family's information for school directories and communication. (this will include child's name, parent's name, email, home address and phone) *
Photo Release: Do you give permission to post pictures of your child (without any name) on our social media and website? *
Emergency Contact - Other than Parent/Guardian

List 2 contacts who have consent to pick up from school and can be called in case of an emergency.
Full Name - 1 *

First Name Last Name
Cell - 1 *

Area Code Phone Number
Relation - 1 *
Full Name - 2

First Name Last Name
Cell - 2

Area Code Phone Number
Relation - 2
Is your family a member of Messiah Moravian Church *
Is your family

Enrolling a sibling of an MMP alumnus
Terms of Enrollment
- Registration Fee and First Month's tuition are non-refundable.
- Registration Fee of $150. This will be invoiced and drafted.
- First month's payment is due June 1, 2022
- Fees are based on the 2022-2023 school calendar and allows parents to pay 9 equal tuition payments.
- MMP Health Form and all necessary medical forms (e.g. Medical Action Plan) are due by August 1, 2022 (after this date there is a $15 late fee). The Health Form must show that ALL immunizations are current as of the date that the child is eligible. There completed forms must be on file in the preschool office before child can attend school.
I have submitted my child's complete information and agree to the Terms of Enrollment.
Signature *

Clear
Should be Empty:

2022-2023 Application for Enrollment

Registration

Child's Class Choice

Student Information

Parent/Guardian Information

Other Infomation

Emergency Contact - Other than Parent/Guardian