The Bucket School of First Presbyterian Church of West Chester
Enrollment Information & Permissions
Please complete one form for each child.
Numbers to be reached at during school:
Our school communicates important updates and information through emailed newsletters. Please provide email addresses for parent/guardians who would like to receive regular email correspondence from the school.
If yes, please provide emergency medical care from your physician and fill out the Food Allergy Action Plan that can be found on our website.
Please provide a copy of your child's immunization records before the first day of school.
Permission to change clothing.
I authorize the school to change my child’s clothing, if necessary, such as in the case of a toileting accident, and agree to provide a change of clothes.
Emergency Medical Authorization
In the event of an emergency, the physician listed and the local hospital are hereby authorized to provide any emergency care deemed medically necessary for my child. I understand that if such emergency is life threatening, the staff will provide medical assistance first, inclusive of first aid and/or CPR, and notify me immediately thereafter. In case of accidental ingestion of a poisonous substance, I consent to having my child being treated as directed by the Poison Control Center. In case of a medical emergency, I understand that I am responsible for the emergency medical expenses.
Twos + Three Year Old Programs
T/Th 9:30-12 at $190/mo: $1710/yr
M/W/F 9:30-12 at $240/mo: $2160/yr
Pre-K
M/W/F 9:00-12 at $280/mo: $2520/yr
M/T/W/F 9:00-12 at $380/mo: $3420/yr
READ/STEAM (PreK)
Thursday 9:00-12 at $104/mo: $930/yr
I understand that tuition is paid in advance of services rendered and is not subject to discounts for holidays, emergency closures such as weather, or absence. I understand that a late fee of $25 will be assessed if my tuition is 10 days past its date due and that I will be charged a $10 late fee if my child is picked up 10 minutes late and will be charged $1 per minute thereafter. I understand that my services may be terminated if my account reflects a past due amount of over 2-months of tuition. I understand that my child may have the opportunity to participate in a special program or field trip that may have an additional fee due before the day of the event. I understand that tuition does not include fees for participation in lunch bunch and enrichment programs, which will be billed separately. I agree to pay the tuition for my child(ren)’s programs per the amount listed above (less a sibling discount and/or pay-in-full discount, if applicable).
Private Employment Acknowledgement and Release.
I understand that any arrangement/employment between me and staff of this school (including but not limited to babysitting and/or tutoring), outside of the programs and services offered by this school, is an individual endeavor and private matter not connected to or sanctioned by this school. This school shall remain harmless from any such arrangement.
School Media Release.
I give permission to the First Presbyterian Church Bucket School, also known as The Bucket School, to display my child's photo and/or video or likeness on the school's website, Facebook page, Instagram Account, in digital newsletters, in print media such as the newspaper, and in school produced advertising literature. I understand no names will be used in association with the photos or videos. In addition, I consent to having my child's teachers and staff take photos and/or videos via their personal cell phones.
I give permission for my child to take walking trips in the West Chester Borough during the school year. I understand that this permission is limited to walking field trips within the Borough, and that separate permission will be requested for any other field trips.
I give my permission for my child to eat the snacks provided by the school. If your child is not permitted to eat the snacks, please contact the director to discuss an alternative plan.
I give permission to my child's teachers and Bucket School staff to buckle him/her in the car at dismissal.
I consent to having my email shared with other families at the school or in my child's classroom.
I agree to provide up-to-date changes to the Bucket School regarding my child's address, emergency contact information, health and/or special needs as they arise.
Please list 3 individuals who are authorized to assume temporary care of your child in the event that you cannot be reached.
I authorize First Presbyterian Church Bucket School to release my child to the following drivers listed below. We will not release your child to anyone not listed. If there is a change in pickup and your child needs to go home with someone not listed on this form, please let the school know in writing of the change. The individual picking up your child must present proper identification
My child will be carpooling with the following children (please list their parent names on the driver's release section)
Family Handbook Acknowledgment:
I/we have read and understand the First Presbyterian Church Bucket School Family Handbook. I/we agree to and will adhere to the policies and procedures of The Bucket School.