2025-26 registration

Community Preschool Registration Form 2025-26

PLEASE COMPLETE ALL QUESTIONS. If a question does not apply to you, you may write n/a. Thank you.

Desired Date of Enrollment

Date

Child's Date of Birth

Date

Child's Name

BoyGirl

Address

1- Parent name

Address (if same write "same")

Cell phone #

Work Phone #

Occupation

Parent's Email Address

example@example.com

2- Parent name

Address if different from parent 1. Otherwise write "SAME"

Cell Phone #

Work phone #

Occupation

Parent's Email Address

example@example.com

Best way to contact you

emailphone callClass Dojo messages

Child's Doctor

Telephone

Language(s) spoken at home

Your child's siblings name(s) and ages

Your child's group experiences

Your child's ALLERGIES

Anything we should be aware of to better serve your child? (born prematurely. Sight, hearing, speech, physical therapy?)

Any food restrictions? (vegan, vegetarian, etc)

Religion practiced?

How did you hear about us?

AUTHORIZED EMERGENCY CONTACTS: (other than parent 1 and 2)

Please list persons who are authorized to pick-up your child in case of emergency if neither parent is available.

Person #1

Address

Cell Phone #

Relationship to child

Person #2

Address

Cell Phone #

Relationship to the child

How is your child?

Is fully toilet trained and can clean and dress independentlyIs in the process of toilet training, wear underwears with some accidentsIs in a pull-up and sometimes uses the toilet with helpIs wearing a diaper

Choose a program:

Tiny Two's : 2's program -must be between 2 and 2.6 by September 1 (only 5 spots for under 2.6)In Training: in the process of mastering potty training-must be 2.11 by Sept. 1stPreK 4 program -must be 4 by October 1st

HALF DAYS - 8:45 am to 11:45 am

FULL DAYS - 8:45 am to 3:45 pm

BEFORE CARE - 8:00 am to 8:45 am

AFTER CARE - 3:45 pm to 5:00 pm

It is my desire to enroll my child in Community Preschool for the 2025-2026 school year. I agree with the policies and financial terms of the school as stated in the Parent Handbook. I understand that the tuition is divided into 10 equal monthly payments regardless of the number of days of service in a month, and each option (half, full, before, after care) has separate monthly tuition fees. Missed days and vacation days may not be swapped or prorated.

The administration fee and supplies fee are due at the time of registration to secure your child's spot, and the security deposit (will become your June 2026 tuition payment) is due by August 1st, 2025. I understand that the admin. fee, the supplies fee and the security deposit are non-refundable.

I understand that each monthly tuition payment is due before the 5th day of the month of service. I was informed of the different payment methods (check, cash, Zelle, automatic payment) and understand that I will be charged a $50 late fee if my payment is not submitted by the 5th of the month of service, and that my child may not attend until payment is submitted whether the due date is a weekday, a weekend day or a Holiday.

I understand that by signing this financial agreement, I am the person responsible for tuition payments and that all discussions about this agreement will also be my responsibility.

Child Name

Date

Signature