Durham Application | Our PlayHouse Preschool

Child's Name*

First NameLast Name
Name Called
Child's Birthdate*

MonthDayYear
Gender*
Child's photo

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Parent 1 Name*

First NameLast Name
Parent 1 Phone Number*
Please enter a valid phone number.
Parent 1 Email*
Parent 2 Name

First NameLast Name
Parent 2 Phone Number
Please enter a valid phone number.
Parent 2 Email
example@example.com
Your Preferences
Preferred start date*

MonthDayYear
Which session would you like your child to attend?*
How many days per week would you like your child to attend?*
1st choice- Which days of the week would you prefer your child to attend OPH as a first choice?*

MondayTuesdayWednesdayThursdayFriday
2nd choice- Which days of the week would you prefer your child to attend OPH as a second choice?*

MondayTuesdayWednesdayThursdayFriday
Are you interested in early care, beginning at 7:30am?
Which days would you like early care?

MondayTuesdayWednesdayThursdayFriday
Are you interested in after care, ending at 5:00pm?
Which days would you like after care?

MondayTuesdayWednesdayThursdayFriday
Getting to Know You

Please share with us a little bit about your child and your family.
What are you looking for in a preschool?
What do you hope your child gains from their preschool experience?
Please describe your child's previous group experiences or experience with caregivers other than parents.
What are some of your child's favorite activities?
What would you do consider to be your child's strengths?
In what areas do you feel your child needs extra help or work?
Do you have any special interests or skills you would be interested in sharing with a group of children at school?
Does your child have any allergies?
Is there any health or medical information that might affect your child's daily life at school?
How did you hear about us?
Optional

We use demographic data to inform our programming and meet the needs of our families. You have the option to provide this at the time of your application.
Please describe your family structure (two parent household, single parent household, etc.)
Ethnicity or culture
Language(s) spoken at home
Application Fee
There is a $75.00 non-refundable processing fee associated with this application. After completing this form, you will receive an email with a link to our secure payment portal to complete your payment. Your application will not be considered submitted or reviewed until the processing fee has been received.*

I understand and acknowledge the above application fee statement.
Should be Empty:

Your Preferences

Getting to Know You

Optional

Application Fee