Preschool Registration

HOPE Preschool 2024-2025 Registration Form
- Child must be toilet trained by August 1, 2024.
- Birth Certificate must accompany a non-refundable registration fee of $175.
- Nine (9) consecutive payments begin in AUGUST and continue through APRIL.
  - The August payment is non-refundable.
  - The August payment may not be applied to any future month’s payment.
- Sandra Rolston Scholarship ~ Financial need-based scholarship applications are available upon request.
Student Information
Last Name*
First Name*
Birth Date*

MonthDayYear
Gender*

FM
Has your child been in a school setting before?*

YesNo
How did you hear about us?
Parent/Guardian Information
Full Name*

First NameLast Name
Relationship to child*
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone #:*
Alternate Phone #:
Has anyone in your immediate family ever attended HOPE Preschool?*

YesNo
Placement Information
Is your child diagnosed with food allergies?*

YesNo
If yes, please list food allergies
Does your child have an EpiPen Jr. OR an Auvi-Q?*

YesNo
Does your child have an inhaler?*

YesNo
Is your child receiving, or has bee referred for, or attending any supplemental services/programs? (Please Check All That Apply)

SpeechOTPTIEPVISIONOther
(FOR PLACEMENT PURPOSES ONLY) Is English your child’s primary language?*

YesNo
Can your child express his/her needs in English?*

YesNo
Are there any Chronic Physical Conditions, Developmental Information, Special Accommodations:
Comments
Class Preferences

Please review the list of available regular class options (A - J) and select a first, second, and third choice from the drop down boxes below.

Class Choice	Age	Child's birthdate in between	Session	Days of the Week	Time	Monthly Tuition
A
B	3	4/1/21 - 9/30/21	3 Day	Mon, Wed, Fri	9am - 12pm	$375
C	3	4/1/21 - 9/30/21	4 Day	Mon- Thurs	9am - 12pm	$450
D	3 1/2	10/1/20 - 3/31/21	3 Day	Mon, Wed, Fri	9am - 12pm	$375
E	3 1/2	10/1/20 - 3/31/21	4 Day	Mon - Thurs	9am - 12pm	$450
F	4 -5	10/1/18 - 9/30/20	4 Day	Mon- Thurs	9am - 12pm	$450
G	4 -5	10/1/18 - 9/30/20	5 Day	Mon - Fri	9am - 12pm	$490
H	4 -5	10/1/18 - 9/30/20	4 Day	Mon - Thurs	9am - 1:30pm	$560
I	4 -5	10/1/18 - 9/30/20	5 Day	Mon - Fri	9am - 1:30pm	$675
J	4-5	Bilingual Class 10/1/18 - 9/30/20	4 Day	Mon - Thurs	9am - 1:30pm	$575

First Choice*
Second Choice*
Third Choice*
All registrations 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. Spot is held once registration payment is completed, you can choose to wait until after a tour to complete the payment.
Should be Empty:

HOPE Preschool 2024-2025 Registration Form

Student Information

Parent/Guardian Information

Placement Information

Class Preferences