LITTLE CREEKERS PRESCHOOL REGISTRATION FORM 2025/2026

Child's Full Name

Date

Name the child prefers to be called:

Address

Phone Number

Birthdate

Date

Gender

Mother's Name

Cell #

Address

Email

example@example.com

Place of Employment

Phone #

Father's Name

Cell #

Address

Email

example@example.com

Place of Employment

Phone #

Are you married, separated, or divorced?

If parents are separated or divorced, who has primary custody?

Is there any court documentation that the preschool needs to have on file concerning the custody of your child?

YesNo

Upload a copy of any court documentation here

Child's Doctor

Phone # of Doctor

Child's Dentist

Phone # of Dentist

Any Health Concerns

Insurance Provider

In the case of a medical emergency that needs immediate consent to treat my child, I am giving permission for employees of Little Creekers Preschool to obtain the needed emergency care for my child until my arrival.

Please list any medications, allergies, special needs, or concerns that Little Creekers Preschool needs to know about for your child. Any medication to be administered to the child during preschool hours must have a doctor's prescription on file.

_____________________________________________________________________________________

Please upload any relative medical documents here

Please list Emergency Contacts other than Parents that have been given permission to pick up your child

Authorized Pickup and #

Little Creekers Preschool will work with each family to provide each child with the best learning environment possible. The preschool recognizes at times there may be circumstances in which Little Creekers may not be able to provide all that a child needs in special care. If the Director sees that this is the case, a refund of the tuition for the remaining school year will be given.

What does your child enjoy doing? Favorite toy, song, game, and/or activity?

Favorite color?

Favorite book?

Is there anything that causes your child anxiety or fear?

Has your child attended a preschool before? location of the preschool?

Is your family new to the area? Yes or No

If your family has recently moved, from where did you move?

Do you attend weekly?

Does your family have a church home?

Name of the Church

The preschool requests that if your child is not yet potty trained, that he/she is in the process of being potty-trained. In our two-year-old class, we understand the learning process and will work together to form a plan to attain success before entering the three-year-old class if at all possible. Little Creekers Preschool would like to keep you informed with photos and updates about your child during the school day and would like to have your permission to photograph your child. The photos may be used in social media posts and advertisements with group events for the preschool. Please sign giving Little Creekers Preschool permission to photograph your child.

Signature

The mission of Little Creekers Preschool is to create an encouraging environment of love, care, and compassion while nurturing a child's mind to establish a firm foundation on the Lord Jesus Christ. The early years of exploration are crucial for a little one to establish joy in learning. Through hands-on play, songs, chants, movement, and use of all the senses the Lord created, every child at Little Creekers Preschool will explore, learn, and grow in grace and knowledge through the Word of God! Please Sign that you have read and understand the complete registration agreement.

Signature

Which class are you desiring your child to participate in?

Five days week two-year-old classFive days a week three-year-old classFive days a week four-year-old classThree day week class of mixed age group on Monday, Wednesday, and Friday

Classes will be offered five days a week for ages 2-5 on Monday - Friday mornings from 8:30 am until 11:30 am. A three day class option will be avaiable this year on Monday, Wednesday, and Friday from 8:30-11:30.

Classes will begin on Wednesday, September 3, 2025. The last day of class will be Thursday, May 14, 2026.

2025-2026 Non-Refundable Fees:

The yearly registration fee to cover supplies will be $300. Siblings are eligible for a $50 discount beginning with the second child. Tuition for the five day week program will be $2,250 a year divided into nine equal payments in order to help the family to budget. Each payment of $250 will be due the last week of the month from August until April. A 5% discount will be given if tuition is paid in full before September 1st for a yearly tuition of $2,137.50.

Tuition for the three day week (Monday, Wednesday, and Friday) program will be $1800 for the year divided into nine equal payments of $200 to be paid on the last week of the month from August until April.

The registration fee and tuition are non-refundable. If the family moves during the school year or has extenuating circumstances, a portion may be refunded under board review.

Please make a check payable to Little Creekers Preschool and mail it to 501 Buck Shoals Rd, Gaffney, SC 29341. For more information, please call Little Creekers Preschool at 864-514-3015 or email littlecreekerspreschool@gmail.com.