Preschool & Kindergarten Enrollment Application

The Avenues Preschool 50 South 900 East SLC UT 84102The Second Avenues Preschool 91 R Street SLC UT 84103The Eastside Preschool 1650 East 3300 South SLC UT 84106The Cottonwood Preschool 2890 Cottonwood PKWY Suite 150 SLC UT 84121

All locations

AIRBORNE ALLERGY ALLERT: Please be advised that our programs support parents providing personal food to their children while in our care. Because we cannot know the ingredients of homemade foods, we cannot ensure that food items are free of a certain product. This does not prevent us from accommodating children with consumable food allergies. If you have any questions, please call and speak to a director.

Child's Full Name*

If child is unborn, please input "Baby" and the last name

Age

I

Date of birth*

If child is unborn, please enter Due date

Nickname, if any

YesNo

Sibling's name

Age

Location enrolled

Sibling's name

Age

Location enrolled

Desired Start Date

Date

All tuition is due monthly by the 1st and is payable through our parent communication and billing app.

Full Name of Parents/Guardians

Parent 1*

Address*

City*

ST*

ZIP*

Occupation*

Home Phone

Format: (000) 000-0000.

Work Phone*

Format: (000) 000-0000.

Cell Phone*

Format: (000) 000-0000.

Email*

example@example.com

Parent 2

Address

City

ST

ZIP

Occupation

Home Phone

Format: (000) 000-0000.

Work Phone

Format: (000) 000-0000.

Cell Phone

Format: (000) 000-0000.

Email

example@example.com

YesNoNA

YesNo

If no, we encourage you to discuss this matter further. CTI is unable to restrict access to a child unless we have court documents that alter the custodial rights of a parent. Please contact the center director with any questions.

Has your child been cared for by anyone other than parents? Please describe the situation:*

What was/is your reason for leaving?

Has your child ever been disenrolled from a program? If yes, please explain the situation, including class size and ratio:*

Do you have any worries or concerns regarding your child attending group care?

Please describe your child's temperament (e.g., shy, outgoing, strong willed, easy going, etc.*

What are some of your child's favorite activities and interests?*

What are some of your family's favorite activities and interests?*

To make the transition into group care as easy as possible for the child, we need to work together. The following must be routine for children before they can begin attending the center:

Please initial each item to acknowledge understanding of this requirement.

Fully Potty Trained (no Pull-ups during the day, ability to verbalize when they need to use the bathroom, can wipe themselves and has fewer than 1 accident per month during daytime hours)*

Naps for at least 1 hour per day. Napping provides children with critical brain development. Our program prioritizes this physical need by including naps in the daily schedule for all groups through age 5. As your child ages, sleep patterns change, we encourage families to adjust the bedtime and wake up time at home as the need for sleep changes. We do not have options for children that do not nap, and it is not appropriate to expect a child to sit quietly for over an hour so that the other children can sleep. A successful naptime is key to the wellbeing of everyone in the classroom. *

Can feed themselves*

Wears shoes daily*

Has a been introduced to the concept of using words instead of physical aggression to solve problems or express frustration. This is a developing skill that we work on with the children, however children 3 and older that are accustomed to responding physically to dissatisfaction tend to have a difficult time unlearning this behavior.*

If a child has a security item, it is small enough for the child to hold and does not conflict with center policies.(Blankets cause tripping hazards, we are unable to accommodate pacifiers, superhero items, costumes from home are not appropriate, etc.)*

If you need any ideas about how to help your child make any of the transitions listed, please feel free to call us. We have wonderful loving teachers that work hard to meet the needs of every child continually throughout the day. They spend as much time supporting and engaging each child as is possible in a group environment. When we work together, and the children are prepared for the setting the transition into the center is much easier for the child & parents.

Are there any special considerations (custody issues, behavioral concerns, medical needs, etc that we should be aware of? Please describe in detail:

Parent's Signature*

Date*

Date

Parent's Signature

Date

An Appliation fee of $95 is due upon submission of the enrollment application This fee is non-refundable and does not guarantee enrollment.

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Preschool & Kindergarten Application Fee

Enrollment Application Fee

$95.00

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Total

$0.00

Payment Methods

Choose from one of the PayPal options to make your payment.