OSL Preschool Registration

OSL Preschool Registration

2023 - 2024
Student Information
Full Name*
Name to be called/written at school
Date of Birth*
Gender

MaleFemale
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*
Please enter a valid phone number.
Previous Preschool/Childcare
Church Affiliation
Child lives with

Both ParentsDadMomOther
If Other, please list name and relationship.
Name(s) & Age(s) of siblings (write N/A if none)
Pet(s) in home (name and kind) (write N/A if none)
Medical or Developmental Issues (allergies, hearing, eyesight, behavior, attention deficit, etc.) (write N/A if none)*
Fears, Worries or Dislikes (write N/A if none)
Mother's Information
Name*
Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer & Occupation
Work Phone
Please enter a valid phone number.
Cell Phone*
Please enter a valid phone number.
Email*
example@example.com
Father's Information
Name*
Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer & Occupation
Work Phone
Please enter a valid phone number.
Cell Phone*
Please enter a valid phone number.
Email
example@example.com
Authorizations & Releases
Emergency Contact Information: * In the absence of parents, child can be released to: *
List up to 2 contacts other than parents (Name, Relationship to Child and Phone Number)
Child Pick up Authorization: * other than Parents & Emergency Contacts*
List up to 3 contacts other than parents (Name, Relationship to Child and Phone Number)
Is there a court order preventing anyone from picking up your child? (If a court order exists, OSL Preschool will need to be provided with a copy to keep on file.)

YesNo
Authorization to seek medical treatment: Should an emergency arise, I authorize OSL Preschool to seek medical care for my child at the nearest medical facility. I understand that I am responsible for any financial expenses that may incur.
Should an emergency arise, I authorize OSL Preschool to seek medical care for my child at the nearest medical facility. I understand that I am responsible for any financial expenses that may incur.

YesNo
Child's Physician
Name and Phone Number
Media Release: I hereby give my permission for my child to be photographed, videotaped, and/or audio taped during any OSL Preschool Activity. I further give permission for such photographs, videotapes, and audiotapes to be used in print or broadcast media as deemed appropriate for promotion of OSL Preschool and for publicity surrounding participation in OSL Preschool events.

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Field trip authorization: I give permission for my child to attend field trips scheduled by OSL Preschool and authorized by the preschool director. I will be notified in advance of field trips and I will be responsible for any fees involved. If I choose to have my child not attend the field trip, I understand there will be no school on the day of the field trip.

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Name*

First NameLast Name
Signature Date*

MonthDayYear
Preshool Class Options

K3 Class - Your child should be 3 years old and potty trained by September 1st in order to enroll K4 Class - Your child should be 4 years old and potty trained by September 1st in order to enroll Half Day Class will be conducted from 8:30am until 11:30am Full Day Classes will be conducted from 8:30am until 3pm Please choose the class you would like your child to attend.
Class Selection*

K3 Half Day: Tuesday and Thursday ($115 per month)K3 Full Day: Tuesday and Thursday ($240 per month)K4 Half Day: Monday, Wednesday, and Friday ($130 per month)K4 Full Day: Monday, Wednesday, and Friday ($360 per month)
Before care and Aftercare for OSL Preschool Students

We will be providing Before and After School care for those families who might need this extra assistance.

Before School Care drop-off begins at 8am

K3 - $25 per month

K4 - $35 per month

Aftercare is available until 4pm

K3 - $100 per month

K4 - $150 per month

Late Pick-Up Fee - $1 / Min / Child
Before School Care and After Care School Needs*

Before CareAftercareNone
Annual Registration Fee for the 2023 - 2024 school year

$50 for Half Day Students

$100 for Full Day Students

*A $50 registration discount will be provided to OSL Church Families

Monthly Fee Payments

All monthly fees will be collected via a direct withdrawl from your checking account. We will contact you directly for this information prior to the start of the school year.
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OSL Preschool Registration

Student Information

Mother's Information

Father's Information

Authorizations & Releases

Authorization to seek medical treatment: Should an emergency arise, I authorize OSL Preschool to seek medical care for my child at the nearest medical facility. I understand that I am responsible for any financial expenses that may incur.

Preshool Class Options