• RLP Student Enrollment

    Please fill out the form to register your child.
  • Gender*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Does your child have any siblings? If yes, please write their name and age below.*

  • EMERGENCY/MEDICAL INFORMATION

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • TUITION DETAILS

  • Half-Day Options:
  • Full-Day Options:
  • If you chose the Full-Day option, please select which days your child will attend RLP.
  • Please select how often you would like to be billed.

  • AFTER PRESCHOOL CARE (APC)

    (2-4pm @ $6/hr)
  • Please slide the bar for each day to show how many hours of APC you will need. The weekly cost for APC will be calculated at the bottom. This amount will be added to your tuition bill.

  • PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING

    ACKNOWLEDGEMENT AND RELEASE AUTHORIZATION FOR MEDICAL TREATMENT:

  • MEDIA/ARTWORK AUTHORIZATION:

  • I agree that any photographs or digital images taken by RLP of my child as a program participant, and copies of artwork made by my child while a RLP program participant, may be used by RLP, at its discretion, for any publicity, education, marketing and/or advertising purposes and I hereby consent to and authorize such use without restriction. Students will only be identified by first names in any and all publications.*

  • HAND SANITIZER

  • While soap and water are usually available, there are times when hand sanitizer will be the only option. We also offer hand sanitizer in the classroom for children to use. Please choose below whether your child can use hand sanitizer.*

  • SUN SCREEN/ BUG SPRAY APPLICATION

  • I give permission for RLP staff to apply sun screen/ bug spray to my child as necessary based on daily outdoor activities. I understand that if I do not provide sun screen/ bug spray, staff may apply what is at school.*

  • BAREFOOT RELEASE

  • Allowing children to be barefoot outside if they choose to do so, in the warmer months, is an important sensory experience and part of the physical development we’re trying to foster in our program. Please sign here to allow Redeemer Lutheran Preschool’s teachers and volunteers to determine when a child’s decision to go barefoot is appropriate.*

  • LIABILITY WAIVER

  • A $25 non-refundable fee is required to secure your child's spot at RLP. How would you like to pay?*

  •  

    I HAVE READ THE AGREEMENT, FULLY UNDERSTAND IT, AND GRANT PERMISSION FOR MY CHILD TO PARTICIPATE IN THE PROGRAM IDENTIFIED ABOVE.

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: