23-24 Caldwell County Schools Jump Start Preschool Academy

I understand that by completing this application my child is not guaranteed placement and that he/she may be on a waiting list.

I understand that if my child is selected for participation, family involvement is essential. My family will cooperate with programs to submit necessary documentation and application for additional services.

I understand that transportation to and from Pre-K programs will be my family's responsibility.

I understand that my child will receive a developmental screening in the primary language listed in the application and give permission for my child to also receive vision, hearing, dental and/or speech and language screenings.

I understand that if there is a change in my child's address, phone number or attendance in any type of licensed care, it is my responsibility to notify the Preschool Readiness Center and inform them of any changes.

I understand that my child will need a current, updated health assessment which includes vision, hearing, and an updated immunization record, before she/he attends a program. (Health Transmittal Form is available in most Caldwell County doctor’s offices as well as https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NCPre-K_HAForm.pdf

I understand that, if my child is accepted into the Jump Start Preschool Academy, regular attendance is necessary for full benefit of the program. Failure to maintain regular attendance could jeopardize his/her placement in the program.

I understand that my child’s progress will be shared with his anticipated preschool/kindergarten school to help the school prepare for a successful transition for my child. Information may include his screenings and data collected in the preschool classroom.

I give permission for my name and contact information to be shared with Caldwell County Family Literacy regarding adult education programs which may benefit my family.