Eliot-Pearson Children's School Application 2024-2025

  • Eliot-Pearson Children's School Application 2024-2025

  • Child's Birth Date*
     - -
  • First Day of School
     - -

  • Parent/Caregiver 1's Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Are you a Tufts Affiliate*
  • Do both parents live together?*

  • Parent/Caregiver 2's Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Are you a Tufts Affiliate
  • Image field 61
  • Please select  ALL classrooms that you are interested in, for your child (Age as of Sept 4th 2023).*

  • Preschool Schedule: Rainbow Room, Purple Room, and Green Room ( ages 2 years 9 months to 5 years old)

    All Preschool children must be enrolled in our Preschool Program for all 5 days from 8:30 am to 12:30 pm. Families have the option to enroll their Preschool children in our Extended Day and Life Project programs. See the chart below for schedule details. If you plan to enroll your child in one of our Preschool classrooms, please indicate your schedule preferences below.

  • Preschool Schedule

  • Image field 69
  • Is your child in the preschool age range (2 Years 9 Months - 5 Years old)?*
  • Image field 71
  • Would you like to enroll your child in Extended Day from 12:30 PM - 4:00 PM?
  • Please choose which days you would like to enroll your child in Extended Day (Minimum of 2 days/week)
  • Image field 74
  • Would you like to enroll your child in Life Project from 4:00 PM - 5:30 PM?
  • Please choose which days you would like to enroll your child in Life Project (minimum of 2 days/week)

  • Kindergarten/First Grade Schedule: Orange Room

    Kindergarten-First Grade (K-1) children must be enrolled in our full day program. Families have the choice of enrolling their child in our optional Wednesday Enrichment Program and in our Extended Day and Life Project programs. See schedule details in the chart below. If you plan to enroll your child in our K-1 classroom, please indicate your schedule preferences below.
  • Image field 80
  • Is your child in the Kindergarten/1st Grade age range (5 Years old - 7 Years old)?*
  • Image field 83
  • Would you like to enroll your child in the Wednesday Enrichment Program from 12:30 PM- 3:00 PM? Remember: This is an option for families. Wednesday K-1 Program ends at 12:30pm on Wednesdays.
  • Image field 84
  • Would you like to enroll your child in Extended Day from 3:00 PM - 4:00 PM?
  • Please choose which days you would like to enroll your child in Extended Day (minimum of 2 days/week)
  • Image field 85
  • Would you like to enroll your child in Life Project from 4:00 PM - 5:30 PM?
  • Please choose which days you would like to enroll your child in Life Project (minimum of 2 days/week)

  • Family

    Please describe your family

  • Help us get to know your child

    Please use these this section to introduce us to your child.

  • Eliot-Pearson Children's School (EPCS)

    Please use this section to show your interest in our school.

  • Health Summary

    Tell us about your child's medical history. Please email any relevant documents to EPCSadmissions@tufts.edu
  • Has your child ever been evaluated or screened?*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Does your child have any medical conditions or allergies you would like us to aware of?
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Does your child require prescription medication to be kept at school (medication, epipen, inhaler etc)?*
  • Does your child require NON-prescription medication to be kept at school?*

  • PRESCRIPTION MEDICATION - FOR YOUR INFORMATION

    YOU DO NOT NEED TO FILL OUT THESE FORMS RIGHT NOW, THIS IS SIMPLY SO YOU UNDERSTAND OUR POLICIES ABOUT KEEPING MEDICATION AT SCHOOL

    If your child requires medication at school, they will need the three things below

    1. Medical Consent Form

    • Authorizes school to administer medicine. Every medication (both prescription and non-prescription) requires a medication consent form!
    • The form must be signed by parents AND doctor.
    • The consent form will include which staff member the parent trained to administer medicine.
    • Valid for 1 year after Physician signature date

    Click Here to Download a Medical Consent Form
     
    2. Individualized Healthcare Plan (IHCP)

    • An individualized Healthcare Plan informs the school on how and when to administer meds An IHCP is typically created by the doctor.
    • Parent Signature AND doctor signature required on IHCP.
    • If there is more than one medication on your IHCP all of them require a medical consent form!
    • Valid for 1 year after Physician signature  

    Click Here to Download a Individualized Healthcare Plan Form

    *In most cases the Individualized Healthcare plan will be provided by Child's Physician. Check that the Healthcare Plan answers all the questions on the linked form.


    3. Medication

    • Medicine is in the original box and with original label from pharmacy
    • pharmacy side effects sheet (typically stapled to bag at pharmacy) is required to be kept with the medicine
    • Prescribed Child's name must be on the pharmacy label on the box.
    • The check two expiration dates on the medicine!
      • The Prescription must be valid (check the “discard after” date on the pharmacy label).
      • The medicine must be valid (check expiration date on box itself)

  • NON-PRESCRIPTION --FOR YOUR INFORMATION

    YOU DO NOT NEED TO FILL OUT THESE FORMS RIGHT NOW, THIS IS SIMPLY SO YOU UNDERSTAND OUR POLICIES ABOUT KEEPING MEDICATION AT SCHOOL

    If your child requires medication at school, they will need the two things below

    1. Medical Consent Form

    • Authorizes school to administer medicine. Every medication (both prescription and non-prescription) requires a medication consent form!
    • The form must be signed by parents AND doctor.
    • The consent form will include which staff member the parent trained to administer medicine.
    • Valid for 1 year after Physician signature date

    Click Here to Download a Medical Consent Form
     


    2. Medication

    • Medicine is in the original box
    • The check expiration date on the medicine!

  • Demographic Information

    We offer you the option to share the following information with us. No individual family selections are made based on this information. There will be no impact on your application based on your answers.
  • Select ALL applicable identities
  • Are you planning to apply for financial aid?*

  • Payment

  •  Please press submit to enter your application. Once you have submitted you will be taken to the payment portal. Please pay the mandatory $30 fee for applying.

     

     

     

    IF YOU DO NOT PRESS SUBMIT WE WILL NOT RECEIVE YOUR APPLICATION!

  • Should be Empty: