Precious Tots Preschool Registration 2021-22

Precious Tots Preschool Registration 2024-25

Thank you for choosing Precious Tots! We are excited you're here!
Student Name*

First NameLast Name
Student Nickname (for name tags and name teacher should call your child by)
Student Gender*

FemaleMale
Student Birthday*

MonthDayYear
Date
Student Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/Guardian Information
Parent 1 *

First NameLast Name
Email*
Phone Number*

Area CodePhone Number
Do you receive texts at this number?*

YesNo
Address (if different than student)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent 2

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Do you receive texts at this number?

YesNo
Address (if different than student)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Child’s Personal Information
Child Resides with: list parents, siblings (include ages), grandparents. This is used in class when we talk about family and who lives with us.*
Special Needs/Services (educational or medical) Child receives currently or previously (OT/PT/Speech, food allergies) If none, write "none".*
Are you concerned about your child's speech?*

YesNo
Is a second language spoken at home*

YesNo
If Yes, what language(s) are spoken at home?
My Child has been to school before*

YesNo
If yes, where?
How many days/week did they attend?

Authorizations

By signing your name, you are acknowledging and consenting to the agreement statements. On a mobile device, use your finger to sign. On a computer, use your track pad/mouse to sign.
Compliance with Medical Release and Preschool Handbook

As a parent or guardian, I do here by authorize the treatment by qualified and or licensed medical personnel, of the above minor, in the event of a medical emergency in which it is a necessity for immediate attention. This authority is granted only after a reasonable attempt has been made to reach the parent. I agree to assume the financial responsibility for any diagnosis/treatment and medication deemed necessary. I also acknowledge receiving the Precious Tots Preschool Handbook and agree to abide by the directives of the Preschool at St. Peter Damian Parish, described herein, to the best of my ability including but not limited to, all financial payments and withdraw penalties as outlined in the handbook.
Signature*

Clear
Photo Release

St. Peter Damian Catholic Parish and Precious Tots Preschool reserves the right to use images of your child for advertising, display, school projects, publication or any lawful purposes. This includes, but is not limited to printed publications, marketing materials, social media, and website. By signing, you accept and understand these terms.
Signature*

Clear
Name of person signing*

First NameLast Name
Assumption of Risk and Waiver of Liability
In consideration of enrollment in the Precious Tots Preschool at St Peter Damian Church in Bartlett, Illinois and being allowed to participate, now and in the future, in any and all preschool and church related programs, activities, and events, the undersigned hereby expressly agrees as follows:
I agree that I have voluntarily chosen to send my child(ren) to Precious Tots Preschool and I consent to the participation by my child(ren) in any and all related programs, activities, and events. I agree, understand, and acknowledge that participation in preschool programs and activities by me and/or my child involves physical activity and inherent risk, which may or may not be obvious, of property damage, illness, and personal injury.
I acknowledge that Precious Tots Preschool is taking the appropriate actions to provide a safe environment and implement COVID-19 regulations, but also understand they cannot control the actions of families.
I agree that Precious Tots Preschool does not assume any responsibility for, or obligation to provide me and/or my child with, insurance coverage, directly or indirectly.
I hereby assume all of the risks set forth above, as well as any risks related thereto.
On behalf of myself and my child(ren), I release from all liability Precious Tots Preschool, St Peter Damian Church, The Archdiocese of Chicago, its officers, members, volunteers, directors, employees, or agents for
injury, loss, or other damages to me or my child or our property arising from, or otherwise related to, participation in Precious Tots Preschool programs or activities.
Signature*

Clear
Name of person signing*

First NameLast Name

Birth Certificate
BIRTH CERTIFICATE-required for new students

Returning students can skip this section. We have a copy on file from last year.

If you do not upload a copy of your child’s birth certificate here, please mail in a copy or drop one off at the Parish Office between 9 am and 2 pm weekdays. Mailing address is listed after you hit submit at the end of this form.
Birth Certificate Upload

Browse Files

Cancelof

Payment (Last page of registration)
DEPOSIT

Your $150 non-refundable deposit can be made 3 ways:

1. Cash

2. Check
Please mail in a check made out to "St Peter Damian" or drop cash or check off at the Parish Office between 9 am and 2 pm weekdays.

3. Online Credit Card payment
(credit card fees are waived for deposits made online)
If you click that you will pay online, you will receive an invoice that includes a link to pay online. (The invoice will be emailed to you within 24 hours of this form being submitted) As long as your payment is received within 2 business days (weekdays) of the invoice being sent, you will keep your timestamp that this registration document was received.

**Payments, must be received or postmarked within 2 business days of this form being submitted in order to keep your timestamp/your spot in line for registration. If payment isn't made in that time frame, your time stamp will be marked once we have received your payment.**

A completed registration to hold your spot is:
-this form
-$150 non-refundable deposit
-a copy of birth certificate for new students.
I will make my $150 non-refundable deposit by:*

CashCheckCredit Card online-Invoice me with the payment link
Please verify that you are human*
By clicking submit, you will be sending us this document. Please double check you have completed everything. Once you submit, you cannot edit.
Should be Empty:

Precious Tots Preschool Registration 2024-25

Parent/Guardian Information

Child’s Personal Information

Class selection

Authorizations

Birth Certificate

Payment (Last page of registration)