2024-2025 Christian Preschool Registration Form

2024-2025 Preschool Registration Form
Registration opens Monday, January 29, 2024 for current school and church families.

Registration opens Monday, February 5, 2024 for new families.

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Please complete the registration form below for the 2024-2025 school year at Narberth Presbyterian Church Christian Preschool.

You will also be required to complete a child health form by September 10, 2024 in order to begin school. You can download the Child Health form HERE. Once completed, please mail the form to NPC Christian Preschool, 205 Grayling Ave, Narberth, PA 19072 or email a scanned copy to preschool@narberthpres.org.

Once this online registration form is submitted, a $100 registration fee is due to hold your child's spot. Current families will be invoiced through Brightwheel. New families can pay via check made out to "NPC Christian Preschool" with your child's name written in the memo line. Checks can by dropped off or mailed to NPC Christian Preschool at 205 Grayling Ave Narberth, Pa. 19072 Attn: Karin Waller, Bookkeeper).

For any questions regarding, billing please email our bookkeeper, Karin Waller at kwaller@narberthpres.org.

For general questions about NPC Christian Preschool or to schedule a tour, please email director Virginia Davis at preschool@narberthpres.org.

Narberth Presbyterian Church Christian Preschool
205 Grayling Ave
Narberth, PA 19072
Telephone: 610-664-8890

NPC Christian Preschool is an equal opportunity provider. We do not discriminate against on the basis of race, religion or gender.

Annual Tuition Rates for the 24-25 School Year:

All classes meet 9am - noon unless otherwise indicated.
- 5 Day Early Years (not toilet trained): $4746
- 3 Day Early Years (not toilet trained): $3555
- 2 Day Early Years (not toilet trained): $2957
- 5 Day Preschool (toilet trained): $4626
- 3 Day Preschool (toilet trained): $3503
- 5 Day Pre-Kindergarten (toilet trained): $4626
- 3 Day Pre-Kindergarten (toilet trained): $3503
- 5 Day PM (12-3pm) Lunch Bunch (toilet trained): $3800
- 3 Day PM (12-3pm) Pre-Kindergarten Enrichment: $3000
- 3 Day PM Pre-Kindergarten Enrichment (Tues/Wed/Thurs) and 2 Day Lunch Bunch (Mon/Fri) combo: $4475
- Daily Lunch Bunch Rate: $25/day
Siblings receive a 25% discount. Tuition is broken down into 10 payments made between July 1 and April 1.

Class Options:
- For Early Years, your child must be 18 months by September 10, 2024.
- For our younger 3 year old classes, your child must be 3 by December 31, 2024 and be toilet-trained.
- For our older 3s/young 4s classes, your child must be 4 by April 30, 2025 and be toilet-trained.
- For our Pre Kindergarten classes, your child must be 4 by September 15, 2024 and be toilet-trained.
Please contact the director at preschool@narberthpres.org for any questions regarding class placement. Thanks!

Child's Information
Child's Name*

First NameLast Name
Nickname (if applicable)
Date of Birth *

MonthDayYear
Gender*

MaleFemale
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
MORNING PRESCHOOL ENROLLMENT OPTIONS (9AM - Noon)

Please select one.
EARLY YEARS CLASS: For children who are 18 months by September 10, 2024. Child does not have to be toilet-trained. Two-day, three-day and five-day options are available.
YOUNGER THREES CLASS: For children who are 3 by December 31, 2024. Child must be toilet-trained. Three-day and five-day options are available.
OLDER THREES/YOUNG FOURS CLASS: For children who are 4 by April 30, 2025. Child must be toilet-trained. Three-day and five-day options are available.
PRE-KINDERGARTEN CLASS: For children who are 4 by September 15, 2024. Child must be toilet-trained. Three-day and five-day options are available.
AFTERNOON ENROLLMENT OPTIONS (Noon - 3PM)
3-DAY PRE-KINDERGARTEN ENRICHMENT: This is a new afternoon option that will meet on Tuesday, Wednesday and Thursday from 12-3PM for children who will enter kindergarten the following year.
3-DAY PRE-KINDERGARTEN ENRICHMENT AND 2-DAY LUNCH BUNCH COMBO: This is a good option for those families with a pre-kindergarten aged child who want 5 days of afternoon care. Children will attend Lunch Bunch on Monday and Friday and Pre-K Enrichment on Tuesday, Wednesday and Thursday.
5-DAY LUNCH BUNCH: Lunch bunch is offered from 12-3PM for our Threes and Young Fours classes.
LUNCH BUNCH: For those who don't want Lunch Bunch every day, please fill out this field to let us know which days you prefer. If you aren't sure which days yet, please write that too. If you won't use Lunch Bunch, you can leave this section blank. Daily lunch bunch will cost $25 a day.
Preferred Payment Method

(Select One)
Preferred Payment method *
Parent Information
Parent # 1 Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent # 2 Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contacts
Parents are the first emergency contacts. List the name of at least three additional people who can be contacted in the event of an emergency or illness if you cannot be reached. These individuals will also be approved pickups. Any person listed should be able to assist in contacting you, able to take responsibility for the child in case the parent/guardian cannot be contacted, and should be at least 18 years of age with proper identification.
Emergency Contact #1*

First & Last NameRelationship to child
Phone Number*

Area CodePhone Number
Emergency Contact #2*

First & Last NameRelationship to Child
Phone Number*

Area CodePhone Number
Emergency Contact # 3*

First & Last NameRelationship to Child
Phone Number*

Area CodePhone Number

Medical/Health Information
Name of Physician or Clinic/Hospital*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Insurance Provider *
Insurance Policy #*
Does your child have any Special Disabilities?*

YesNo
Does your child have any allergies?*

YesNo
Does your child have a special health or medical condition?*

YesNo
If you answered yes to the question above, please provide a brief summary of their condition.
Does your child currently have an Individualized Education Plan (IEP)? If answer is yes, please provide copy to the preschool director at preschool@narberthpres.org.*

YesNo
Please take a few moments to share any other information about your child that would be helpful for our teaching staff to know. *
First Aid and Emergency Medical Care Consent
Child's Name*

First NameLast Name
Today's Date*

MonthDayYear
Date
My signature below authorize staff in the program who are trained in the basics of first aid to give my child first aid when appropriate. I understand that every effort will be made to contact me in the event of an emergency requiring medical attention for my child. I also understand that all incidents will be recorded in an incident/medication log. However, if I cannot be reached, I hereby authorize to transport my child to the nearest medical care facility and to secure necessary medical treatment for my child. I understand that I assume all financial responsibility for any treatment or injuries sustained by my child while he/she is in the program.
Full signature below to consent to first aid and emergency medical care for my child*

Clear
Please note any special accommodations for your child.
Is your child currently using any medication? If yes please explain. If no type "N/A'.*
I understand that it is my responsibility to provide an up-to-date health form (e-mailed to you) for my child. This form must include my child's up-to-date vaccinations, the date of their last physical and a signature or e-signature from their doctor.**

Yes

Sibling Information
Does your child have siblings who currently or previously attended NPC Christian Preschool? If so, please list their names and ages below.
Photograph/Media release authorization on behalf of NPC Christian Preschool
YES, I do give permission to have my child appear in any media coverage (t.v., newspaper articles, photographs, website, social media) on behalf of NPC Christian Preschool.*

Yes
Walking Field Trips & Water Play Permission
YES, I do give permission to allow my child to attend walking field trips to the Narberth Fire House and Narberth playground and to participate in outdoor activities. I understand that it is my responsibility to send my child with all required items for special activities.*

Yes

Parent/Guardian Agreement

Please review the following policies and initial each.
I have read and understand the General Policies (full signature)*

Clear
Non-Discrimination in Services
SUBJECT: Nondiscrimination in Services

TO: Parents/Guardians

FROM: Virginia Davis, Director

Admissions, the provisions of services and referrals of clients shall be made without regard to race, color, religious creed, disability, ancestry, national origin (including limited English proficiency), age or sex.
Program Services shall be made accessible to eligible persons with disabilities through the most practical and economically feasible methods available. These methods include, but are not limited to, equipment redesign, the provision of aides and the use of alternative service delivery locations. Structural modifications shall be considered only as a last resort among available methods.
Any individual/client/patient/student (and/or their guardian) who believes they have been discriminated against, may file a complaint of discrimination with:

Narberth Presbyterian Church Christian Preschool
205 Grayling Ave
Narberth, PA 19072

Commonwealth of Pennsylvania Department of Human Services Bureau of Equal Opportunity
Room 225, Health & Welfare Building P.O. Box 2675
Harrisburg, PA 17105

Commonwealth of Pennsylvania Department of Human Services Bureau of Equal Opportunity Southeast Regional Office 110 N. 8th Street, Suite 501 Philadelphia, PA 19107

PA Human Relations Commission
Harrisburg Regional Office
333 Market Street, 8th Floor Harrisburg, PA 17101

U.S. Department of Health and Human Services
Office for Civil Rights
Suite 372, Public Ledger Building 150 South Independence Mall West
Philadelphia, PA 19106-9111
I have read and understand the nondiscrimination in services notice (full signature) *

Clear
Dismissal, Discipline, and Discharge Policy
- Children are not permitted to arrive alone and must be escorted by an adult.
- Children are only permitted to be signed out by an approved pickup over the age of 18.
- The fee for late pick up is $15 per 15 minute interval. Excessive lateness will be reviewed.
- Children are not permitted to bring any toys from home.
- A child who displays chronically disruptive behavior may be suspended or discharged at the discretion of the director.
- Unacceptable Behavior of the Participant:
  - Spitting, biting, or hitting
    Inflicting physical harm on other children on staff
  - Inappropriate language or drawings
  - Using profanities or obscenities
  - Ridiculing or bullying other children
  - Taking other children’s belongings
  - Destruction of school or personal property
  - Ignoring or disobeying the rules during the program times
I have read and understand the Dismissal, Discipline, and Discharge Policy (full signature)*

Clear
Sign Document (Full signature)*

Clear
Printed Name of person completing the form.
Date Signed*
Should be Empty:

2024-2025 Preschool Registration Form

Child's Information

MORNING PRESCHOOL ENROLLMENT OPTIONS (9AM - Noon)

AFTERNOON ENROLLMENT OPTIONS (Noon - 3PM)

Preferred Payment Method

Parent Information

Emergency Contacts

Medical/Health Information

First Aid and Emergency Medical Care Consent

Sibling Information

Photograph/Media release authorization on behalf of NPC Christian Preschool

Walking Field Trips & Water Play Permission

Parent/Guardian Agreement

Non-Discrimination in Services

Dismissal, Discipline, and Discharge Policy