Must be 12 Months by November 1 of enrollment year
Two's Room
Must be three (3) years of age by September 1 of enrollment year
Must be potty trained or working towards potty trained (no diapers)
Must be four (4) years of age by December 1 of enrollment year
Must be potty trained (no diapers or training pants)
Must be four (4) years of age by September 1 of enrollment year and be assessed as to readiness
Your application is complete when the following is turned into office:
EMERGENCY CONTACTS
In the event of an emergency please list two (2) people, other than parents, who would be willing and able to come pick up your child in the event that St. Elijah staff were unable to reach the parents.
AUTHORIZED TO TAKE CHILD FROM THE FACILITY
Please list any persons you wish to authorize to take child from facility without other written consent.
DO NOT RELEASE (if applicable)
Do not allow my child to be released to the following people:
In the event that I cannot be reached to make arrangements for emergency medical attention, I authorize the Director of St. Elijah MDO & Pre-K or designated staff appointed by the Director to take my child or to have my child transported by Emergency Medical Services (911) to:
I give permission for necessary emergency treatment when my child is in the care of this physician and/or hospital/clinic:
ALL IMMUNIZATION EXEMPTION REQUESTS MUST BE SUBMITTED AT TIME OF APPLICATION. Entrance into the school is subject to approval of requested exemption.
If any changes occur please let us know immediately.
CLASS LIST
Phone, address, email lists will be given out by request only, and are to be used solely for purposes such as organizing play groups, or mailing invitations, etc. They will not be given out for any commercial purposes.
PHOTOGRAPHS
From time to time, St. Elijah Mom’s Day out will photograph your child for use in classroom activities, parent events, or for use on our website.
The information on this page will be used by your child’s teacher to have the best understanding of your child.
Student's Name: {studentsName}
Preferred Name: {preferredName}