Schoolhouse Application for Enrollment

All registrations are received and reviewed in a first come, first serve basis. Upon filling all open spots, all additional submissions will be added to our waiting list.

Child's Last Name

Child's First Name

Child's Nickname

Gender

Birth Date

MonthDayYear

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Date of Birth

Date

Child's Ethnic Origin

Was your child born outside the USA? Country?

Were you or your partner born outside the USA and moved to the USA later in life? If so, country of birth

Full Name

First NameLast Name

Cell

Area CodePhone Number

Home

Area CodePhone Number

Work

Area CodePhone Number

E-mail

Occupation

Address - Same As Child

If your address is different than the child please fill out the info below. Otherwise move onto the next section.

Parent/Guardian 1 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Full Name

First NameLast Name

Cell

Area CodePhone Number

Home

Area CodePhone Number

Work

Area CodePhone Number

E-mail

Occupation

Address - Same As Child's

If your address is different than the childs please fill out the info below. Otherwise move onto the next section.

Parent/Guardian 2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Is your child new to the CSH? Yes / No

Continuing for a second year? Yes / No

How did you hear about the CSH?

Have you had other children enrolled in the CSH? If so, indicate names and dates attended.

Other children in the family and their date of birth.

Please indicate the schedule you would like for your child showing your preference of the 1st, 2nd, and 3rd choices: (Choose Monday-Friday combination of 3, 4, or 5 days)

Select 3-5 days. Hold shift or command buttons to select multiple days.

How many days per week do you want to enroll your child?

Does your child have any allergies?

If yes please list, including any food or drug allergies.

Does your child have any medical conditions?

If yes please list below:

Does your child have any medical conditions?

If yes, please specify

Child's Doctor or Physicians Practice Name

Doctor's Phone Number

Area CodePhone Number

Please take a moment to list any specific behaviors your child has that would be helpful for the teachers to know (i.e. shyness, fears, aggression, biting, hair-pulling, thumb sucking, etc.):

Please list any home situations affecting your child that the teachers should be aware of (i.e. new baby, recent move, relative recently moved into home, recent death in family, recent divorce/separation, etc.)

Full Name

First NameLast Name

Cell

Area CodePhone Number

Relation

Comments

General Admissions Policies & Priority Registration:

The Children’s Schoolhouse offers a multi-age approach to education and every attempt is made to balance the classroom on a daily basis between gender and age.

The children enrolled in The Children’s Schoolhouse must turn three by August 31st, and be potty trained.

The following groups are given priority in the registration process. A lottery will be held if the Schoolhouse receives more applications than openings.

1. All children currently enrolled in the Schoolhouse
2. Siblings of currently enrolled schoolhouse children
3. Alumni children previously enrolled in the Schoolhouse and Siblings of previously enrolled children

All those wishing to take advantage of their priority status must return their application to the Admissions Chairperson during the priority registration period.

The priority registration sequence will continue after the deadline as follows:

*Culturally Diverse children as identified on the registration card will be given priority up to 10% of our enrolled population. A Cultural Diversity and special needs lottery will take place to fulfill the 10% available positions. A Culturally Diverse child is one who is born in another country, who has one or more parents who were born in another country and came to the United States as an adult, or is at least ½ African American, Native American, Alaskan American, American Indian, Asian-American, Hispanic American, Native Hawaiian or Pacific Islander.

For further information regarding the registration process, please email admissions@thechildrensschoolhouse.org or refer to the website (www.thechildrensschoolhouse.org).

Application for Enrollment 2026-2027

Student Information

Parent/Guardian Information 1

Parent/Guardian Information 2

Additional Information

Emergency Contact