2025-2026 IVNS & K &1st Grade Registration Form

Student Name*

First NameMiddle NameLast Name

Nickname (name preference for school)

Birth Date*

MonthDayYear

Gender*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

E-mail Address ( this email will be used for all school communication)*

example@example.com

Phone Number*

School District where you reside*

Mother's Name*

Mother's Occupation*

Father's Name*

Father's Occupation*

Names and birthdates of siblings (include expected births)*

Has your child had any previous school experiences? If yes, where?*

Has there ever been any indication/assessment for any special need? If so, please explain.*

Allergies*

Do you have a home Church? If yes, please indicate which Church.*

Classes that are Full

First Grade
Kindergarten
Tues/Wed/Thurs MORNING PreK
Mon/Wed/Fri MORNING PreK
Mon/Wed/Fri Older 3s MORNING

Please call school to be added to the Waiting List 215-723-1420

Class Preference PLEASE SELECT ONLY ONE OPTION*

PreSchool and Me (age 2 by 9/1/25 with an Adult)Tues/Thurs MORNING Class (age 3 by 9/1/25) 9:00am-11:30amTues/Thurs AFTERNOON Class (age 3 by 9/1/25) 12:30pm-3:00pmTues/Wed/Thurs Older 3s AFTERNOON Class (age 31/2 by 9/1/25) 12:30pm-3:00pmTues/Wed/Thurs PreK AFTERNOON Class (age 4 by 9/1/25) 12:30pm-3:00pm

** ALL Students staying 2, 3, or 5 days a week MUST be potty trained **

**First Grade & Kindergarten Only** I want transportation (bus) service if available in my school district. Parents wanting transportation for their child will be required to complete a Transportation Form found on the IVNS&K Website.

YesNo

Comments/ Requests

Our school believes in helping every student thrive. In an effort to give each child an opportunity to reach his or her potential, we have partnered with Live Fully Therapy Services. We have occupational and speech-language therapists who work in our building on a daily basis. Our therapists often act as resources to our staff and we would like to ask your permission for therapist and teacher collaboration as part of our daily program. If there should be more of a need, you would be contacted with details and informed of the next steps for assisting your child. You will be made aware of anything that goes beyond typical developmental intervention (i.e. if a screening, assessment, regular sessions, etc. were recommended) Do you give your permission to Live Fully to collaborate with the IVNS staff about your child?*

YesNo

I give permission for my child to be photographed for informal pictures. I understand that these pictures will be used in classrooms,hallways, videos and/or posted on our social media or our website. Names will not be used to identify any student.*

YESNO

Registration Fees

Before 3/31/25 $ 60/child and $80/family
After 3/31/25 $75/child and $95/family

** There is NO REGISTRATION FEE for the 1 Morning a Week class**

We use STS (Simple Tuition Solutions) to process out tuition payments. All families must set up an STS account even if you are planning to pay by cash/check each month.

** ALL Students staying 2, 3, or 5 days a week MUST be potty trained **

Registration Fee Payment Choice (Registration is finalized when payment is received)*

Online (Registration Fee Button on website)Cash/ Check

Signature*

Student Registration Form