2025-2026 Preschool Enrollment Registration Form

Child's Name*

First NameLast Name
Name you would like us to call your child, teach them to write, and have on labels in classroom*
Child's Age as of September 8, 2025*
Child's Date of Birth*

MonthDayYear
Date
The following is the tuition schedule for the 2025-2026 school year:

Preschool 8:30am-12pm

3 days/week- $6,500

4 days/week- $7,000

5 days/week- $7,500

Kindergarten 8:30am-3pm

5 days/week- $13,000 ($1,300 monthly)

Beforecare 7:30-8:30am Drop-off

2 days/week- $700

3 days/week- $1,000

4 days/week- $1,300

5 days/week- $1,600

Extended Care 12:00-3:00pm (2:30-3:00 Pick-up Window)

2 days/week- $2,500

3 days/week- $3,750

4 days/week- $5,000

5 days/week- $6,250

Extended Care 12:00-4:00. (3:00-4:00 pick-up window). No Fridays (Fridays are always a 3:00 pick-up).

2 days/week- $3,330

3 days/week- $5,000

4 days/week- $6,600

Extended care is available on a drop-in basis at $12/hour as long as there is room available on the day(s) needed.

Tuition can be paid annually or in 10 equal payments due on the first of each month September-June.

A $200 non-refundable deposit is due with your child's application. This deposit will be applied to the June tuition bill. The deposit can be made via Venmo (@Jennessa-Tyler) or by cash or check.
Siblings (names and ages)*
Parent/Guardian #1 Name*
Phone Number*
Format: (000) 000-0000.
Alt. Phone Number
Format: (000) 000-0000.
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Physical Address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Place of Employment*
Work Phone Number*
Format: (000) 000-0000.
Employment Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Parent/Guardian #2 Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
Alt. Phone Number
Format: (000) 000-0000.
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Address (if different)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Place of Employment*
Work Phone Number*
Format: (000) 000-0000.
Employment Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Two emergency contacts, other than parents or guardians already listed.
#1 Emergency Contact Name*
Relationship to Child*
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: (000) 000-0000.
Alt. Phone Number
Format: (000) 000-0000.
#2 Emergency Contact Name*
Relationship to Child*
Physical Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: (000) 000-0000.
Alt. Phone Number
Format: (000) 000-0000.
The following people, not including the parents or guardians already listed on this application, may remove my child from the Seaside Village Preschool campus. Please include relationship to child.
1.
2.
3.
4.
Health Information The state of Maine requires an immunization record and a record of an annual physical on file when your child begins with us. A new one needs to be provided each year.
Immunization Record Upload (All students new and old must provide a current immunization record by September 2024)

Cancelof
Date of last physical*

MonthDayYear
Date
List of Daily medications (If none, write n/a)
YesNo

In case of an emergency, please provide us with the following information:
Child's Primary Physician*

First NameLast Name
Physician's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Physician's Phone Number*
Format: (000) 000-0000.
Child's Primary Dentist*

First NameLast Name
Dentist's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dentist's Phone Number*
Format: (000) 000-0000.
Health Insurance Co. *
Phone Number*
Format: (000) 000-0000.
Policy #*
Group #*

Additional Questions:

Please answer all of the following questions as completely as possible.
Has your child had any previous schooling? What was his/her experience?
Please indicate a few personal interests, special needs, or personality traits that would help us know more about your child.
How does your child do when separated from you? How does he/she adjust in a new setting?
Please indicate any medical concerns regarding your child (e.g. allergies or sensitivities to foods or medications, physical or medical restrictions, traumatic experiences or injuries, serious illnesses, etc.)
Is your child receiving (or has received in the past) any support services (e.g. speech therapy, occupational therapy, physical therapy, or other kinds of therapies)? If yes, please indicate what type(s) of therapies and the reason why he/she needs (or needed) these services.
As your child attends Seaside Village Preschool and you invest in our program and entrust us with your child, what do you expect from our preschool?
Please use the space below to provide us with any additional information that might be pertinent to the success of your child at Seaside Village.
Should be Empty: