Preschool Enrollment Form

HOME LANGUAGE SURVEY
Hallmark would like to identify possible English learners during enrollment. This home language survey is used as a tool to determine if your child is eligible for language support services. If a language other than English is used by you or your child and your child meets the English learner definition, we will help connect you agencies that may be of assistance. It also helps our teachers to meet each child where they are at to make their learning environment as productive as possible. Thank you!
What language is most frequently spoken at home?
What language did your child learn when he/she began to talk?
Which language does your child most frequently speak in at home?
Which language do you most frequently speak to your child?

GETTING TO KNOW YOU

You know your child best! Share with us some information to help us get to know them!
Name

Child's NameNickname
What are your child's strengths?
How would you describe him/her?
What goals do you have for your child?
Is this your child's first school

YesNo
Does your child separate from you easily?

YesNoSometimes
Does your child have any fears?

YesNo
If yes please describe
Is there anything that would be helpful to know for your child's success?
MY FAMILY

Tell us all about your family!
Parents/Guardians
Name and Relationship
Siblings
Name, Age, and Current School
Pets
Name and Type
Other Family Members

Off-Campus Outings
We may occasionally walk across Tamm Avenue to explore the south east section of Francis Park. We may occasionally take a walk around the block (Eichelberger, Clifton, Loran, Tamm Avenues). These activities are typically unplanned, weather dependent events for which we are not able to notify parents in advance. If you have any objections to your child participating in these off-campus activities, please let us know so that other arrangements can be made for your child during these times.
Permission

I give my permission for my child, to participate in the above activities.I do not give my permission for my child, to participate in the above activities.
Signature

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Date

MonthDayYear
Date

HopeMark Media Release

I'm A HopeMark Kid
Your child may be photographed and filmed at various school events and days these images and videos may be used in printed publications or social media for school promotion please sign and return this form to state if you give permission for us to share these images and videos.
Select One

Yes, I give my permission for any photo or video.No. I do not give my permission for my child to be in any pictures while at school.I only give permission for Brightwheel sharing of my child. They may be included in group photos.I only give my permission for Brightwheel sharing of only my child. My child cannot be in any group picture where they could be recognized and shared by others.
I understand that my child’s photographs and images will not be sold or shared otherwise by HopeMark.

Yes
Students Name

First NameLast Name
Parent/Guardian's Signature

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Parent/Guardian's Name

First NameLast Name
Date

MonthDayYear
Date

First Day of School Forms

Please bring all completed forms with you on your child’s first day of school. State regulations required that a child may not be admitted without these forms. For questions or to submit forms online please email sophie@hopemark.org.
1. Medical immunization report: please have your child’s pediatrician fill out and sign. The enclosed medical form. This form must be signed by a doctor or registered nurse under the supervision of a doctor. A copy of your child’s immunization record must be attached to this form.

2. Childcare enrollment form please note this form has two sides. You must complete all sections of this form and sign. Any areas left blank will be returned for completion.

https://health.mo.gov/living/dnhs_pdfs/mo500-3317-child-care-enrollment-form-new-nds.pdf

Receipt of Handbook
View here!
This is to verify that I have read the HopeMark preschool parent handbook. I agree to comply with the policies outlined in the parent handbook.

Yes
Snack Policy
This is to verify that I have read and understand the snack policy for two and three day classrooms.

Yes
Should be Empty:

HOME LANGUAGE SURVEY