Clone of New Beginnings Preschool Registration

NEW BEGINNINGS PRESCHOOL 2026-2027

All registrations are received and reviewed on a first come, first serve basis. Your registration is complete once the $75 registration fee is paid, and this completed form is submitted. Once BOTH are received, you will be notified of your registration status. Upon filling all open spots, all additional submissions will be added to our wait list. Currently enrolled families have first priority throughout the month of January. Feb 1, all remaining spots are offered to the community and parish families. After Feb. 1, please contact the Director prior to submitting your Registration Fee to confirm a spot is available at: suzannec@saintjamescatholic.org. Children must have reached the age of the class you wish to register for by Aug 31, 2026. For multiple children, this form must be completed for each individual child. ALL CLASS OPTIONS OPERATE 9AM-1PM
Which class are you wanting to register for?
Student Information
First Name
Middle Name
Last Name
Gender
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent/Guardian Information 1
Mother's Name

First NameLast Name
Mother's Phone

Street Address

Street Address Line 2

CityState / Province

Best number to reach individual
Additional Contact number

Street Address

Street Address Line 2

CityState / Province

Best number to reach individual
E-mail
Parent/Guardian Information 2
Father's Name

First NameLast Name
Father's Phone

Street Address

Street Address Line 2

CityState / Province

Best number to reach individual
Additional Contact number

Area CodePhone Number
E-mail
Emergency Contact #1 (Other than Parent/Guardian)

In the event we cannot reach you, we need the name and contact info of individuals that you, the Parent or Guardian, authorize as a point of contact AND alternate pick up of your child. If none, put N/A in all fields
Emergency Contact Name

First NameLast Name
Relation to child

Street Address

Street Address Line 2

CityState / Province
Phone

Street Address

Street Address Line 2

CityState / Province

Best number to reach individual
Authorized to pick up child?
Emergency Contact #2 - (Other than Parent/Guardian)
Emergency Contact Name

First NameLast Name
Relation to child

Street Address

Street Address Line 2

CityState / Province
Phone

Street Address

Street Address Line 2

CityState / Province

Best number to reach individual
Authorized to pick up child?
Health Information/Emergency Authorization
Does your child have any of the following medical concerns?

Other
"Other"- please indicate the medical concern here:
Please list any current medications for your child:
Please list pertinent medical/surgical history for your child:
Family Physician or Pediatrician:
Physician Office Phone

Area CodePhone Number
Health Insurance Provider:
Health Insurance Phone:
Health Insurance Member Number:
Hospital Preference:
Emergency Medical Care Authorization

In the event that my child, named above, may require emergency medical care while under the supervision of New Beginnings Staff, and I am unable to be reached, my emergency contacts are unable to be reached, and/or the medical emergency requires immediate attention that cannot be postponed until Parent/Guardian contact or arrival, I hereby authorize a staff member of New Beginnings Preschool to accompany my child in the evaluation and treatment deemed necessary by medical professionals. New Beginnings Staff will continue to make attempts to contact Parent/Guardian.
Please sign the Emergency Authorization below.
Signature

Disclaimer: This electronic signature is intended to be legally binding and serves as an official indication of consent and agreement to the terms outlined in this document. By signing electronically, you confirm your understanding and acceptance of the content.
Tuition Agreement

Your child's Annual Tuition is calculated according to the number of days we are in session, from our first day of school to our last, August to May. Tuition is not calculated on a month-to-month basis. We offer several options for your convenience to pay the Annual Tuition. Plan #1: Ten (10) Installment Plan: Your child's Annual Tuition is divided into 10 equal payments due on the first of each month, August through May. Plan #2: Semester Plan: Your child's Annual Tuition is divided into Two equal payments. The first payment is due August 1, the second due January 1. Plan #3: Payment in Full: Due on August 1. No refund, credit or exchange of days will be made for a child's absence due to illness, vacation or "off" days. Payments (Tuition and Registration Fees) can be made via check or money order. Alternatively, our "Pay Online" link which can be found at the bottom of our website: https://www.saintjamescatholic.org/new-beginnings-preschool
Please choose your child's 2026-2027 class and payment option below: (Reminder- all payment options begin Aug 1)
ONE'S Class: 2 days/week (Tues/Thurs) Annual Tuition: $2250.00
ONE'S Class: 3 days/week (Mon/Wed/Fri) Annual Tuition: $2700.00
ONE'S Class: 5 days/week (Mon-Fri) Annual Tuition: $3300.00
TWO'S Class: 2 days/week (Tues/Thurs) Annual Tuition: $2250.00
TWO'S Class: 3 days/week (Mon/Wed/Fri) Annual Tuition: $2700.00
TWO'S Class: 5 days/week (Mon-Fri) Annual Tuition: $3300.00
THREE'S Class: 2 days/week (Tues/Thurs) Annual Tuition: $2250.00
THREE'S Class: 3 days/week (Mon/Wed/Fri) Annual Tuition: $2700.00
THREE'S Class: 5 days/week (Mon-Fri) Annual Tuition: $3300.00
FOUR'S Class: 3 days/week (Mon/Wed/Fri) Annual Tuition: $3150.00
FOUR'S Class: 5 days/week (Mon-Fri) Annual Tuition: $3750.00
Please sign the Tuition Agreement below.
Signature

Disclaimer: This electronic signature is intended to be legally binding and serves as an official indication of consent and agreement to the terms outlined in this document. By signing electronically, you confirm your understanding and acceptance of the content.
Publicity Agreement

I grant permission to New Beginnings Preschool and St. James Catholic Church to use my child's still photographs and/or videos in the following ways:
Please choose all that apply:
Please sign the Publicity Agreement below.
Signature

Disclaimer: This electronic signature is intended to be legally binding and serves as an official indication of consent and agreement to the terms outlined in this document. By signing electronically, you confirm your understanding and acceptance of the content.
Please print and submit the attached Childcare Agreement by July 1.
Please print and submit the attached Children's Medical Report, along with immunization records by July 1. Your child's physician must complete and sign the bottom portion, based on your child's last well check.
To complete the Registration process, you must also submit your child's $75 Registration Fee. Once you click submit, you will be redirected to our online payment link. Initial tuition payments are due Aug 1 and can also be paid using this link. This payment link can also be found on our website. Thank you for completing New Beginnings Enrollment Form
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NEW BEGINNINGS PRESCHOOL 2026-2027

Student Information

Parent/Guardian Information 1

Parent/Guardian Information 2

Emergency Contact #1 (Other than Parent/Guardian)

Emergency Contact #2 - (Other than Parent/Guardian)

Health Information/Emergency Authorization

Emergency Medical Care Authorization

Please sign the Emergency Authorization below.

Tuition Agreement

Please choose your child's 2026-2027 class and payment option below: (Reminder- all payment options begin Aug 1)

Please sign the Tuition Agreement below.

Publicity Agreement

Please sign the Publicity Agreement below.