Stepping Stones 2017-2018 Application
Student Name
*
First Name
Last Name
Student Birthday
*
-
Month
-
Day
Year
Date Picker Icon
Gender
*
Female
Male
Preschool Class Registered for
*
Please Select
3 year old, Monday/Wednesday (9-1)
3 year old, Tuesday/Thursday (9-1)
3 year old, Monday/Wednesday/Friday (9-1)
3 year old, Tuesday/Thursday/Friday (9-1)
3 year old, Monday- Friday (9-1)
4 year old, Monday/Wednesday/Friday (9-2)
4 year old, Tuesday/Thursday/Friday (9-1)
4 year old, Monday- Friday (9-1)
4 year old, Monday- Friday (9-2)
Preparatory Kindergarten (9-2:30)
Mother
*
First Name
Last Name
Mother's Phone
*
Father
*
First Name
Last Name
Father's Phone
*
Primary Email
*
Confirmation Email
Emergency Contact (other than parents)
*
First Name
Last Name
Emergency Contact's Phone
*
Does your child have allergies?
*
Yes
No
If "Yes', please list.
Stepping Stones Times. Please select all that apply.
Monday Morning, 8:00 - 9:00
Tuesday Morning, 8:00 - 9:00 am
Wednesday, Morning, 8:00 - 9:00 am
Thursday, Morning, 8:00 - 9:00 am
Friday, Morning, 8:00 - 9:00 am
Monday, Afternoon, 1:00 - 2:00 pm
Tuesday, Afternoon, 1:00 - 2:00 pm
Wednesday, Afternoon, 1:00 - 2:00 pm
Thursday, Afternoon, 1:00 - 2:00 pm
Friday, Afternoon, 1:00 - 2:00 pm
Monday, Late Afternoon, 2:00 - 2:30 pm
Tuesday, Late Afternoon, 2:00 - 2:30 pm
Wednesday, Late Afternoon, 2:00 - 2:30 pm
Thursday, Late Afternoon, 2:00 - 2:30 pm
Friday, Late Afternoon, 2:00 - 2:30 pm
I understand that Stepping Stones is available only to registered preschool families and will be available to me only when preschool is open and in session as a before and after school care program.
*
I acknowledge
I understand that I may sign up for any combination of hours for the school year. If, for any reason, I need to withdraw my child from the program during the school year, I will provide thirty day written notice.
*
I acknowledge
I will arrive promptly to pick up my child at the end of the PM Stepping Stones Program in which we have enrolled. I further understand that a late fee of $10.00 per every 5 minutes will be charged to my FACTS account if I am late picking up my child.
*
I acknowledge
Closing and Cancellations: If school is delayed to inclement weather, AM Stepping Stones will be closed. If school is dismissed early due to inclement weather, PM Stepping Stones will be closed. If preschool is closed or releases early due to inclement weather, holidays, vacations or teacher training, there will be no Stepping Stones Program.
*
I acknowledge
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*
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