2026-27 Preschool Enrollment Application

Family Information

First Parent
First Parent Info:

First NameLast Name
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Cell Carrier
Work Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Employer Name
Employer Address
YesNo
Church Membership
Are you a member of St. Martin's-in-the-Fields?

Family Information (Cont'd)

Second Parent
Second Parent Info:

First NameLast Name
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Cell Carrier
Work Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Employer Name
Employer Address

4K Information

For 4K students only
YesNo
If yes, when do you expect to hear back?
Please note, that if you submit this enrollment form you are committing to attendance for the 26-27 school year. A deposit of 1/2 month’s tuition is due by May 1, 2026 to confirm your commitment. Please see the director if this presents a financial challenge for you. This will be applied to August’s tuition. This is non-refundable upon withdrawal.

Maximum class size is 16 with 2 full-time teachers.

If the class reaches 12 students, a second teacher will assist our lead teacher part-time in the mornings.

How spots will be filled:
- 1st priority goes to currently enrolled children who answered “No” to question #1 above.
- 2nd priority goes to new children with approved ABC scholarships who answered “No” to question #1 above.
- 3rd priority goes to currently enrolled children who answered “Yes” to question #1 above.
- Any remaining spots go to applicants from the community.

REGISTRATION GUIDELINES
& ACKNOWLEDGEMENT
1. The $250 registration fee per family is nonrefundable. $175 semi-annual supplies fees will be added to your bill in Sept and January.
2. An immunization certificate showing your child is current with all vaccinations is required by DHEC on the first day of school. Immunizations must be kept current throughout the school year, or we are required to ask you to withdraw your child.
3. The first month’s tuition is due within 30 days of submitting this enrollment form for new families.
4. ABC Scholarships accepted.

Emergency & Medical Information
Emergency Contacts: If parents cannot be located, in case of illness or accident, notify:

Rows	Name	Relationship	Phone
Contact 1
Contact 2

If medical assistance is required, it is requested that the following physician or dentist be notified:
Physician
Phone
Address
Health Insurance Provider
ID/Group
Dentist
Phone
Address

Allergies & Medical Information
List any known allergy your child has
Medical Treatment Release
I give permission for medical treatment of my child, {fullName}, by a doctor and/or hospital in case of an emergency when neither parent(s) nor person(s) listed as emergency contacts can be reached.

I hereby authorize the director or assistant director of St. Martin’s Preschool to execute any and all documents including any necessary releases on my behalf, which might be required, by any medical facility or physician to perform any emergency care, on account of any accident or illness sustained or incurred by my child, named above, while attending St. Martin’s Preschool.

I further agree that in consideration of my child's attending St. Martin’s Preschool, I will hold St. Martin’s Preschool, and its agents and servants, harmless from any action by me or my child on account of any injury or damage sustained or suffered by my child while attending St. Martin’s Preschool or field trips.

I certify that my child, named above, is in good health and requires no special medical care or treatment while at St. Martin’s Preschool.

By entering my name below in the signature field below, I authorize the above release.
Parent's Signature
Date

MonthDayYear
Date

Relatives/Sitters who have permission to pick my child up

Rows	Name	Phone
1.
2.
3.

Should be Empty: