Preschool Registration Form printable pdf download

Preschool Registration Form

ST. ALBAN'S 2015/2016

Preschool Registration Form

CHILD'S NAME: _______________________________________ Date of Birth:_______________

ADDRESS: ______________________________________________________ Zip:______________

TELEPHONE: _________________________ CELL

PHONE: ______________

MOTHER'S NAME: ________________________ FATHER’S NAME:______________________

E-MAIL ADDRESS: ________________________________________________

My child will attend the following program:

Preschool class only- 9:00am-12:00pm ________

Full Day_______6 hours including preschool hours 9:00-12:00

Extended Day________ 6 + hours (7am-6pm)

I prefer my child to attend school on the following days:

Monday_______ Tuesday__________ Wednesday__________ Thursday__________ Friday_____________

My full or extended day student will take a nap at school. Yes

Fees required at registration:

registration fee

___ $50.00 continuing students

__ $75.00 new students

supply fee

___ .$50.00

The information, on this form, except date of birth, will be used in the directory. Please initial here if

you wish to be included in the directory.

__________

I give permission to St. Alban's personnel to apply sunscreen/ bug spray (provided by parents) on

my child. ______________________

I give permission for my child to be photographed for use on school boards, class blogs, and

classroom portfolios. ____________________________

I give my child permission to attend Chapel in the chapel. ___________________________________.

I give my child permission to go to rooms 11/12 for activities. ________________________________.

I give permission for St. Alban’s staff to use Kirkland Wipes on my child.________________________.

Amount,

Preschool Registration Form