preschool enrollment form

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Central Lutheran Preschool
Application for Enrollment for School Year 2015-2016
DATE: ______________________DATE RECEIVED: _______________PAID/ck #_____________
_____2-DAY
_____3-DAY
_____4-DAY
_____5-DAY
Days requested________________________
*We will do our best to honor your requested days of attendance, keeping in mind overall number of students per day, and
classroom balance. Thank you 
A $40.00 non-refundable enrollment fee is due with your application, and holds your child’s place in
class. Enrollment is limited. Applications received after enrollment is full will be placed on a waiting
list. Central Lutheran Preschool admits students of any race, color and national or ethnic origin.
Family Information:
CHILD’S NAME: ___________________________________________________ SEX __________
CHILD’S BIRTHDATE: ___________________
DOES YOUR CHILD HAVE SPECIAL NEEDS? _______YES
_______NO
IF YES, PLEASE EXPLAIN:_________________________________________________________
__________________________________________________________________________________
HAS YOUR CHILD ATTENDED OTHER PRESCHOOLS? _____YES _____NO
IF YES, WHERE?__________________________________________________________________
MOTHER’S NAME: __________________________________ PHONE #____________________
ADDRESS: _______________________________________________________________________
E-MAIL__________________________________________________________________________
FATHER’S NAME: ___________________________________ PHONE #___________________
ADDRESS: ________________________________________________________________________
OTHER CHILDREN UNDER 18 LIVING WITH THE FAMILY: (PLEASE LIST)
NAME
AGE GRADE
SCHOOL
CIRCLE HOW YOU HEARD ABOUT THE PARENT EDUCATION COOPERATIVES?
Word of mouth, Church sign, website, newspaper, Playdate, other______________________
Central Lutheran Preschool admits students of any race, color and national or ethnic origin.
Preschool Program: CLP School Year 2015-2016
Thank you for your interest in Central Lutheran Preschool. We would like to share some basic information about
our program and hopefully answer some of your questions.
Our program is a developmentally appropriate program that promotes the physical, social, emotional and
intellectual development of young children. We support parents in their role as the primary caregiver and teacher
of their children. We serve children ages 3-5 years old. Our program is theme-based with a learning-through
play approach to name recognition, letters, numbers, colors and shapes using books, songs and hands-on
activities. Children will also learn social skills to aid in a successful kindergarten experience.
We offer an extended-day supplementary class two days per week beginning in October for those children
planning to enter Kindergarten the following September. This is an addition to the regular preschool experience,
and is available at the discretion of the preschool teacher. The focus is on numbers, letters and kindergarten
readiness. Extended day will be held on Mondays and Wednesdays, from 12:00-1:15.
As a parent co-operative preschool program, parent involvement is required. This means that each family has the
opportunity and responsibility to assist in our classroom three times a month (for children attending 2 days per
week) or four times a month (for children attending 3-5 days per week) as a teacher assistant. You may be asked
to work an extra day during months that are five weeks long. During the year, community building opportunities
include: Family Festivals, Fundraisers, and Family Work Parties. Each family will attend our monthly parent
education meetings. These meetings offer shared support in a parent community, include parenting techniques and
current research on early childhood development. Families will also attend two yearly planning meetings, and
possibly serve on a committee or on the board.
Our program is a non-profit, self-supporting, community-based program. Financially, we operate with a monthly
tuition, enrollment fees and fundraising. There is a $40.00 non-refundable enrollment fee. Tuition is dependent on
the number of days your child attends. The two day a week program is $75 per month, the three day a week
program is $85 per month, the four day a week program is $95 per month, and the five day a week program is
$105 per month. If your child is ready for extended-day, monthly tuition for this additional 2-day program is
$40per month. Our classroom hours are from 9:00 to 11:30am, Monday through Friday. Each family will be
asked to contribute $50.00 during the course of the year through fundraising opportunities or contributions.
On Tuesday mornings, our class visits the Senior Respite group that meets in our church for 10-15 minutes of
interaction and songs. On Wednesdays and Thursdays, we end our day with 15 minutes of optional chapel time
with the pastors of our church. This is a non-denominational, developmentally appropriate few minutes for
spiritual growth. We also include a monthly field trip to explore and enhance our understanding of community.
If you would like to set up a tour of the classroom, or more information about our program, contact Coordinator
Katy Ulmer at either 509-653-2702, or by email at katy.ulmer@gmail.com. Or call the church office at 575-6490.
If you would like to enroll your child, please return the enclosed enrollment form to:
Central Lutheran Preschool
1604 W. Yakima Ave
Yakima, Wa 98902
Registration will be on Tuesday, September 1st, from 10:00am-1:00pm. Orientation will be on Wednesday,
September 2nd at 6:30pm. Your child’s first day of class will either be Tuesday, September 8th or Wednesday,
September 9th. You will receive a letter confirming these times and dates sometime in July/August. We look
forward to having you and your child join our preschool family.
Sincerely,
Central Lutheran Teacher, Coordinator and Parent Board Members
Central Lutheran Preschool admits students of any race, color and national or ethnic origin.
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