Timson Hill Preschool
Preschool, Afternoon, and Summer Camp Programs for Children
P.O. Box 149, Williamsville, Vermont 05362 Telephone 802/348-6319
Application for Admission
Timson Hill Preschool offers a variety of scheduling options to accommodate families' needs and desires,
including a 2-day, 3-day, 4-day or 5-day preschool program.
The school typically runs a morning program Monday through Friday from 8:15 a.m. until 11:45 a.m. The
school's afternoon program runs from 11:45 until 4 p.m. The school can also offer pickup times of
1pm or 3pm and can accommodate earlier drop-off times or extended pick-up times.
School programs are contracted at the beginning of the school year. Families may at any time request a dropin day for a child - that is, attendance on an additional day - by checking with the director at least one day in
advance. Rates are listed below.
If this menu of days and times does not suit your family's particular schedule, by all means, please indicate
the days and times that would suit you. The school may well be able to accommodate.
Thank you!
Preschool Until 11:45 A.M
10 Monthly Payments
Year's Tuition
(Monthly Payments begin Aug. 1)
2 Day Preschool (ThF)
3 Day Preschool (MTW)
4-Day Preschool (MTWTh)
5 Day Preschool
$166.00
$249.00
$332.00
$415.00
Afternoon Program With Monthly Payments
1 PM Pickup
3 PM Pickup
1 Day/Wk
$24.00
1 Day/Wk
$60.00
2 Days/Wk $48.00
2 Day/Wk
$120.00
3 Days/Wk $72.00
3 Day/Wk
$180.00
4 Days/Wk $96.00
4 Day/Wk
$240.00
5 Days/Wk $120.00
5 Day/Wk
$300.00
Drop In Rate
11:45 to 1 PM
11:45 to 3 PM
11:45 to 4 PM
$1660.00
$2490.00
$3320.00
$4150.00
4 PM Pickup
1 Day/Wk
2 Days/Wk
3 Days/Wk
4 Days/Wk
5 Days/Wk
$75.00
$150.00
$225.00
$300.00
$375.00
$8.00
$20.00
$27.00
Financial aid may be available. All families are expected to participate in the fundraising and work parties
which enable us to effectively run the school. Some "buyout" options are available.
A $60 per family non-refundable application fee must accompany this form.
Late pick-up fee for morning and afternoon program is $1.00 per minute.
Please print below and on the reverse side.
Personal Information
1. Child's Name_______________________________________________date of birth___________________
2. Sibling’s Names_____________________________________________date of birth___________________
_____________________________________________date of birth___________________
__________________________________________________ date of birth ____________________
Please indicate (circle) your preference for number of program days:
Morning Program:
5 day
4 day, if available
3 day
2 day
3 day
2 day
Afternoon Program:
5 day
4 day, if available
1 day
$60.00 Reg. fee enclosed:____ (please check)
3. Parent/Guardian #1:
____________________________________________________________________________________
address______________________________________________________________________________
____________________________________________________________________________________
home phone_____________________________________email________________________________
place of work__________________________________work phone_____________________________
Parent/Guardian #2:
____________________________________________________________________________________
address______________________________________________________________________________
____________________________________________________________________________________
home phone_____________________________________email________________________________
place of work__________________________________work phone_____________________________
Your child’s name: __________________________________________________________________
4. Name family members/friends (other than parents) who have permission to pick-up your child from
school:
Name__________________________________________________phone________________________
Name__________________________________________________phone________________________
Name__________________________________________________phone________________________
Emergency information:
5. Name of Child's Doctor__________________________________phone_______________________
6. Whom should we contact in case of an emergency:
Name________________________relationship to child______________daytime phone_____________
Name________________________relationship to child______________daytime phone_____________
Name________________________relationship to child______________daytime phone_____________
Information to help us understand your child:
7. Please list any fears that your child may have that we should be aware of.
8. Does your child have any health problems we should be aware of? Please describe them.
9. Does your child have any allergies? Please list/describe them.
10. Does your child have any trouble with sleep? Please describe.
11. Does your child take any medication on a regular basis? If so, please list below.
12. Does your child have any special dietary needs? Please describe.
13. Are there any other concerns or comments about your child that you think would be helpful to the
school to know? (Please note if you would like to discuss these in person with the director and/or
teachers.)
Thank you for registering your child with Timson Hill Children's Center. Please make a copy of this
form for your records. If accepted, you will receive a parent handbook with the school philosophy, work
requirement information and contract, emergency card, and permission slips. A school calendar and
other relevant information will be sent in August. If you have any questions, please contact the director
or any board member.
Please send this form, along with your $60 per family non-refundable application fee. Applicants will be
considered as soon as the application and fee are received. Feel free to call with questions.
Timson Hill Children's Center is an equal rights institution, and does not discriminate against any
person based on race, national origin, creed, faith, mental or physical challenges, or sexual orientation.