preschool enrollment form

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Central Lutheran Preschool
Application for Enrollment
DATE: ______________________DATE RECEIVED: _______________PAID/ck #_____________
_____2-DAY
_____3-DAY
_____4-DAY
_____5-DAY
Days requested________________________
Upon receiving confirmation of enrollment, a $40.00 non-refundable registration fee must be received within 5 working days
to hold 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
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
added emphasis on name recognition, letters, numbers, colors, shapes, books, songs and socialization as
well as having fun and making new friends.
We offer an extended day supplementary class two days per week to those children planning to enter
Kindergarten the following September. This is an optional addition to the regular preschool experience.
The focus is on numbers, letters and kindergarten readiness.
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 meeting. These meetings include current
research on early childhood, parenting techniques, and offer shared support in a parent community.
Families will also attend two yearly fundraising meetings, and 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 program is $75.00, the
three day program is $85.00, the four day program is $95.00, and the five day program is $105.00.
Monthly tuition for 2-days of extended day is $40 and for 3 days is $45. Our classroom hours are from
9:00 to 11:30, Monday through Friday. Each family will be asked to contribute $50.00 during the
course of the year through fundraisers 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 have a monthly field trip to explore and enhance our
understanding of community.
If you are interested in visiting our program, you may 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 2nd from 11:00-1:00. A mandatory orientation meeting will
be on Wednesday, September 3rd at 6:30pm. The first day of class will be September 8th. 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 Parent Board Members, Teacher, and Coordinator
Central Lutheran Preschool admits students of any race, color and national or ethnic origin.
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