
706.886.8783
Mrs. Valerie Beack, Director
ENROLLMENT APPLICATION 2008-2009
Child’s Name: ___________________________ Boy: ____Girl:
____
Date of Birth: ___________________ Age as of September 1,
2008____
Home Address: ______________________________ Home phone #
_____________
Street name and number
____________________________
City State Zip
Code
Mailing Address (if different from above)
________________________________
Mother’s Name: ________________________ Email:
____________________
Mother’s Home Address (if different from
child’s)__________________________
Mother’s Phone Numbers
(h)_________________(w)_____________________
(c)_____________________________
Mother’s Employer: _____________________Address:
___________________
Father’s Name: ______________________Email:
_______________________
Father’s Home Address (if different from child’s)
_________________________
Father’s Phone Numbers (h) ___________________(w)
___________________
(c) ________________________
Father’s Employer: _______________________Address:
__________________
Child’s Living Arrangements: ( ) both parents ( )
mother ( ) father ( ) other
If other, please explain:
___________________________________________
Child’s Legal Guardian(s): ( ) both parents ( ) mother
( ) father ( )
other
Your child may be released to the person(s) signing this
agreement or to the following:
Name Telephone
Numbers Relationship
____________________________________________________________
____________________________________________________________
____________________________________________________________
Other children in the family:
Name and age:
_____________________________________________________
_____________________________________________________
A copy of your child’s birth certificate and latest
immunization record must be submitted by open house.
Persons to contact in the case of an emergency when parents
cannot be reached:
Name: Phone
Number: Relationship:
________________________________________________________________________________________________________________________________________________________________________________________________
Child’s Physician:
(Name, Address, Phone Number)
_____________________________________________________________
My child has the following special needs or requires the
following special accommodations:
________________________________________________________________
Medications, allergies, illnesses, etc.:
________________________________________________________________
Has your child ever been in a pre-school or child care
setting before? Y___ N___
Family Church (denomination)
preference:___________________________
Church Member:
yes no active
inactive
Where? _____________________________
Are you interested in finding a church home?
__________________
Should ____________________,
__________________suffer an injury or illness
Child’s name Date of birth
while in the care of First
United Methodist Preschool and the First United Methodist Preschool is unable
to contact me/us immediately, it shall be authorized to secure such medical
attention and care for the child as may be necessary. I/We agree to keep the
preschool informed of changes in telephone numbers, etc. where I can be
reached.
First United Methodist
Preschool agrees to keep me informed of any incidents requiring professional
medical attention involving my child.
Child’s primary source of
health care is:
________________________________________________________________
Physician/ clinic name Telephone
number
I understand that, if my
child has an emergency medical situation at school and neither I nor other
family members listed as emergency contacts on my child’s application can be
located, FUMC preschool will transport my child to the emergency room at
Stephens County Hospital.
Please list any ongoing
medical conditions (i.e.) diabetic, asthmatic, drug allergies:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Signature of parent Date Telephone#
1. FUMC Preschool agrees to provide child-care for
______________________
(name child
is called)
My child will attend:
_____Five days per week ($85/month)
_____Three days per week
(M, W, F) ($70/month)
_____ Two-year olds, two days per week (M, W) ($85/month)
(There is a higher tuition for the two-year old class
because there are two teachers for the class and more needs: diapers,
potty-training, etc.)
My child will take computer class for $18/month Yes___/ No___
(Computer tots is not offered for the two-year old class)
Time and Schedule:
Drive-thru drop-off begins at 8:30 AM. Early drop-off (rooster walk-in) is available at 7:00AM but costs an additional $1 per day. Drop-off ends promptly at 9:00AM. Learning hours begin at 9:00 AM; therefore, your child should be on time in order to participate in the complete daily curriculum. Departure is promptly from 11:45-Noon. For every minute that you are late, you will be charged $1.00.
My child will be a rooster drop-off, she/he will arrive
between 7:00-7:30AM.
Yes___ or No ____
2. My child will not be allowed to enter or leave the
facility without being escorted by the parent(s), person authorized by
parent(s), or facility personnel.
3. I acknowledge it is my responsibility to keep my child’s
records current to reflect any significant changes as they occur such as
telephone numbers, work location, emergency contacts, child’s health care
provider, child’s health status and immunization records, etc.
4. First United Methodist Preschool agrees to keep me
informed of any incidents, including illnesses, injuries, adverse reactions to
medications, exposure to communicable diseases, which include my child.
5. First United Methodist Preschool agrees to obtain written
authorization from me before my child participates in routine transportation,
field trips, special activities away from the facility, and water related
activities occurring in water that is more than 2 feet deep. I understand that
it is the policy of the FUMC preschool to keep all trips away from the facility
to a minimum and to bring in special
visitors and activities instead.
6. I have received a copy
and agree to abide by the policies and procedures for the FUMC preschool.
Signature
(Parent/Guardian)_________________________Date___________________
Signature (FUMC preschool Director _________________________Date____________
GENERAL
INFORMATION
Enrollment:
The enrollment of the preschool is limited to children who
will be two, three, or four-years old
by September 1, 2008. Certificate of immunization and a copy of your
child’s birth certificate are due at registration.
Registration:
Priority in registration is given to first-come
church-family members and family members of children already enrolled in the
preschool. All pre-registration is done by the preschool director and the
church children’s director.
Fees and Tuition:
The registration fee is $50; this fee is non-refundable. This fee must accompany your child’s application to ensure placement in our program. The registration fee provides insurance and supplies for the operation of the pre-school year and is non-refundable.
(A supply fee will no longer be charged at orientation.)
Tuition is listed below:
5 Days- $85.00/month or $103.00/month with computer class
3 Days (M W F)- $70.00/month or $88.00/month with computer
class
2 Days (M W) (two-year olds) $85/month and no computer class
(The tuition is more for this class because of the need for two teachers and
the extra duties of diaper changing, potty-training and closer supervision)
All tuition is due on the first of each month. If required a
late notice will be sent on the 10th. Please pay by check and make
it payable to First United Methodist Preschool.
First United Methodist Preschool is a non-profit
organization. Your child’s tuition pays the teacher’s salaries. We hire our
teachers based on the number of children enrolled in the program. Your monthly
tuition reserves your child’s spot, therefore, we cannot subtract weeks from
your tuition if you choose to go on vacation or if your child is temporarily
ill. We must pay teachers regardless of the days your child is out or the
school is closed due to bad weather, consequently, tuition is the same every
month. The preschool will observe the public school calendar.
If you have more than one child attending, your second child
will attend with a 20% discount.
Food:
Due to possible food allergies, please alert your teacher
upon registration if your child has any food allergies. A mid-morning snack
will be provided to all students. Any parent wishing to assist in the provision
of snacks is welcome. No bottles or sippie cups will be permitted. Please
personalize everything.
Parent/Teacher Conferences/ Progress Reports:
Conferences with the child’s teacher are an important and
necessary means of knowing the progress of your child’s development and
learning. Called conferences will be on an as needed basis at the request of
teacher or parent.
Newsletter:
Each teacher will send home a monthly newsletter and
calendar to parents informing them of scheduled events and educational goals.
This newsletter will include field trips, parties, curriculum, etc.
Medication and Health:
No medicine of any kind will be given to the students. If
your child becomes sick at school, we will attempt to notify you as soon as possible.
Please notify the teacher should your child have any special health care needs
or concerns, or contract an infectious or contagious disease. Children are not
to attend sick.
School Parties:
We welcome birthday parties or special event parties. We do
ask that you schedule this with your teacher in advance, so that she can work
her classroom curriculum around this event. Your teacher will inform you at
orientation of sign-up times for help with holiday parties.
Discipline:
First United Methodist Preschool has adopted certain rules
of Discipline:
Good discipline begins in the
home. Parents are the child’s first teacher. Through example and direct
teaching, parents instill in children habits of acceptable behavior and
positive attitudes. FUMC has set forth certain guidelines in regards to
behavior management. We encourage parents to become familiar with these
guidelines. Preschool teachers will abide by these guidelines in regards to any
student neglecting to abide by their student responsibilities.