2017-2018 Morning Preschool Application Form

2017-2018 MORNING PRESCHOOL APPLICATION FORM

TODAY’S DATE:

CHILD’S BIRTHDATE:

CHILD’S FULL NAME: NICKNAME:

1st PARENT’S (OR GUARDIAN’S) FULL NAME: NICKNAME:

2nd PARENT’S FULL NAME:
NICKNAME:

ADDRESS:
STREET:
CITY/STATE/ZIP:

HOME PHONE(land):
CELL(1st parent/guardian):
CELL (2ndparent):

E-MAIL (1st parent/guardian):
E-MAIL (2nd parent):

1st PARENT’S (or GUARDIAN’S) OCCUPATION(S):

1st PARENT’S WORK ADDRESS:
WORK PHONE:

2nd PARENT’S OCCUPATION(S):

2nd PARENT’S WORK ADDRESS:
WORK PHONE:

PARENTS GUARDIANS: Do you have interests and skills you would like to volunteer?

SIBLINGS’ NAMES AND BIRTHDATES:

NEARBY RELATIVES:

REASON(S) FOR WANTING PLACEMENT AT GRIFFIN NURSERY SCHOOL:

OUR MORNING PRESCHOOL SCHEDULES AND TUITIONS ARE:

· Our 12-month school year is from September 1st of each year to the following August 31st. The first school day is always the Wednesday after Labor Day. We base subsequent holidays and vacation weeks on the Berkeley Unified School District schedule, and we close two weeks for maintenance at the end of August/ beginning of September. Monthly tuition payments remain constant, even during months with vacation and maintenance weeks.

· Our Morning Preschool is from 8:30am to Noon, Mondays through Fridays.

Tuition for 3 days a week: $750. 4 days a week: $860. 5 days a week: $970.

· You can also sign up for an 8am option and a Noon to 2pm Quiet Time option or both:

8am to Noon 3 days a week: $850. 4 days a week: $970. 5 days a week: $1090.

8:30am to 2pm 3 days a week: $1155. 4 days a week: $1315. 5 days a week: $1470.

8am to 2pm 3 days a week: $1250. 4 days a week: $1415. 5 days a week: $1580.

· We will offer full-day care to a limited number of Morning Preschoolers on a case-by-case basis. Each M-F PM, Noon to 5, is $210 per month. Friday PMs will be offered if 12 or more children are enrolled.

· Your preferred schedule (check as many as apply, please):

☐ Mon-Fri ☐ Mon-Thurs ☐ Tues-Fri ☐ Mon/Wed/Fri ☐ Tues/Thurs/Fri ☐ Flexible 3 days

☐ 8am option_____days ☐ Quiet Time option_____days ☐ Noon-to-5 option _____days

CHILD’S HISTORY
Please include ages at which these events occurred, and please be as fully disclosing as you can. Our staff can work most effectively with your child when we are fully aware of his or her circumstances. Thank you!

MEDICAL (Serious accidents or illnesses, operations, special diagnoses and treatments, communicable diseases, etc.)

DEVELOPMENTAL (Prematurity; unusual motor, social, or language development;

toilet training, etc.) WE ASK THAT YOUR CHILD BE IN UNDERWEAR DURING THE DAY WHEN S/HE BEGINS SCHOOL. NO NEED TO WORRY ABOUT ACCIDENTS!

EMOTIONAL (Separations from parents, changes in family, serious illness or special need in family, changes in residence; special problems like hypertension, strong fears, displays of aggression troubling to parents, etc.)

SOCIAL (Previous group experiences, neighborhood friends, previous

schools and classes attended, attitudes toward new children and

new adults, responses to separation from parents, feelings about

starting school, attachments to children already at school, etc.)

QUESTIONS (To be discussed during visit)

PARENT/GUARDIAN’S SIGNATURE:

DATE:

THANK YOU!

Please email this completed form to Betsy Nachman