Registration

Welcome! To begin the Registration process, please fill out the form below and click the submit button. You will then be prompted to make the required Registration Fee payment.

Please download the Registration Packet PDF for:
1. The Immunization Form must be signed by your health professional before your child attends the school, and present it to your Doctor for completion and signature.
2. Please sign and return the ACH or credit card authorization to allow the school to charge your credit or debit card on a monthly basis.


    Your Name (required):

    Your Email (required):

    Your Phone (required):

    Getting to Know You and Your Child

    Child’s Name:
    Nickname:

    Birthdate:

    Address:
    Address (apt. suite):
    City:
    State:
    Zip code:

    Parent’s (or legal guardian’s) Name:
    Phone:
    Email:

    Address:
    Address (apt. suite):
    City:
    State:
    Zip code:

    Parent’s (or legal guardian’s) Name:
    Phone:
    Email:

    (If same address, you may skip this)
    Address:
    Address (apt. suite):
    City:
    State:
    Zip code:

    Siblings Names and ages:

    1. Does your child have any allergies or medical conditions that would
    be relevant to providing care for your child?
    Please explain:

    2. Please describe your child’s personality:

    3. What types of toys or activities does your child enjoy?

    4. Is your child currently receiving services (speech, OT or counseling)?
    YesNo
    4a. If Yes, please explain:

    5. Does your child have any special needs (toileting, etc.)?

    6. Does your child have any specific fears?

    7. What is your child’s first language? Second language?

    Additional Authorized Pick-up People
    Who else can pick up your child?

    Name:
    Relationship to Child:
    Phone:

    Name:
    Relationship to Child:
    Phone:

    CLASSES

    Please check the class(es) you are interested in. Please remember to ask if there is not a choice to your liking and we’ll be happy to try and accommodate your needs, however, registration is on a first come, first served basis.

    2 Year Old Class Choices:
    Tuesday & Thursday 9:00 a.m. - 11:00 amTuesday & Thursday 11:30 - 1:30 pmTuesday & Thursday 2 - 4 pmMon, Wed & Friday 12:30 - 2:30 pm5 days Mon - Friday

    3 Year Old Class Choices:
    Tues & Thurs 9:30 am - 12 noonMon, Wed & Fri 9:30 - 12:00 noonMon, Wed & Fri 12:30 - 3:00 pmTues & Thursday 12:30 - 3pm4 days per week 12:30 - 3pm5 days 9:30 - 125 days 12:30 - 3pm

    4 Year Old Class Choices - Pre-K
    Mon, Wed & Fri - 9 a.m. - 11:30 am4 Days per week 9:15 - 11:45 am5 days Mon - Friday 12:15 - 2:45 pm5 days Mon - Friday 10:15 - 12:45 pm

    Acknowledgements

    Please Read below and Acknowledge with your digital initials
    Please register my child for September 2019 ($85 registration fee)
    I understand and consent that once my child is registered, payments are due one month ahead (Aug - May). I understand in order to remove my child from the preschool, I must provide a written letter 30 days prior to dismissal. There are no refunds available for monthly fees paid prior to removal.

    I hereby agree to read and follow the policies and procedures of Miss Midgies Preschool located in Miss Midgies Preschool Parent Handbook. I understand that the rules are set for the protection of myself, my child and others in the school. I understand that I cannot hold anyone liable for accidental injury suffered during my child’s time at the preschool. I understand that the Preschool is a peanut free school and will not send any peanut items into the preschool at any time.

    I understand that tuition is based on a YEARLY basis regardless of how many days in a month, amount of holidays or personal vacation plans, tuition remains the same. For my convenience it is broken down into 10 monthly payments.

    I also understand that my tuition must be paid in full unless otherwise having written documentation from a doctor that a child must leave the school due to illness or injury with at least 30 days written notice.


    PARENT INITIALS: