Summer Camp - Miss Midgies Preschool

What does SUMMER CAMP OFFER? Children ages 2 – 7 will enjoy: Magic Shows, Spray and Play Park, Outdoor playground and activity boards, relay races, arts and crafts, gardening, dance lessons and more! Our Camp is RATED #1 ON LONG ISLAND FOR THIS AGE GROUP IN NY LIFESTYLES MAGAZINE!

Fill out the Summer Camp Registration Form below. After submission you will be directed to the Registration payment page.

You may download a PDF of the form for more details HERE.

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:

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.

Mornings 1: 9:15 am – 11:45 amMornings 2: 9:30 am – 12:00 noonAfternoons: 12:30 pm – 3:00 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.

I acknowledge and accept the above.
PARENT INITIALS:

What does SUMMER CAMP OFFER? Children ages 2 – 7 will enjoy: Magic Shows, Spray and Play Park, Outdoor playground and activity boards, relay races, arts and crafts, gardening, dance lessons and more! Our Camp is RATED #1 ON LONG ISLAND FOR THIS AGE GROUP IN NY LIFESTYLES MAGAZINE!

Fill out the Summer Camp Registration Form below. After submission you will be directed to the Registration payment page.

You may download a PDF of the form for more details HERE.

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:

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.

Mornings 1: 9:15 am – 11:45 amMornings 2: 9:30 am – 12:00 noonAfternoons: 12:30 pm – 3:00 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.

I acknowledge and accept the above.
PARENT INITIALS:

What does SUMMER CAMP OFFER? Children ages 2 – 7 will enjoy: Magic Shows, Spray and Play Park, Outdoor playground and activity boards, relay races, arts and crafts, gardening, dance lessons and more! Our Camp is RATED #1 ON LONG ISLAND FOR THIS AGE GROUP IN NY LIFESTYLES MAGAZINE!

Fill out the Summer Camp Registration Form below. After submission you will be directed to the Registration payment page.

You may download a PDF of the form for more details HERE.

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:

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.

Mornings 1: 9:15 am – 11:45 amMornings 2: 9:30 am – 12:00 noonAfternoons: 12:30 pm – 3:00 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.

I acknowledge and accept the above.
PARENT INITIALS:

What does SUMMER CAMP OFFER? Children ages 2 – 7 will enjoy: Magic Shows, Spray and Play Park, Outdoor playground and activity boards, relay races, arts and crafts, gardening, dance lessons and more! Our Camp is RATED #1 ON LONG ISLAND FOR THIS AGE GROUP IN NY LIFESTYLES MAGAZINE!

Fill out the Summer Camp Registration Form below. After submission you will be directed to the Registration payment page.

You may download a PDF of the form for more details HERE.

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:

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.

Mornings 1: 9:15 am – 11:45 amMornings 2: 9:30 am – 12:00 noonAfternoons: 12:30 pm – 3:00 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.

I acknowledge and accept the above.
PARENT INITIALS: