Enrollment Application

APPLICATION INSTRUCTIONS

THANK YOU FOR YOUR INTEREST IN TRINITY EPISCOPAL PRESCHOOL!

PreK 3’s & 4 applicants must be completely toilet trained, and all children must be the appropriate age of class planning to enroll in on or before September 1st.

To Begin the Enrollment Process, Please Submit the Following:

• Application for Enrollment Completed and Signed

• Non-Refundable Enrollment Fee: $100.00/ per student

• Copy of Birth Certificate

Before your child starts school, you will need to provide the school with the following:

• NOTORIZED Medical Release Form

• Your child’s current PHYSICAL form

• Your child’s up to date IMMUNIZATION record

• SIGNED FORM acknowledging read INFLUENZA/misc. pamphlets and handbook.

Trinity Episcopal Preschool

Enrollment Application 2020-2021

Preschool Enrollment Application 2020-2021

First & Last
MM/DD/YYYY
Gender *
If applicable
Child's Ethnicity *
Trinity Episcopal Preschool does not discriminate based on race, color national or ethnic origin.
Parental Marital Status *
Legal Custody *
Copy of Custody/Legal Papers must be on file at school
Father/Guardian Info *
Mother/Guardian Info *
APPLICATION INSTRUCTIONS - Select Applicable Program Below *
Before Care
Schedule *
(Speech, motor, social or behavioral etc.)
Do you currently have a church home? *
Would you like to receive information about Trinity Episcopal Church? *
First & Last
MM/DD/YYYY
Gender *
Are your Child's immunizations up to date? *
Does your child take any medication(s) regularly? *
Signature of parent/guardian
MM/DD/YYYY
Gender *
PLEASE CHECK THE APPROPRIATE BOX FOR EACH ITEM AND EXPLAIN ANY "YES" RESPONSES IN THE BLANK PROVIDED - Rheumatic Fever *
Asthma, Reactive Airway Disease *
Other Chronic Respiratory Problems *
Allergy to Insect Bites *
Other Allergies *
Diabetes *
Insulin *
Special Diet? *
Epilepsy, Convulsions, Fits *
Headaches *
Eye/Vision Problems *
Corrective *
Hearing Problems *
Hearing Aids *
Posture, Back, Neck, Scoliosis, Spinal Problem *
Sickle Cell Disease Trait *
Bladder/Kidney Disease *
Frequent bedwetting/urination *
Has taken Medication/Poison Accidentally *
Other Serious Illnesses/Accidents requiring hospitalization *
MM/DD/YYY
Other Diagnosed Medical Problems/Conditions *
Necessary limits on physical activity *
Parent/Guardian Signature
Signature
MM/DD/YYYY