FPP Summer Camp Registration Form--2017

________Week 1    June 12-15     Diver, Diver!  What Do You See?
________Week 2    June 26-29   Giddy Up!  It’s the Wild, Wild West!
 _______ Week 3    July 10-13     Appreciating and Creating Art
 _______ Week 4    July 24-27    Living Under the Canopy of the Rainforest

Camp Fee is $65.00 per week!        

Child’s Name______________________________DOB:_____________
Address:__________________________________________________
City:____________________________________Zip:______________

Email Address:_____________________________________________

Mom’s phone:__________________Dad’s phone:___________________

Child’s special needs, fears, things you want us to know:
________________________________________________________
________________________________________________________
Persons authorized to pick up your child:
________________________________________________________
Child’s Physician:__________________________ Phone:_____________
Does child have any allergies? Any medical condition we need to be aware of?
_________________________________________________________

Persons to contact in the event of an emergency and parents cannot be reached:
Name:__________________________Phone:_____________________
Name:__________________________Phone:_____________________

In the event a parent cannot be reached for a medical emergency, the Playschool staff has permission to pursue medical treatment for my child.

Parent Signature:_________________________________________


**Disclosure:  Occurrence of each of these camps is contingent on number enrolled and the availability of the staff!  

Welcome to First Presbyterian Playschool!


The goal of First Presbyterian Playschool is to provide a safe, positive and nurturing environment where children have the opportunity to develop socially, emotionally, physically, intellectually, creatively and spiritually.

The curriculum will provide a wide range of developmentally appropriate activities that are child-centered and teacher directed and designed to make every child feel successful in order to build self esteem. It is our aim to make every child feel that he/she is special!
We believe that children learn through play therefore classroom routines will include active involvement, meaningful exploration and reinforcement through repetition. Schedules include a balance of structure and free choice, as well as active and quiet times. Whenever weather permits, the children will play outside on one of our age appropriate playgrounds.

Following is the programming offered at FP Playschool:

Toddlers------------------Child must be 18 months by August 31, 2017.
Monday/Weds. mornings 9:00-12:00
Tuesday/Thursday mornings; 9:00-12:00
Cost: $110.00/month   Snack/Supply (One Time Fee): $50.00
***These classes require a minimum of 6 children per class to be offered.

2 Year Olds------------Child must be 2 years of age by August 31, 2017.
Monday/Wednesday mornings; 9:00-12:00
Or
Tuesday/Thursday mornings; 9:00-12:00
Cost: $110.00/month   Snack/Supply (One Time Fee): $50.00

Toddler/2 year old Friday Play Day
Friday mornings; 9:00-12:00
Cost: $60.00/month   Snack/Supply (One Time Fee): $25.00
If the child is enrolled in one of the above 2s classes, the cost is $50.00/month and no Snack and Supply Fee.

3 Year Olds----------Child must be 3 years of age by August 31, 2017.
Mon/Weds/Fri mornings; 9:00-12:00
Cost: $135.00/month  Snack/Supply (One Time Fee): $75.00
And/Or
Tues/Thurs mornings; 9:00-12:00
Cost: $110.00/month   Snack/Supply (One Time Fee): $50.00

3 Year Olds--------Child must be 3 years of age by August 31, 2017.
Tues/Weds/Thurs mornings; 9:00-12:00
Cost:  $135.00/month   Snack/Supply (One Time Fee): $75.00

4-5 PreK----------------Child must be 4 years of age by August 31, 2017.
Monday through Friday
Child may dismiss at 12:00 or child may bring his/her lunch daily and dismiss at 1:00.
Cost: $190.00/month (9:00-12:00) $220.00/month (9:00-1:00)   Snack/Supply (One Time Fee): $125.00

The Registration Fee and one month’s advance tuition, which is applied to May, 2018, is expected at the time of Registration for new enrollees.

The Registration Fee is $40.00 for Church Members and $50.00 for Non-church members. The Registration Fee is non-refundable unless we are unable to offer your child placement into the program.
Snack and Supply Fees are due by September 15, 2017. Special arrangements can be made for making semester payments by contacting the Director.

Enrollment is done on a First-come, First-served basis. When a class is full, your child may be placed on a waiting list and you will be called as openings are available.

All classes are subject to change due to how they are affected by demand, staff availability and room availability in the facility. We are not able to honor requests for a specific teacher.


Please call with questions at 226-0080. If there is no answer, leave a message and your call will be returned as quickly as possible.

Thank you for your interest and support of FP Playschool! We look forward to serving you and nurturing your child in the upcoming school year!


ENROLLMENT APPLICATION----- FIRST PRESBYTERIAN PLAYSCHOOL
Please circle the class(es) for which you would like to register.

Toddler’s Class      Mon/Weds         Tues./ Thurs.
2 Year Old Class    Mon./Weds.
2 Year Old Class    Tues./Thur.
Toddler and 2 Year Old Friday Play Day      Friday
3 Year Old Class    Mon./Wed./Fri.  AND/OR  Tues./Thur.
PreK 4-5    Mon.- Fri.

Please indicate: ______ My PreK child will be staying for lunch daily.
                          ______ My PreK child will not be staying for lunch.

Name of Child_______________________________________________________
                          Last                           First                    Middle             Name Called

Boy_____Girl_____

Birth Date:  Month______ Day______ Year______

Father’s Name___________________________Phone_____________________
Address____________________________________________
Zip Code_____________
Where Employed__________________________________________________
Business Phone______________________
Cell Phone___________________________


Mother’s Name___________________________ Phone______________________
Address___________________________________________
ZipCode______________
Where Employed____________________________________________________
Business Phone_______________________
Cell Phone___________________________

Email Address(Parent-Playschool Communication Only)__________________________
_______________________________________________________________________

First Presbyterian Church Member_________Yes___________No

Is this child currently enrolled?_________Is there a sibling currently enrolled?________

Names and Ages of Siblings_________________________________________________
________________________________________________________________________

Does your child have any known allergies? Yes_________No________If yes, please explain._________________________________________________________________
_______________________________________________________________________

Please share any information that you think may be helpful to know about your child ie. Eating habits, special fears, special likes or dislikes, special needs, etc.







Persons that the school is authorized to release your child to in the event you cannot pick him/her up:
Name:______________________________Relationship__________________________
Name:______________________________Relationship__________________________
Name:______________________________Relationship__________________________

Emergency Care Information

Child’s Doctor______________________________Office Phone___________________
Child’s Dentist______________________________Office Phone___________________

If parents cannot be reached in the event of illness or accident, please give two emergency contacts:
Name:______________________Home Phone_____________Office or Cell__________

Name:______________________Home Phone____________Office or Cell__________
Emergency Contacts should be local so that they are available to pick up your child.

Medical Emergency Authorization

I grant permission to the school authorities present during any emergency or accident involving my child,_______________________________, to obtain the services of a physician and/or to transport my child to a hospital. I also grant permission to the physician to treat my child unless I am present and request otherwise.

__________________________________________ _____________________
Mother’s Signature Date

__________________________________________ _____________________
Father’s Signature Date

__________________________________________ _____________________
Insurance Company Policy Number



Field Trip Permission

____________________________has permission to go on all field trips during the 20116-17 school year. Field trips will not be taken unless an adequate number of parent chaperones are available. Toddler and Twos classes do not take Field Trips.

____________________________________(Parent Signature)


Medical Form Required for all Enrolled Children