2018-19 Registration for Age 3-4
Age 3-4
Tuesdays/Thursdays
9:00-11:00am


REGISTRATION IS COMPLETE AND YOUR CHILD'S SPOT WILL BE SAVED WHEN WE'VE RECEIVED THE FOLLOWING (MAY BE EMAILED, MAILED, OR BROUGHT TO THE PRESCHOOL):
-This Registration Form
- Non-refundable registration/art fee -- $35 FOR CURRENT STUDENTS, $50 FOR NEW STUDENTS
         (may use "Make A Payment" tab on website if desired)
-Copy of official birth certificate (NEW STUDENTS ONLY)
-Copy of current immunization record
-Current wallet-sized, 4x6, or digitally emailed picture of your child

Sign in to Google to save your progress. Learn more
Child's first name: *
Last name: *
Date of Birth: *
MM
/
DD
/
YYYY
Address *
Gender: *
Required
Parent or Guardian name: *
Address (if different from preschooler)
Phone number: *
Email Address: *
Emergency Contact: *
Emergency contact's phone number: *
Child's Primary Physician *
Primary Physician Phone Number *
List any medical conditions, allergies (including  food) that we should be aware of:
Has your child attended preschool before? If so, how many years?
List other children your child would like to be in class with:
Are there any concerns of the following?
Clear selection
Has your child started to show "handedness" in writing and other tasks? If so, which one? *
Required
Please list some skills you would like your child to be introduced to or improve upon this year: *
CONSENT AND RELEASE: I hereby give my consent for the above-named child ("Student") to attend Stepping Stones Preschool (“SSP”) located at 560 Homestead Road, Chubbuck, ID 83202, for the 2018-19 school year. While at SSP the student will engage in creative and educational activities with other students who are between the ages of three to five years of age, who can oft times have accidents that can result in minor injuries. While SSP has taken all necessary measures to provide appropriate supervision and a safe learning environment, unintentional accidents or injuries still may occur. I hereby release any and all claims against SSP or its owners or employees for personal injuries that the Student may suffer while attending SSP and interacting with other students.                                                                                                                                      I also grant permission for photographs and videos to be taken of the Student to be used for the promotion of SSP on its website, Facebook and Instagram pages.                                                                                                                                                  I agree to receive emails from SSP and know I can ask to be removed from the mailing list at any time. *
Required
STEPPING STONES PRESCHOOL--BEHAVIOR POLICY: At preschool age, the children are still learning many social and personal skills and I will be helping them with this. However, I do expect the children to treat me and others with respect and kindness. If there is an occasion where a child is misbehaving or acting inappropriately and will not respond to reason, I will ask him/her to sit in our "calming area” for one minute or until behavior has calmed and child is able to control him/herself. If the child continues unacceptable behavior after three “rests”, he/she will not be able to join our activities for the rest of that class period and a parent may be contacted. Please prepare your preschooler to exhibit good behavior during our class time as this will help all who are attending to have a good experience and get the most out of our activities and group learning. I reserve the right to dismiss any child whose behavior continues to be a hindrance to our classroom, learning, and the well-being of others - indefinitely and without refund. *
Required
STEPPING STONES PRESCHOOL - SICK POLICY:   Strive to have your student at preschool each day, but please observe their health each time and make an exception when he/she is sick. Please keep your child at home in the case of: *Excessive coughing *Discolored thick mucus from the nose or excessively runny nose *Fever above 100 *rashes *diarrhea *vomiting *pink eye *head lice *lethargic, achy, “I might be getting sick” kind of feeling – play it safe and keep them home.This will help us keep our preschoolers healthy and happy and prevent further absences. I will be calling for the child to be picked up if I determine he/she is exhibiting any of the above symptoms. I will send home make-up work and make sure the child gets caught up quickly! *
Required
STEPPING STONES PRESCHOOL - TUITION POLICY:  Tuition is due on or before the 8th of each month. After that, I will add a late fee of $10 to the next month’s tuition (unless prior arrangements have been made with me). Please make checks payable to Stepping Stones Preschool or Angelene Larsen. If your account becomes one month behind, your child will not be allowed to come to class until it tuition is caught up to the current month.Tuition is the same each month, even when there are varying number of classes from month to month. The days in class average out over the year and my lessons are planned for the entire year to meet our goals and finish our curriculum accordingly.Other charges may be incurred if you are not prompt in picking up your child after class. For every 15 minutes late, I will a charge $5 fee. If you need to leave your child longer, please visit with me to make arrangements. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy