Enrollment « Denbigh Presbyterian Pre-Kindergarten

Children between the ages of 2 1/2 and 5 years are eligible for enrollment. Your child’s official state issued birth certificate must be presented for review at the time of registration. No copies will be accepted.

	Denbigh Presbyterian Pre-Kindergarten offers the following classes:
	Children who will turn 3 before March 1 of next year may enroll in our two day 2 1/2-year-old class. Children at least 3 years of age by September 30 of this year may enroll in our two or three day 3-year-old classes. Children at least 4 years of age by September 30 of this year may enroll in our three or four day 4-year-old classes.

	To provide the best care in meeting the needs of each child, enrollment will be limited as follows:
	2 1/2-year-old-classes will be limited to no more than 12 children. 3-year-old classes will be limited to no more than 14 children. 4-year-old classes will be limited to no more than 16 children. Each class is staffed with one Teacher and one Assistant Teacher.

Online Registration Form (2012-2013)

Completion of this form will place you on a waiting list. You will be contacted if there is space available.

The registration, supply and activity fee must be paid at the time of registration and IS NOT REFUNDABLE.
Your child must be three years old on or before March 30 of next year to be eligible for this program.
Successful toilet training is necessary to participate in these classes . However, children in the 2 1/2-year-old class may wear disposable underwear such as Pull-Ups. If your child is not toilet trained at the time of registration, you will be contacted in August to determine if this requirement has been met.
September tuition is due by August 15 . Tuition for October through May must be paid in advance on the first day of each month. Classes will be from 9:15 a.m – 12:15 p.m, with the exception of our 2 1/2-year-old class, which will be held from 9:30 a.m. – 12:00 p.m.
Your child’s original birth certificate must be viewed and the number recorded by a school representative prior to your child attending class.
The Pre-Kindergarten requests that you confirm this application in person by stopping by our office. This procedure is in lieu of a pre-school interview with the Director. The Pre-Kindergarten office is open from 9 a.m.-1 p.m. If you have any questions, you may call the Pre-Kindergarten office at (757) 898-1043.
You will be contacted by the Director at a later date if your child has any special needs or problems that need to be discussed.

Release of Information By selecting the authorization option in the form below, I give permission to have my name(s), address, telephone number(s) and e-mail address published in a school roster for distribution to other school families. This request is made so that the parents in this school may arrange for car pools and play dates. This information will not be given to anyone for any other reason.

* Child's Last Name:
* Child's First Name:
Child's Middle Name:
* Name Child Should Recognize:
* Name Child Should Be Called:
* Gender:	Male Female
* Date of Birth

* Father's First Name:
* Father's Last Name:
* Mother's First Name:
* Mother's Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip Code:
* Home Phone:
Father's Work Phone:
Father's Cell Phone:
Mother's Work Phone:
Mother's Cell Phone:
* Email Address1:
Email Address2:
Church Affiliation:
* Child's Physician:
* Physician's Phone:
* Is the Child Toilet Trained?:	Yes No
Special Needs Discussion Needed?:
For 2 1/2-Year-Olds (Child must be 3 before March 30, 2013)
For the 2 1/2-year-old class, please note:
Successful toilet training is not necessary to participate in this class. However, we do not have diaper changing; so if the child has a bowel movement, the parent will be called to come in and change the child.
* Enroll my 2 1/2-Year-Old In:
For 3-Year-Olds (Child must be 3 by September 30, 2012)
* Enroll my 3-Year-Old In:
* Teacher Preference for 2 Day Program (will be honored if possible):
* Teacher Preference for 3 Day Program (will be honored if possible):
For 4-Year-Olds (Child must be 4 by September 30, 2012)
* Enroll my 4-Year-Old In:
* Teacher Preference for 3 Day Program (will be honored if possible):

* Submission Date:
* Authorizing Parent:
* I authorize release for the purpose listed above:	Yes No