Clear Form

Thank you for supporting our school!

☐ 2022-23
☐ Nido
☐ Stepping Stones
☐ Children's House
☐ Kindergarten (must be 5 years old by Dec. 1st)

Family Information

Parent / Guardian 1

I give permission for my email to be added to the class roster that is distributed to the classroom parents. This can be helpful to parents in order to set up playdates or send invitations to birthday parties.

Parent / Guardian 2

I give permission for my email to be added to the class roster that is distributed to the classroom parents. This can be helpful to parents in order to set up playdates or send invitations to birthday parties.

Background information

Name & Date of Birth
Please specify internet search engine or specific referring family
In case of emergency, who should we contact if the parents cannot be reached?
NamePhoneEmail
Please list all adults that are allowed to pick your child up from school (including parents)
NamePhone NumberRelationship to Child
☐ English
☐ Spanish
☐ French
☐ Chinese
☐ Korean
☐ Other:
(Documentation will be required)
A nap/rest is available to all students in our program. Children will nap on a mat, cot or crib which will be covered by a crib sheet provided by the parents. Children over the age of 12 months may also use a small light blanket to rest with. Your child will nap/rest in their classroom with supervision consistent with state regulations. Please provide any input regarding your child's nap/rest time:
Can we use images of your child in school marketing?
Can we use images of your child on social media?
Can we use images of your child in house (Transparent Classroom, classroom newsletters etc)
Does your child have any allergies?
Are there any medical or developmental conditions requiring special attention?

Non-Discrimination Policy
The School believes that each individual is entitled to an equal educational opportunity. Students and families will not be discriminated against on the basis of age, race, sex, sexual orientation, creed, color, national origin, ancestry, marital status, disability, religion, pregnancy or any other characteristic protected by law, in any educational decisions, including, but not limited to, enrollment, dismissal, educational preparation and placement except where provided by law. All enrollment and education-related decisions are based solely on the ability of the School to meet the educational, social, and physical needs of the individual children and/ or families in attendance at the School.