Preschool Application - St. Aloysius Catholic School

Child’s Full Name*

Birthdate*

Please choose the class in which you are interested

There is a non-refundable application fee of $150.00 per child due with this application.

This fee is only refundable if we do not have an opening for your child. If you are offered a position and choose not to accept the fee will be retained.

Priority for preschool enrollment presumes active participation in the St. Aloysius parish; as well as, support of the church and is based on the following:

All preschoolers must meet the age requirements of the class for which they are applying.
All children must be fully potty trained before entering preschool. With the exception of the Little Lamb’s (two’s).

Priority will be given to those students, who are currently enrolled in St. Aloysius Preschool, and the following:

Families who are current with tuition, siblings of students currently enrolled in St. Aloysius Preschool
Registered, active parishioners with children currently enrolled in St. Aloysius Elementary School (K-8th grade).
Siblings of students previously enrolled in St. Aloysius Preschool.
Registered active parishioners.
Non-parishioners.

Upon acceptance into the St. Aloysius Catholic Preschool our family will be active participants in supporting the program and staff throughout the school year

Name (Printed)

Name (Signed)

Name (Printed)

Name (Signed)

Child's Name

First Middle Last

Name Child Prefers

Primary Address of Child

Street Address Address Line 2 City State ZIP Code

Preferred email to use for communication

Parents/Guardian Names

Marital Status of Parents

Child lives with

Other

Mother’s Name

Address if different than child

Street Address Address Line 2 City State ZIP Code

Home Phone

Cell Phone

Employer/Occupation

Father’s Name

Address if different than child

Street Address Address Line 2 City State ZIP Code

Home Phone

Cell Phone

Employer/Occupation

Legal Guardian’s Name

Address if different

Street Address Address Line 2 City State ZIP Code

Child’s Baptismal Date

Church

Are you a member of St. Aloysius Church?

Yes
No

Date you joined parish

Other Children in the Family

Name, age, grade/school

Is your child POTTY TRAINED? ( MUST be fully trained by school start unless applying for the Little Lamb Program.)

Yes
No

Please note status on training

Are there any known allergies, health, or medical conditions we should be made aware?

Has your child had First Steps Interventions? If so, please provide a brief summary of the intervention provided.

Is there any specific instructions regarding child’s treatment (allergy medications, ongoing medication, restrictions, behavior patterns)

Can your child do these things by him/herself?

Describe any daycare/preschool experiences your child has had:

What are your expectations for the St. Aloysius Preschool Program?

Untitled

Printed Name

Signature

Relationship to Child

Date

Please check how you heard of our program?

Friend
Brochure
Church Bulletin
Internet

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