Pre-K Enrollment

PRE-K ENROLLMENT FORM (if you have any questions Email: shepherdsprek@gmail.com)

SHEPHERD’S BAPTIST PRE-K ENROLLMENT FORM (#5)

Child's First Name

Child's Middle Name

Child's Last Name

Preferred Name To Be Called

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Mom’s Full Name

Mom’s Cell Number

Mom’s Email Address

Dad's Full Name

Dad's Cell Number

Dad’s Email Address

What is the child’s first language?

Who has primary care of the child?

Are there any parental restrictions?

Please Explain:

1ST EMERGENCY CONTACT NAME:

Contact Phone Number:

Relationship To The Child:

2ND EMERGENCY CONTACT NAME:

Contact Phone Number:

Relationship To The Child:

MEDICAL DETAILS: Does Your Child Have Any Allergies?

What Are The Allergies?

What treatment should be administered?

IF YOUR CHILD HAS FOOD ALLERGIES, YOU WILL BE REQUIRED TO BRING IN A SNACK FOR YOUR CHILD EACH DAY.

ARE THERE ANY MEDICAL ISSUES THAT WE NEED TO BE AWARE OF?

HOW SHOULD THE MEDICAL ISSUE BE HANDLED?

PERMISSIONS: Do you permit us to use photographs of your child for promotional purposes?

Yes

PERMISSIONS: Do you permit us to administer basic first aid to your child?

Yes

REGISTRATION FEE: $50 - NON-REFUNDABLE SUPPLY FEE: $40 DUE AT REGISTRATION ACCEPTANCE & NON-REFUNDABLE IF THE CHILD LEAVES SHEPHERD’S BAPTIST PRE-K.

MONTHLY PRESCHOOL TUITION:: $160 PAYMENT DUE THE 1ST OF EVERY MONTH OF THE SCHOOL YEAR, SEPTEMBER THROUGH MAY.

I UNDERSTAND AND ACKNOWLEDGE THAT THE TUITION FEE WILL BE PAID BY THE 1ST OF THE MONTH.

I UNDERSTAND THAT I WILL GIVE 1 MONTH'S NOTICE OR 1 MONTH OF FULL TUITION IF I DECIDE TO REMOVE MY CHILD FROM SHEPHERD’S BAPTIST PRE-K.

SIGNATURE:

Date:

80 Pressly Foushee Rd,
Sanford, NC, 27330

Find Hope & Purpose

Services

Sunday Worship 11:00 am

Wednesday Dinner & Devotions 6:30 pm