Online Application - Peartree Preschool

Applicant's Information

Student Gender Male Female

Previous School Experience

Programs

Please indicate your choice for number of days per week by indicating first, second, third choice.

*First Choice (Daily Schedule) 2 days (T, Th) 3 days (M, W, F) 5 days (M-F)

*Second Choice (Daily Schedule) 2 days (T, Th) 3 days (M, W, F) 5 days (M-F)

*Third Choice (Daily Schedule) 2 days (T, Th) 3 days (M, W, F) 5 days (M-F)

Daily Schedule Preference Please indicate your choice for hours per day by indicating first and second choice.

*First Choice (Daily Hours) 9:00 a.m. - 3:00 p.m. 9:00 a.m. - 6:00 p.m.

*Second Choice (Daily Hours) 9:00 a.m. - 3:00 p.m. 9:00 a.m. - 6:00 p.m.

Early Drop off (8:00 a.m.) Needed? Yes No

*Please indicate which program you are interested in September-June Year-round

Household Information

Parent/Guardian One

Gender Female Male

Custodial Rights? Yes No

Financial Responsibility Yes No

Receive Correspondence? Yes No

Marital Status Married Single Divorced Separated Widowed

Parent/Guardian Two

Gender Female Male

Custodial Rights? Yes No

Financial Responsibility Yes No

Receive Correspondence? Yes No

Marital Status Married Single Divorced Separated Widowed

Does applicant have a parent/guardian at another address? Yes No

Does your child associate with both parents? Yes No

Does the applicant have any siblings? Yes No

Parent Questionnaire

Please specify any health or developmental issues your child has had and what steps were taken to address the situation.

Electronic Signature

The electronic signatures below and their related fields are treated by Peartree Center like a physical handwritten signature on a paper form.

Agreements
My signature below affirms that all of the information contained in this application is correct, complete, and honestly presented. I understand that withholding or misrepresenting information in this application may jeopardize my child's admission.

This application is merely a request for admission. It becomes binding upon the undersigned only when the applicant has been interviewed, formally accepted, and a non-refundable deposit is paid.

No deduction from the year's fees can be made because of absence or for those who give up their place at any time during the year. Peartree Preschool reserves the right to exclude any pupil permanently or temporarily at any time, if the school deems such action advisable, either in the interest of the pupil or for the good of the school.

A parent's full obligation is outlined in the annual enrollment contract and handbook.

Check for Electronic Signature I agree