2025 APPLICATION FOR
FOURS’ PROGRAM

Please complete this form if you are interested in joining our 2025-26 Preschool Program. Children must be four and toilet-trained on or before September 1, 20245

Class Fours Registration form 2025

CHILD INFORMATION

Address
Name of Parent / Guardian 1
Custody(Required)

Is your child or their sibling an alumni/student at The P.L.A.Y. School, which qualifies them for an alumni discount of $10/mo for enrichment class?

MEDICAL INFORMATION

I hereby grant permission for the staff of this facility to contact the following medical personnel to obtain emergency medical care if warranted.

EMERGENCY CONTACTS

Child will be released only to the custodial parent or legal guardian and the persons listed below. The following people will also be contacted and are authorized to remove the child from the facility in case of illness, accident or emergency, if for some reason, the custodial parent or legal guardian cannot be reached:
TUITION SCHEDULE: I am enrolling my child for the following program (choose one or both options):

The P.L.A.Y. School is a 501 (c)(3) nonprofit organization. Donations and Corporate partnerships keep our program affordable and allow us to offer scholarships and free parent workshops and family programs and events

If you own or are affiliated with a business or organization and would like to bid on or donate services, be a corporate sponsor/partner, or provide grant funding to The P.L.A.Y School, please provide the following information:

The P.L.A.Y. School does not discriminate based on disability or any other basis in the enrollment in or access to our services. Financial assistance is available on a sliding scale thanks to generous community donations. Please ask for a Financial Assistance form if you need help with tuition.

Your signature below indicates that you have read the above items and that the information on this enrollment form is complete and accurate.

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