Enrollment Form

Dear Parents,

We are so excited that you are choosing to enroll your child at Rising star Preschool. A charming church that welcomes everyone. Our little steeple is a beacon that promotes unity and invites everyone who pass the street and on-site, we offers free parking, with a good setback that keeps street traffic at bay, makes for a safe and secure pick-up and drop-off of your child. Our facility are well designed keeping a child-friendly environment. Ensuring your child's health and wellness.

Our teachers take pride in being able to give your child the love and guidance that he/she needs to grow and excel. We welcome new enrollments. We ask that you please schedule and complete school tour before registering your child at Rising star Preschool We want to make sure that Rising star Preschool is the perfect fit for both you and your child. In taking a school tour you can see our beautiful grounds and learn about your child’s fun learning experience.

Rising star preschool aims to be your child’s home for their entire early childhood education career.

If you have any questions or concerns, please feel free to contact us. We look forward to you becoming part of the Rising star Preschool family.

Sincerely,

Child's Name:(Required)

Nickname:

Date of Birth:

Place of Birth:

City State:

Zip:

Code:

Parent's Name:

Relation:

Mother

Father

Home Phone:

Work Phone:

Employer:

Driver's License Number:

Social Security Number:

Parent's Name:

Relation:

Mother

Father

Home Phone:

Work Phone:

Employer:

Driver's License Number:

Social Security Number:

ITEMS TO BE SIGNED AND RETURNED:

Sibling Information:

Name

Age

Home Information

Marital Status of Parents:

Reason for needing preschool:

Languages spoken in the home:

Does your child have a special blanket or item for naps:

What does he/she call it:

How many hours of sleep does your child usually receive at night:

Words used for toileting:

Does your child have allergies (explain):

Any special medical needs:

Child’s Physician Phone:

PICK UP AUTHORIZATION (EMERGENCY AND ILLNESS AND PICK UPS):

The following people may pick up my child from Carmel Mountain Preschool:

Name

Relationship

Phone

If there are ANY changes to this list we will notify CMP immediately.

Parent’s Signature:(Required)

Date:(Required)

Parent’s Signature:(Required)

Date:(Required)

Child’s Name:

Birth Date:

Classroom:

Parent’s Name:

Summer Schedule: Please choose one

5 full days: Monday-Friday

3 full days: M/W/F or M/T/Th or T/Th/F

2 full days: T/Th

3 half days: M/W/F or M/T/Th or T/Th/F

2 half days: T/Th

Summer Schedule: If OR is in choice, please type days preferred: (Example: M/T/Th)

Fall Schedule: Please choose one

5 full days: Monday-Friday

3 full days: M/W/F or M/T/Th or T/Th/F

2 full days: T/Th

3 half days: M/W/F or M/T/Th or T/Th/F

2 half days: T/Th

Fall Schedule: If OR is in choice, please type days preferred: (Example: M/T/Th)

Parent's Signature:(Required)

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Home Information

PICK UP AUTHORIZATION (EMERGENCY AND ILLNESS AND PICK UPS):

San Diego

Sacramento

North Park

Have Questions?