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Home
About
Gallery
Our Philosophy of Learning
Curriculum and Instruction
Sample Schedule
Testimonials
Contact
Programs
Preschool Programs
Kindergarten
Extended Hours
News
Announcements
Events Calendar
Facebook
Parents
Like us on Facebook!
Downloadable Forms
Handbook
Meeting Agendas and Handouts
Child enrollment form
Please enable JavaScript in your browser to complete this form.
Child's Name
*
First
Last
Nickname (if any)
Birthdate
*
Gender
*
Male
Female
Main contact phone number
*
Address
*
City
*
State
*
Zip
*
Email Address
*
Parent 1 Name
*
Parent 1 Occupation
Parent 1 Phone
*
Parent 2 Name
Parent 2 Occupation
Parent 2 Phone
Has your child previously attended a nursery school or preschool program?
*
Yes
No
If so, where/when?
If the school was DNPCCNS, which teacher?
Please list siblings with age and gender
If a sibling will be attending DNPCCNS this year, list them here
School and district child will attend kindergarten
Is English the primary language spoken in your home?
Yes
No
If English is not the primary language, specific the primary language
Does your child speak and understand English?
What ethnic or religious holidays does your family celebrate?
Would you share your traditions in the classroom?
Do you have a special skill to share with the children?
Has your child developed a hand preference?
Yes, Left handed
Yes, Right handed
No
Behavioral description of your child (social, quiet, energetic, independent, etc.) that might be helpful:
Does your child have playmates of the same age?
Describe your child's special interests (toys, games, sports, etc.):
Does your child have any fears that would be helpful for your teacher to be aware of?
Does your child have any special needs? If yes, please explain.
Child's Physician
Physician phone number
Allergies
My child has allergies
List ALL allergies including food sensitivities; describe reaction and treatment
If medication needs to be administered by teacher, please complete Medication Permission Form obtained in the office.
Check box if EpiPen is prescribed
EpiPen is prescribed
Submit