Application for Little Swans Preschool

Thank you for your interest in Little Swans for your child! We are taking applications for the 2020/21 school year.

Applicants to Little Swans should be three by September 15, and are expected to be toilet trained when they begin preschool.

Family Contact Information

Parent/Guardian Name

First Name

Last Name

Second Parent/Guardian Name

First Name

Last Name

Phone

Second Phone

Verify Email

Second Email

Verify Email

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Address of 2nd P/G (if different)

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Desired Enrollment Schedule

These are the enrollment options available for preschoolers; we will use the information you provide to create a schedule and generate contracts.

Full Year TUITION for 2021/22	5 days/wk	3 days/wk (M/W/F)	2 days/wk (T/Th)
Full Day (8:00 to 4:30)	$8,400	$5,040	$3,360
Half Day (8:00 to 12:00)	$5,040	$3,020	-

I would like to enroll my child for:

5 full days/week (M-F)

5 half days/week (M-F)

3 full days/week (M/W/F)

3 half days/week (M/W/F)

2 full days/week (T/Th)

Not sure

About My Child

Child Name

First Name

Last Name

Child Birthdate

(mm/dd/yyyy)

Does your child have experience participating in out-of-home care?

Yes

If yes, please describe:

Do you anticipate your child needing assistance during drop off or pickup?

Yes

If yes, please describe:

Please list some of your child’s favorite indoor and outdoor activities.

Please list some of your child’s favorite books and/or songs.

Does your child have any fears (e.g., dogs) or sensitivities (e.g., tags on clothes)?

Yes

If yes, please describe the most effective strategies for helping your child cope.

What self-help activities (e.g., getting dressed, zipping zippers) are completed independently while at home?

My child:

is toilet training

needs assistance when toileting

uses the toilet independently

If your child is toilet training, or needs assistance toileting, please describe your routine.

What words does your child use for urination? bowel movements?

Does your child nap?

Yes

What is the length of your child’s nap?

My child falls asleep:

independently

with assistance

If with assistance, please describe your child’s nap time routine.

Does your child have a special comfort object he/she likes at rest?

Yes

If yes, please list object.

Does your child need assistance at meal times?

Yes

If yes, please describe:

How do you handle ... sharing?

... messy play?

...gender roles?

What is your family’s ethnic or cultural background?

How can we best support your child when they are experiencing challenging emotions? (sad, frustrated, nervous, etc.)

Do you have any concerns you would like to share with us about your child?

Please share any additional information you would like us to know about your child to help us learn more about them and help with their transition into the Preschool classroom.