Preschool Sessions

(Please check your preference-Both sessions are identical.)

Preschool Session {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Name of Pupil {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Will be used to send newsletter, special memos.

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{ binding firstError.message }
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{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Check if willing to share: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Has your child had:

    

All required pre-kindergarten immunizations? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

    

{ binding firstError.message }

    

{ binding firstError.message }
Has your child had prior nursery school experience? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Untitled

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{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

The monthly payment is $120, due and payable on the first day of each month.  Our budget is planned according to this amount; we cannot deduct anything for absence due to illness or otherwise.  Please note:  If Pennsylvania changes the minimum wage, tuition rates may be increased to maintain the same quality preschool as in the past.  Please check this box that you understand this provision.     

Agree to Payment {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

I am enrolling my child in the Good Shepherd Preschool for the 2020-2021 school year for the 3 sessions per week @ $120 per month.  I will be mailing the non-refundable registration fee of $50.  Early withdrawal will require an additional two month tuition payment.

{ binding firstError.message }

253 East Garfield Street, Shippensburg, PA  17257

(717) 532-6526           Celia Riess, Director

Preschool Sessions

(Please check your preference-Both sessions are identical.)

Preschool Session {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Name of Pupil {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Sex {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Date of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Home Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Mom's Cell Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Dad's Cell Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Name of Parent/s or Guardian {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Mom's Place of Employment {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Mom's Business Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Dad's Place of Employment {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Dad's Business Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Check if willing to share: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Person to contact in case of emergency (other than listed above) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Relationship to Child {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Emergency Home Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Emergency Cell Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Child's Doctor {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Doctor's Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Name you want child to learn to write/nickname?  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
List other children in the home (Name, Age/Date of Birth, and Sex): {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Pets in the Home/Names {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Has your child had:

    

All required pre-kindergarten immunizations? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

    

Any allergies?  (Food, insects, pets, etc.) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

    

Any health problems diagnosed, including hearing or speech? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Has your child had prior nursery school experience? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Untitled

Where? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Teacher {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
What else can you tell us about your child as an individual?  For example, what does he/she enjoy doing?  Is he/she right or left handed? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

The monthly payment is $120, due and payable on the first day of each month.  Our budget is planned according to this amount; we cannot deduct anything for absence due to illness or otherwise.  Please note:  If Pennsylvania changes the minimum wage, tuition rates may be increased to maintain the same quality preschool as in the past.  Please check this box that you understand this provision.     

Agree to Payment {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

I am enrolling my child in the Good Shepherd Preschool for the 2020-2021 school year for the 3 sessions per week @ $120 per month.  I will be mailing the non-refundable registration fee of $50.  Early withdrawal will require an additional two month tuition payment.

Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

253 East Garfield Street, Shippensburg, PA  17257

(717) 532-6526           Celia Riess, Director