BORCHERS PRESCHOOL ST PAUL LUTHERAN CHURCH

borcherspreschool@stpaul-borchers.org 10792 N Co Rd 210 E Seymour, IN 47274

PHONE: 522-7484

Director: Carolyn Jones 812-521-0281

We are now accepting enrollment for the school year scheduled to begin the fall of 2015. Enrollment is open to all children in the community. Enrollment is on a first-serve basis. Class sizes are limited. To enter Preschool in August, 2015, your child must be; age 4 years by August 1, 2015 for Sunbeam Class; age 3 by August 1, 2015 for the Rainbow Class; or age 2 by August 1, 2015 for the Raindrop Class.

Offered will be: stories, socialization skills, colors, shapes, painting, coloring, writing name, following directions, cutting, role playing, alphabet, letter sounds, numbers, Bible Stories, puppets, music, rhythm, coordination skills, exercise, field trips, snacks, outdoor play, centers, computers, and much more. The yearly Enrollment Fee is $45.00 for one child and $65.00 for two children per family. Enrollment fees are paid when sending Enrollment Form. Tuition for each class is as follows: Tuition is based on a yearly rate. Parents may choose to either pay the entire yearly rate at one time or pay monthly. Sunbeams 4/5 ($750 per year or $75.00 a month from August-May) Rainbows 3/4 ($500 per year or $50.00 a month from August-May) Raindrops 2/3 ($200 per year or $25.00 a month from Sept-April) Sunbeams meet on Monday, Wednesday, and Friday from 9:00-11:30 August-May. Rainbows meet Monday and Wednesday from 9:00-11:30 August-May. Raindrops meet on Fridays from 9:00-11:30 September-April.

2015-2016 BORCHERS PRESCHOOL

ENROLLMENT FORM Child’s Name __________________,__________,____________________ (First) (Middle) (Last) Address_____________________________________________________________ Home Phone______________________ Birth Date___________________________ (month, day, year) Email Address___________________________________________________ Name I wish my child to be called at school_______________________________ Father’s Name__________________________Employer_______________________ Work Phone___________________________ Cell Phone_______________________ Mother’s Name_________________________Employer________________________ Work Phone___________________________ Cell Phone_______________________ Emergency Name and Number (someone to call if we can’t reach parents) ______________________________________________________________________________ Medical, Diet, Allergies, or Surgical Restrictions________________________________________ Right Handed______Left Handed_______Any Fears or Habits_____________________________ Class your child will be in Pre-school 4/5 Class________ 3/4 Class_______ 2/3 Class________ What school will your child attend next year (4/5 Class only)?_____________________________ Siblings and ages:________________________________________________________________ Family Physician_______________________ Phone #_________________________ Family Dentist________________________ Phone #_________________________ Hospital Preference______________________________

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In case of emergency, and we are unable to reach parents, do we have your permission to seek emergency medical treatment? Yes_____ No_____ Do you give Borchers Preschool permission to put pictures of your child on their website? Yes________ No_______ Preschool reminders and cancellations will be posted on our Borchers Preschool Facebook page and on the St Paul Lutheran Church, Borchers website. If you want to check Facebook/website for reminders please check here___________. If you don’t have Facebook and would like a text message please check here__________. Phone number to text_________________________ Parent’s Signature________________________________Date______________ Parent’s Signature________________________________Date______________ I wish to pay monthly______ or yearly______