Enrollment Form For Returning Students CHILD’S INFORMATION:Child's English Name First Last Has any of your child's information changed since last year?* Yes No Has any of the parent information changed since last year?* Yes No If yes, please let us know what has changed:ENROLLMENT:Child enrolling for:* 2 days a week (T/Th) 3 days a week (M/W/F) 5 days a week* *Please note: We recommend that Pre-K students enroll for 5 days, in order to be prepared for Kindergarten.My child is enrolling in the Morning Preschool Program (8:30 AM - 1:00 PM)* Yes No My child is enrolling in the Enrichment Program (1:00-3:00 PM)* Yes No My child is enrolling in the Late Care Option (3:00-4:00 PM)* Yes No My child is enrolling in the Late Care Option (4:00-5:00 PM)* Yes No I would like to sign my child up for hot lunch* Yes No I would like to sign my child up for pizza* Yes No Center City Jewish Preschool is an Equal Opportunity Provider. Admissions, the provision of services, and referrals of clients are made without regard to race, color, religious creed, disability, ancestry, national origin (including limited English proficiency), age, or gender. The enrollment form must be submitted with the required deposit of $500. If your child is thereafter accepted for admission, this registration fee, which is separate from tuition fees, will secure a spot for your child. If we decline acceptance, the deposit will be returned to you. In all other circumstances, the deposit is non-refundable. PLEASE MAKE CHECKS PAYABLE TO: ‘CENTER CITY JEWISH PRESCHOOL’ 527 Lombard Street., Philadelphia, PA 19147 Please print name of Parent(s)/Guardian(s):* Full Name Please print name of Parent(s)/Guardian(s):* Full Name Please sign name of Parent(s)/Guardian(s):* Date* MM slash DD slash YYYY Please sign name of Parent(s)/Guardian(s):* Date* MM slash DD slash YYYY CommentsThis field is for validation purposes and should be left unchanged.
