JACK AND JILL
COMMUNITY PRESCHOOL
REGISTRATION
PACKET
********************
2011/2012
Jack and Jill Community Preschool is a Cooperative Preschool.
This means that the parents all work together for the good of the school.
http://jackandjillcoop.schools.officelive.com
JACK AND JILL COMMUNITY PRESCHOOL
REV. 12/10
*TO ALL PROSPECTIVE PARENTS*
Jack and Jill Community Preschool is a Cooperative Preschool. This means that the parents all work
together for the good of the school. A Co-op is an enterprise or organization that is owned or managed jointly
by those who use its facilities or services. The parents are involved with the day to day operation of the school,
which gives the ability to influence and be involved in your child’s impressionable preschool learning
experience.
We as parents are required to participate in the following: Helping at school on the assigned days (1 or 2 days
per month), & bringing a snack in approximately every other scheduled working day, organizing and working at
one classroom party per year, attending all parents meetings (3 meetings per year) and participating in school
functions.
All of this may sound like "WORK", but it actually is an opportunity to be with your child and help him/her
have a positive start in their early school years. You will know everything that they are doing and will also be
able to contribute your ideas on how the school is run. Your child will have one of the most enjoyable times of
his/her school years at Jack and Jill.
If you agree that this is an excellent way to educate your child, please thoroughly read this registration packet.
Students currently enrolled at Jack & Jill are given first priority for enrollment and may enroll anytime after
January 1st, 2011. Alumni of Jack & Jill may enroll on or after January 1st, 2011 and then an open enrollment is
held for the general public on or around the first week of February (for the school session of the upcoming
September).
After open enrollment, registration forms are considered based on the order in which they are received. Once a
class is considered full (18 for the three (3) year old class & 18 for the four (4) year old class), children are
placed on a waiting list based on the order in which their registration forms are received. The last page of the
registration packet is to be completely filled out and mailed with the fifty ($50.00) non-refundable registration
fee to the president. All registration forms must be accompanied by the $50.00 registration fee in order to be
placed on the enrollment list. We will contact you by phone or via the mail to let you know the status of your
enrollment. Feel free to contact us if you should have further questions.
Jack and Jill Community Preschool admits students of any race, color, and nationality or ethnic origin.
http://jackandjillcoop.schools.officelive.com
JACK AND JILL COMMUNITY PRESCHOOL
***********************************************************
WE HEREBY AGREE TO THE FOLLOWING
1) FIELD TRIPS
Our child and his/her siblings may participate in all field trips (unless otherwise specified). We will accompany our child or make
arrangements for him/her if we cannot attend. We will not hold Jack and Jill Community Preschool liable for our child (or siblings)
during these filed trips for the school year 2011 - 2012.
2) Supply FEE
A supply fee of $100 made payable to Jack and Jill Community Preschool. A $50 to be paid at the 1st parents meeting, the other $50 at
the beginning of January.
3) FUNDRAISING
Monthly tuition is not sufficient to run a non-profit organization. Therefore, as a means to pay all of its expenses, Jack and Jill MAY
hold a number of fundraisers throughout the school year.
4) MEDICAL FORM
The enclosed medical report must be completed by the child's physician and returned to the Parent Leader prior to the beginning of the
school year. Please remember that you may register your child before completing the medical form, although the completed medical
report is required prior to the start of the school year.
THE MEDICAL FORM MUST BE IN BY THE FIRST DAY OF SCHOOL OR THE
CHILD CANNOT START.
5) PHOTO RELEASE
We agree to let the publicity chairman/chairwoman put our child's picture in the paper without prior notice.
6) REGISTRATION FEE
A Fifty dollars ($50.00) (non-refundable) made payable to Jack and Jill Community Preschool to be returned with last page of the
registration packet.
7) GENERAL RULES
By signing the document, we are stating that we have read the General Rules’ packet for Jack and Jill Community Preschool and we
understand and agree with its contents. We will abide by these rules and pay any fines should they be assessed to us.
8) TUITION
3-Year-Old CLASS
Tuesday and Thursday 9:00-12:00
Child must be 3 years old by December 1, 2011.
$82.00 PER MONTH
_______________________________________________________
4-Year-Old CLASS
Monday, Wednesday, and Friday 9:00-12:00
Child must be 4 years old by December 1, 2011
$105.00 PER MONTH
_______________________________________________________
***If you have any further questions, please contact one of the following: TC Khadra (Co-President) 773-6656
JACK AND JILL COMMUNITY PRESCHOOL
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*PARENT INFORMATION SHEET*
FIRST PARENTS’ MEETING:
- TUESDAY, AUGUST 30th, 2011 - 7:00 P.M. AT THE SCHOOL - remember all meetings are MANDATORY.
- September and May tuition due at this meeting.
- MEDICAL REPORT FORM IS DUE AT THIS MEETING. If it is not turned in by the first day of
school, this child will not be able to start school (unless a note from Doctor is available stating when the vaccinations are to be
given).
- This meeting covers policies of Jack and Jill Community Preschool, its rules and parental obligations. An overview of the curriculum
during the upcoming school year is also reviewed.
- This is a great time to meet other parents and set up carpools and reciprocal baby-sitting arrangements.
FIRST DAY OF SCHOOL - TBD based on the G.I. Schools start date. (4 Year Olds)
TBD based on the G.I. Schools start date. (3 Year Olds)
- Child must be completely toilet trained by this time.
NOTE: PARENTS ARE REQUIRED TO ATTEND ALL MEETINGS.
PARENTS’ MEETINGS (dates subject to change)
August 30th, 2011 Parents’ meeting 7:00 P.M. at the school
November 15th, 2011 Parents’ meeting 7:00 P.M. at the school
***All other important dates will be announced at the November parents meeting.
http://jackandjillcoop.schools.officelive.com
JACK & JILL COMMUNITY PRESCHOOL
******** MEDICAL REPORT ********
(To be completed by your child’s physician prior to the first day of school and returned
to the Parent Leader.)
Child’s Name: ___________________________ Birthdate:________________
Address: ___________________________ Age: _______Yrs. ______Mos.________
___________________________
TO BE COMPLETED BY PHYSICIAN:
1) Significant physical findings: ___________________________________________________
__________________________________________________________________________.
Recommended medication(s): ____________________________________________________
____________________________________________________________________________.
2) Recommendations to teacher (Academic):
May student carry a full program? ______________________________________________
Is he/she restricted on stair travel? ______________________________________________
Is special seating recommended? ______________________________________________
Is special exercise or diet recommended? ________________________________________
3) Recommendations for physical education. Please circle one of the following.
a. Unlimited activity. c. Restricted, no activity.
How long? ___________________________
b. Modified activity when child is d. Individual program, if possible.
Symptomatic, e.g. asthma. Specific: ___________________________
___________________________
4) Complete the following by giving dates of immunizations or attach a copy of immunization record.
DTP (3 or more) __________ __________ __________ ___________
POLIO (3 or more) __________ __________ __________
MMR __________
HIB __________ __________ __________ ___________
HEP B (3 doses) __________ __________ __________
VARICELLA __________
Is this child completely immunized to date? Yes_____ No _____
If no, why not?________________________________________________________________
___________________________________________ ___________________
(Physician’s Signature) (Date)
JACK & JILL COMMUNITY PRESCHOOL
************ REGISTRATION FORM ************
Class: 3 Yr. Old __________ 4 Yr. Old __________
Child’s full name: ___________________________________ Birthday: _______________________
Address: ___________________________________ M____ F____ Phone: ___________________
___________________________________ Nickname: ____________________________
Mother’s Name: ___________________________________ Work Phone:____________ Home: _____________
Employer: ___________________________________ Occupation: _______________________________
Cell Phone: _____________________________________ Email:__________________________________
Father’s Name: ___________________________________ Work Phone: ____________ Home: ___________
Employer: ___________________________________ Occupation: _______________________________
Cell Phone: _________________________________________
Does the Child live with both parents? ________________ Marital Status: M____ S____ D____
Is the child with a babysitter during the day? ___________ If yes, what days? __________________________
Babysitters Name: __________________________________ Phone:_______________________________
Who is responsible for payment of tuition? ___________________
Any other children in the family (Name & Age)
1. _______________________________________________ 2. ___________________________________________
3. _______________________________________________ 4. ___________________________________________
Other people living in home? _______________________________________________________________________
Group experience (where)? _________________________________________________________________________
How many approximate hours of sleep per night does your child get? ___________________________________
Do you have any interests or hobbies that you would be willing to share with the children? ________________
________________________________________________________________________________________________
In case of emergency, when unable to reach a parent, call:
1. _____________________________________________________________________________________________
2. _____________________________________________________________________________________________
(Name) (Address) (Phone)
Child’s doctor: __________________________________________________________________________________
(Name) (Address) (Phone)
Allergies or pertinent medical information: __________________________________________________________
________________________________________________________________________________________________
Are there any specific problems the teacher should be aware of? _______________________________________
I would like ______ not like ______ to be included on the class list that is distributed to the families in my
child’s class. The list includes my child’s name, parents’ names, address, phone number & email.
We hereby understand and agree to follow all rules, regulations and requirements as stated on the previous
pages of the Jack & Jill Community Preschool registration packet.
Mother: _____________________________________________ __________ Interested in Car
Father: _____________________________________________ __________ Pooling?
(Signature) (Date) Yes____ NO____
If completing after open enrollment,
please mail completed registration forms and
$50.00 registration fee to:
Jack and Jill Community Preschool
2587 Baseline Road
Grand Island, N.Y. 14072-2132
(*Make all checks payable to “Jack and Jill Community Preschool”)