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MILLBROOK UNITED METHODIST PRESCHOOL mumps

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					                        MILLBROOK UNITED METHODIST PRESCHOOL
                              1712 EAST MILLBROOK ROAD
                                   RALEIGH, NC 27609
                                       919-876-8023
                                preschool@millbrookumc.org

ENTRANCE REQUIREMENTS
All children must be two years old on or before August 31, 2009. We are phasing in a new age cut off for
our students. Following are our age guidelines for class placement:
    Two day 2’s – Must be two by August 31, 2009.
    Two day 3’s - Must turn three before October 15, 2009.
    Three day 3’s – Must turn three by August 31, 2009. *
    Three day 4’s – Must turn four by October 15, 2009.
    Five day transitional 4’s – Must turn four by August 31, 2009. *
          *(Exceptions require pre-approval from Director prior to registration.)
Immunizations required by the public school system are required by MUMPS based on age
          appropriateness. Medical records must be received before the students begin school in September.
          Medical forms will be mailed home along with additional school information at the end of the
          current school term.
REGISTRATION AND TUITION
The registration fee includes accident insurance. The registration fee is non-refundable if there is a space
          for your child in our program unless the enrollee moves out of the county prior to August 1, 2009.
          YOUR CHILD CANNOT BE ENROLLED WITHOUT PAYMENT OF THE
          REGISTRATION FEE. Please include it with your application.
Tuition is due on the first day of each month beginning August 1, 2009. A late fee is charged if tuition is
          not received by the tenth of the month. If the tenth falls on a weekend, tuition is due on the
          preceding Friday.
With thirty days notice of withdrawal, tuition paid for the period after withdrawal will be refunded.
Without thirty days notice, all tuition paid will be retained by the preschool.
The amount of registration fee is equal to the amount of one month’s tuition. Payment of registration fee is
          separate from monthly tuition payments. The registration fee is non-refundable if there is a space
          for your child in our program.
Monthly tuition fees for 2009-2010 are as follows:
          two day 2’s - $168          two day 3’s - $178                   three day 4’s - $214
                                      three day 3’s - $203                 five day transitional 4’s - $281
Registration packets are due in the preschool office by the end of the school day on Friday,
          January 30, 2009. Any applications received after January 30 will be placed in a class if there is
          space available after the placement of all applications received by the January 30 deadline.
SCHOOL TERM AND HOURS
School is in session September through May, with the school calendar being set by the preschool
          committee. Calendars will be mailed with medical forms after the current term is over.
School hours are:            2’s – 9:15am – 12:15pm
                             3’s – 9:15am – 12:20pm until lunch days begin in January
                             4’s – 9:15am – 12:25pm (1:05pm on lunch days)
Four year old classes stay for lunch one day per week (Wednesday or Thursday, depending on the class)
beginning the end of September. Three year old classes begin a lunch day the end of January. These lunch
days are included in the tuition payment. Additional lunch days (Monday – Thursday) are offered both fall
and spring semesters for all students at a nominal fee.
STUDENT PROBABTIONARY PERIOD
Once admitted, a student is placed on a two month probationary period. This allows the school and the
parents to evaluate the student’s progress at MUMPS and his/her opportunities for success. If a concern
rises during the school year, a conference may be called at the discretion of the director or when requested
by parents.
I HEREBY AGREE TO ABIDE BY THE TERMS AS STATED ABOVE:

PARENT SIGNATURE ___________________________________________Date ______________
MILLBROOK UNITED METHODIST PRESCHOOL
1712 E. MILLBROOK ROAD
RALEIGH, NC 27609
919-876-8023
preschool@millbrookumc.org

PLEASE INDICATE DESIRED CLASS. MARK A FIRST AND SECOND CHOICE TO
INCREASE YOUR CHANCE OF SECURING A PLACE IN OUR PROGRAM. DO NOT
INDICATE A CHOICE AS SECOND CHOICE UNLESS YOU ARE WILLING TO ACCEPT
PLACEMENT IN THAT CLASS.

Three day 4’S _____                        Three day 3’S _____

Five day transitional 4’S _____            Two day 3’S _____            Two day 2’S _____

GENERAL INFORMATION

Child’s Name ___________________________________________ Nickname ______________________

Sex _______ Date of Birth _____________________ Phone Number ______________________________

Address _______________________________________________________________________________

City _________________________Zip _________________Subdivision___________________________

E-Mail Address(es) ______________________________________________________________________

Father ____________________________________________ Occupation __________________________

Place of Employment __________________________________________ Phone ____________________

Mother ___________________________________________ Occupation __________________________

Place of Employment __________________________________________ Phone ____________________

FAMILY INFORMATION

Sibling names and ages ___________________________________________________________________

Family pets and names ___________________________________________________________________

Religious affiliation _____________________________________________________________________

Previous preschool experience _____________________________________________________________

Siblings now attending MUMPS ___________________________________________________________

Siblings formerly attending MUMPS ________________________________________________________

Emergency Contacts if parents cannot be reached:

Name _________________________________________________________ Phone __________________

Name _________________________________________________________ Phone __________________

                                       (Please complete back of page)
MEDICAL INFORMATION

Physician ___________________________________________________ Phone _____________________

Dentist _____________________________________________________ Phone _____________________

Does your child have:
Any chronic medical conditions (asthma, allergies, diabetes, etc.) ?

______________________________________________________________________________________

______________________________________________________________________________________

Speech or motor skill delays/ problems ?

______________________________________________________________________________________

______________________________________________________________________________________

Social/emotional concerns (separation anxiety, fears, excessive jealousy, anger, etc.) ?

______________________________________________________________________________________

______________________________________________________________________________________

Is your child toilet trained? We expect all children entering the three year old program to be toilet trained.

______________________________________________________________________________________

Do you have additional information about your child that would help your child’s teachers?

______________________________________________________________________________________

______________________________________________________________________________________

What are your expectations for your child at MUMPS?

______________________________________________________________________________________

______________________________________________________________________________________

In the event that the class (es) for which I have indicated preference is full, please place my child on the
waiting list for an opening in that class should one become available.
                             Parent signature ___________________________________________________
In the event that the class (es) for which I have indicated preference is full, do not place my child’s name
on a waiting list for any class.
                             Parent signature ___________________________________________________
(There is no fee for the waiting list and placement on the waiting list carries no obligations for enrollment
should a spot become available. In the event your child does not receive immediate placement and is
placed on the waiting list, your registration fee is fully refundable. You may enroll for a class which is your
second choice and wait list an alternate class. Enrollment in any class ensures preference on the wait list
for other classes and siblings.)

				
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