My child is a......* Please select all that you would like to apply for:*
PARENTS WHOSE CHILDREN ARE RECEIVING SERVICES OR ARE CURRENTLY RECEIVING CLASSROOM SUPPORT SHOULD CONTACT LINDSEY UNDERWAY BEFORE COMPLETING A SUMMER CAMP APPLICATION.
Child's Name*
First
Last
Child's Birthdate* Address*
Parent/Guardian 1 Name*
First
Last
Parent/Guardian 1 Email* Parent/Guardian 2 Name
First
Last
Parent/Guardian 2 Email
NEW STUDENT QUESTIONAIRRE Please mark all that apply to your child.* Inclusion 1* Does your child currently receive any early intervention support or services (e.g., speech therapy, physical therapy, developmental therapy)?
Please explain the support or services your child is currently receiving*
Inclusion 2* Has your child previously participated in any early intervention support or services (e.g., speech therapy, physical therapy, developmental therapy)?
Please explain the support or services your child received and when.*
Inclusion 3* Does your child have a current IEP?
2025-26 SCHOOL YEAR APPLICATION Criteria for placement in classes includes: age requirements, creating the best classroom dynamics and Cherry's ability to support the needs of children enrolled in our Inclusion Program.
In order to maximize your chances for enrollment, we urge families to be flexible and indicate as many choices as
possible for your child. Please note the age requirement for each class you choose. Finally, only choose classes
you would be willing to accept since your registration fee will not be refunded if you are placed in a class.
I would like to add the following days of Before School Care:
I would like to add the following Extended Day Programs: Students enrolled in Extended Day Programs bring a lunch from home.
I would like to add the following days of Lunch Bunch. Students enrolled in Lunch Bunch bring a lunch from home.
Music & More Afternoons with Creative Kids Corner (Mon-Fri, 2:15-5:00pm) Please write a note in the box below if there are any special circumstances you want the staff to consider in placing your child(ren), e.g. issues with work or siblings' schedules.
2025 SUMMER CAMP APPLICATION I would like to register my child for the following weeks of Summer Camp:* I would also like to register my child for the following additional Fridays: I would also like to register my child for the following additional Summer Camp Extended Care Programs:
POLICIES & AGREEMENTS Agree*
FINANCIAL ASSISTANCE
Financial Assistance Application?* Will you require financial assistance to attend Cherry Preschool?
Household Household members* Please list all siblings with their dates of birth and the names of adult dependents with the amount of support provided.
Parent/Guardian #1 Information must be provided for both parents, regardless of living situation or marital status.
Parent/Guardian #1*
First
Last
Financial Responsibility* This adult has legal responsibility for this child, supporting the child in part or claiming as a dependent.
Residence* This adult lives with this child:
Employer's Address and Phone number*
Parent/Guardian #2 Parent/Guardian #2*
First
Last
Financial Responsibility* This adult has legal responsibility for this child, supporting the child in part or claiming as a dependent.
Residence* This adult lives with this child:
Employer's Address and Phone number*
Other Sources of Household Income: Sources of Support Please describe the sources of the support above.
Extraordinary Expenses or Other Hardships Please describe below any any additional circumstances you would like us to consider, i.e. outstanding loans or debts, medical expenses, recent loss of employment or expected loss of income:
Certification