My child is a......* Please select all that you would like to apply for:*
Children must be potty trained and 3 before Sept 1, 2023 to apply for Summer Camp.
If your child is still working on potty training, you may apply for Summer Camp and indicate that you would like to be put on the waitlist. No payment is required to be on the waitlist.
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?
2023 - 24 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.
First Choice* 5 AM Transitional Kindergarten (Mon-Fri, 9:15AM-2:15PM) - Must be 4 by Sept 1, 2023 5 AM Pre-K (Mon-Fri, 9:15AM-12:00PM) Must be 4 by Sept 1, 2023 4 AM STEM (Mon-Thu, 9:15AM-12:00PM) Must be 3 or 4 by Sept 1, 2023 4 AM Dual Language (Mon-Thu, 9:15AM-12:00PM) Must be 3 or 4 by Sept 1, 2023 4 AM Threes (Mon,Tues,Wed, Thu, 9:15AM-12:00PM) Must be 3 by Sept 1, 2023 3 AM Bridge (Tues, Wed, Thu, 9:25-11:55AM) Must be 2 by Sept 1, 2023 4 PM Learning Through The Arts (Mon-Thu. 12:00-2:15PM) Singing Sprouts (Monday 9:30-11:00AM) Must be 2 by March 1, 2024
Second Choice 5 AM Transitional Kindergartern (Mon-Fri, 9:15AM-2:15PM) - Must be 4 by Sept 1, 2023 5 AM Pre-K (Mon-Fri, 9:15AM-12:00PM) - Must be 4 by Sept 1, 2023 4 AM STEM (Mon-Thu, 9:15AM-12:00PM) - Must be 3 or 4 by Sept 1, 2023 4 AM Dual Language (Mon-Thu, 9:15AM-12:00PM) Must be 3 or 4 by Sept 1, 2023 4 AM Threes (Mon,Tues,Wed, Thu, 9:15AM-12:00PM) Must be 3 by Sept 1, 2023 3 AM Bridge (Tues, Wed, Thu, 9:25-11:55AM) Must be 2 by Sept 1, 2023 Singing Sprouts (Monday 9:30-11:00AM) Must be 2 by March 1, 2024 NONE
Third Choice 5 AM Transitional Kindergarten (Mon-Fri, 9:15AM-2:15PM) - Must be 4 by April 30, 2023 5 AM Pre-K (Mon-Fri, 9:15AM-12:00PM) Must be 4 by Sept 1, 2023 4 AM STEM (Mon-Thu, 9:15AM-12:00PM) Must be 3 or 4 by Sept 1, 2023 4 AM Dual Language (Mon-Thu, 9:15AM-12:00PM) Must be 3 or 4 by Sept 1, 2023 4 AM Threes (Mon,Tues,Wed, Thu, 9:15AM-12:00PM) Must be 3 by Sept 1, 2023 3 AM Bridge (Tues, Wed, Thu, 9:25-11:55AM) Must be 2 by Sept 1, 2023 Singing Sprouts (Monday 9:30-11:00AM) Must be 2 by March 1, 2024 NONE
If you are placed in a 4 AM Program would you like to add a 5th day?* Yes, Add Fun Friday (9:15AM-12:00PM) No Extra Day
Would you like to add a 4th day? Yes, Add Magical Monday (9:25-11:55AM) No Extra Day
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.
2023 - 24 SCHOOL YEAR EXTENDED DAY APPLICATION I would like to add the following Before School Programs:
I would like to add the following Lunch Bunch Programs:
* To enroll in Music & More Afternoons (2:15 - 4:00PM) please contact Linda Kusel of Creative Kids Corner at https://www.creativekidscorner.org
2023 SUMMER CAMP APPLICATION I would like to register my child for the following Summer Camp Programs:* I would like to register my child for the following weeks of Summer Camp* I would like to also add the following Fridays: For each Friday added you will be charged an additional $50.
I would also like to enroll my child in the following additional Summer Camp Extended Care Programs: Early Drop Off (M-Th) is $21 per week, except Weeks 1 and 3 which are $16 each. Early Drop Off (Fri) is $6.
Lunch & Fun (M-Th) is $125 per week, except Weeks 1 and 3 which are $94 each. Lunch & Fun (Fri) is $35.
These additional charges will be added to your Camp Balance which will be billed in 2 installments, due March 1 and May 1.
I would also like to enroll my child in the following additional Summer Camp Extended Care Programs: Early Drop Off (M-Th) is $24 per week, except Weeks 1 and 3 which are $18 each. Early Drop Off (F) is $6.
Lunch & Fun (M-Th) is $140 per week, except Weeks 1 and 3 which are $105 each. Lunch & Fun (Fri) is $35.
These additional charges will be added to your Camp Balance which will be billed in 2 installments, due March 1 and May 1.
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:
Documentation Please attach to this application, pages 1-2 of your most recent federal tax return or, if unavailable, recent pay stubs. If unemployed, please submit a copy of your public aid card (AllKids card is not sufficient). If you are unable to provide this documentation, please contact the office to arrange alternative confirmation.
Certification Signature* I certify that all of the above information is correct. I understand that the school's financial assistance fund is limited by the school's budget and ability to raise funding. I also agree that if my circumstances change, I will notify the school and adjust the amount of financial assistance I am receiving.