Kaplan Preschool Application

115 Park Avenue, Hoboken, New Jersey 07030

You MUST Submit before leaving this form or ALL entries will be lost.

Child

Enter the child's full name (example: use Joseph not Joe)

First name *

Middle names

Last name *

Preferred name 🛈

Gender *

Male

Female

Date of birth * +

Language spoken at home *

Street address *

Address line 2

City *

State *

Zip Code *

School year program

Select the school year and program options you request for your child

School year *

Please note Kaplan offers flexible schedules. Please contact admissions@kaplanpreschool.org with any questions.

Below is the breakdown of the hours and days you can choose from for your child's schedule. Please note that there are some minimum requirements based on age level.

● The 4s program is 5 days (9:00 am-1:00 pm minimum hours)
● The 3s program has option for 3, 4 or 5 days (9:00 am-12 pm minimum hours)
● The 2½s program has a minimum of 2 days
● The 2s program is 2 hour drop off program and has a minimum of 2 days

At any point during the year Kaplan students have the option to add Early drop-off or to extend their day.

Select the days your child will attend consistent with the minimum requirements.

Days *

Select the time your child will attend consistent with the minimum requirements.

Time *

Select any days your child will attend Early drop-off 8:00 - 9:00 am

Early drop-off

Parent or legal guardian

First name *

Last name *

Relationship to child *

Enter telephone numbers as 10 digits with no other characters

Home telephone *

Cell telephone *

Email address *

Synagogue: If you are a member of United Synagogue of Hoboken or another synagogue, enter the name and location. If you are not a member of a synagogue enter none.

Synagogue name *

Synagogue location *

Second parent or legal guardian

State licensing regulations require that all appropriate fields in this section be completed in full if your child has a second parent or legal guardian. Check below if your child does not have a second parent or legal guardian.

No second parent

Child does not have a second parent or legal guardian

First name *

Last name *

Relationship to child *

Enter telephone numbers as 10 digits with no other characters

Home telephone *

Cell telephone *

Email address *

Child's siblings

Enter the names of siblings and their birth dates. Check each sibling's history as a Kaplan or Learning Center student.

Sibling name

Date of birth +

Learning Center student

Current

No

Kaplan student

No

Years attended

2½s

3s

4s

Sibling name

Date of birth +

Learning Center student

Current

No

Kaplan student

No

Years attended

2½s

3s

4s

About your child

Question 1: What would you like us to know about your child?

Answer 1 *

Question 2: Please tell us a little bit about your family.

Answer 2 *

Question 3: Describe the role Judaism plays in your family's life.

Answer 3 *

Question 4: Is there anything else you would like to share with us.

Answer 4 *

Application signature

Notice of nondiscriminatory policy: The Kaplan Cooperative Preschool admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin, disability or sexual orientation in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs.

Admissions statement: This application is not binding upon either the applicant or the United Synagogue of Hoboken. If placement is offered, a contract will be issued. A place in the school will be reserved for your child upon return of the signed contract and enrollment fee. Final classroom placement is at the discretion of the Director and is subject to change.

Electronic signature *

Application date *

9:00 am - 11:00 am	9:00 am - 12:00 pm	9:00 am - 1:00 pm
9:00 am - 3:00 pm	9:00 am - 4:30 pm	9:00 am - 6:00 pm