Fall 2018 Growing Together Class for Parents and Children 24-36 + months Registration Request Form

Complete and submit this form to apply for enrollment in our class for parents and children

24-36+ months. In this class, enjoy 1 hour and 30 minutes of time inside the classroom, outside on the playground, as well as a group time with the parent educator. Together you will explore developmental activities and observe how your 24-36+ month old learns through PLAY! Thematic learning is used to explore science, art, music and more.

Classes are on Friday's starting September 14th thru December 14th. There is no class on 10/19,11/23.

Session runs 12 weeks and is $216. Cash or checks (payable to RBCPC Preschool) are accepted.

Child's First Name *

Child's Last Name *

What is your first choice for a class time? *

THIS TIME SLOT IS FULL - Friday 9:00 am -10:30 am

Friday 11:00am - 12:30 pm

What is your second choice for a class time? *

Friday 9:00 am -10:30 am - Since this time slot is full - if you select it here we will add your name to the waitlist to move into it if changes occur.

Friday 11:00am - 12:30 pm

Child's Gender *

Male

Female

Your child's birth date: Month/Day/Year *

Parent #1/Guardian #1 First Name *

Parent #1/Guardian #1 Last Name *

Parent #2/Guardian #2 First Name *

Parent #2/Guardian #2 Last Name *

Home Street Address *

Unit#/Apt. #

City *

State *

Zip Code *

Main Email Address *

Main Contact Phone Number *

Does your child have any significant food allergies or medical conditions that we should be aware of? If so, please share those with us here.

Tell us more about how you learned of our program. *

I have an older child who attends RBCPC Preshool.

I am a church member.

My child is part of the HOPE Infant Program

I heard about the program from a friend/relative.

Other: Other:

We may be able to offer child care to siblings 5 years and under. If this is an option when the class begins, would you use this perk? *

Yes, would be interested in the free child care option.

No, I will not need child care

If you answered YES to free child care, please list the NAME and AGE of the child you will be placing in child care.

Please note that we have multiple sections of each class. If there is any information you would like us to know as we place you in a class. Please enter it in the space below. For example: Do you have a friend who is also enrolling and you would like to be in the same class? Or do you have a teacher you know and would like to be placed in her class? *

Other Notes or Comments - please add here:

Do you plan to continue in our Growing Together Class in Spring? If so, we recommend you submit that application now also. The classes fill up quickly. *

Yes - Please see important information below.

No, I will not be able to commit to the Spring Session at this time.

If you answered YES to the above question ....please click SUBMIT on this form THEN click on the appropriate link to submit the Spring Registration form