2024-2025 Application for Enrollment

Please complete this application to let us know of your interest in enrolling your child at Highland Presbyterian Church Nursery & Weekday School. Please complete a separate application for each child.

Date

Child's Name

First Last

Child's Date of Birth

Sex/Gender

Is your child of Latino or Hispanic origin?

Yes

How do you identify your child's race?

American Indian or Alaskan Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

Other

PARENT/GUARDIAN INFORMATION

Parent/Guardian Name

First Last

Parent/Guardian Email

Parent/Guardian Phone

ENROLLMENT PRIORITY

Enrollment Priority: Please check any of the following that apply to your child.

CHILD BACKGROUND

Please list any early childhood programs in which your child has been previously enrolled.

Please identify any support services your child is receiving or has received (i.e. speech therapy, occupational therapy, physical therapy, etc.)

Report Upload

Max. file size: 50 MB.

Please upload any reports received from your child's support services. Our Interventionist will review them and contact you.

CLASS SELECTION

Using the boxes provided, please rank your preferred classes, with "1" being most preferred. You will only be considered for options showing a preference.

If applying for INFANT room (ages 3-11 months), please rank your preferred options:

1 day per week

2 days per week

3 days per week

4 days per week

5 days per week

(Maximum of 6 infants per class.)

If applying for YOUNGER TODDLERS (ages 12-18 months), please rank your preferred options:

2 days per week (TTh)

3 days per week (MWF )

5 days per week (M-F)

(Maximum of 8 Younger Toddlers per class.)

If applying for OLDER TODDLERS (ages 19-23 months), please rank your preferred options:

2 days per week (TTh)

3 days per week (MWF )

5 days per week (M-F)

(Maximum of 10 Older Toddlers per class.)

If applying for TWO YEAR OLDS (must be 2 by August 1, 2024), please rank your preferred options:

2 days per week (MW or TTh)

3 days per week (MWF )

4 days per week (MTWTh)

5 days per week (M-F)

If applying for THREE YEAR OLDS (must be 3 by August 1, 2024), please rank your preferred options:

3 days per week (MWF)(may be a multi-aged class)

3 days per week (TThF)(may be a multi-aged class)

5 days per week (M-F) (may be a multi-aged class)

If applying for FOUR YEAR OLDS (must be 4 by August 1, 2024), please rank your preferred options:

4 days per week (M-Th) (may be a multi-aged class)

5 days per week (M-F) (may be a multi-aged class)

If applying for KINDERGARTEN (must be 5 by August 1, 2024), please rank your preferred options:

5 days per week (M-F) – Half-Day

5 days per week (M-F) – Full-Day