Parent Login:

Admissions:

 

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APPLICATION FOR REGISTRATION

School year 2018 / 2019

 
First Name:
Last Name:
Date of Birth:
Boy Girl
Hebrew Name:
Hebrew Birthdate (if known):
Address:
City:
State:
Zip:
Home Phone:
Mom’s Cell #:
Dad’s Cell #:
Email that you would like us to use as primary email contact:
Mother’s Name:
Hebrew Name:
Jewish by: Birth Choice
Occupation:
Name of Business:
Business Address:
Business Phone:
Father’s Name: Hebrew Name:
Jewish by: Birth Choice
Occupation: Name of Business:
Business Address: Business Phone:
 

ABOUT YOUR CHILD

(We ask the following questions so that we can be better prepared to meet your child’s needs. Some questions may not pertain to your child’s developmental stage.)
 
What is your child’s nickname?
Do you want us to use it? Yes No
Was your child’s birth premature? Yes No
Were there any problems in infancy, physical development, etc.?
At what hour does your child go to sleep for the night?
At What hour is he/she awaken?
Does your child nap?
 

More details about your child:

Is your child fully toilet trained?
Does he/she need reminding to use the bathroom?
Please explain:
Does your child dress himself/herself at home?
What is the primary language spoken at home?
What other language is your child exposed to (nanny, grandparents, etc.)?
Does your child speak in ?
How does your child show his/her feelings?
What makes your child angry or upset?
Is your child frightened by any of the following:
Animals
Dark
Storms
Loud noises
Clowns
Other .
What do you find is the best way of handling your child when he/she is upset?
What particular play activities does your child enjoy?
Which does he/she not enjoy?
What previous group experience does your child have (preschool, playgroup, day camp, etc.)?
What activities are of special interest to your child (i.e. music, transportation, vehicles)?
Does your child have any physical or emotional conditions that the staff should be aware of?
Does your child live with both parents? Explain if necessary:
Are there physical or emotional conditions affecting family members that the staff should be aware of?
What else would be helpful for us to know about your child?
Do you have talents, hobbies, etc. that you would be willing to share with or demonstrate for the children?
 
 

Family Background Info.

Siblings:
Name: Date of Birth:
Name: Date of Birth:
Name: Date of Birth:
Name: Date of Birth:
Congregation of family’s affiliation:
Is your child adopted?
 

EMERGENCY NUMBERS
Individuals To Call If Parents Cannot Be Reached

At least one of these MUST be local to be notified in case a child must leave school or if school closes due to weather.
1. Name: Relationship:
Address:
Home Ph.: Cell Ph.:
Work Ph.:
Does the person speak English? If not, what language does he/she speak?
2. Name: Relationship:
Address:
Home Ph.: Cell Ph.:
Work Ph.:
Does the person speak English? If not, what language does he/she speak?
 

FIELD TRIP PERMISSION:

My child has permission to participate in Chai Preschool field trips, including walks near school.
(I understand that, as a rule, field trips with transportation have special permission slips.):
 
Parent’s Online Signature (fill in your name):
 

PICTURE PERMISSION:

I give permission for my child’s picture to be used for display and public relations purposes.
Parent’s Online Signature (fill your name):
 
 
PLEASE REGISTER MY CHILD FOR CHAI PRESCHOOL
Preschool for school year 2018 / 2019
At times scholarships for families who can not afford, are available.
 
Tuition:
 
Option # 1: 9:00 am – 4:00 pm, Mon-Fri.  (preferred) 
First Child: $7,786 - 2nd child: $7,208 
Option # 2: 9:00 am – 2:00 pm, Mon- Fri.
First Child: $6,620 - 2nd child: $6,158
Option # 3: 8:00 am - 4:00 pm, Mon-Fri
First Child: $8,620 - 2nd child: $8,105
 
Option # 4: 9:00 am – 2:00 pm, Mon, Wed & Fri
First Child: $5,120 - 2nd child: $4,808
Option # 5: 8:00 am – 4:00 pm, Mon, Wed & Fri
First Child: $7,120 - 2nd child: $6,608
Option # 6: 9:00 am – 4:00 pm, Mon, Wed & Fri 
First Child: $6,620 - 2nd child: $6,158 
 
 
I understand I will be charged a Registration fee of: $500 Non-refundable. (unless I registered before June 10th & I was charged only $300).
And an annual security fee of $500
 
Form of payment:
I am enclosing full payment of $.
(3% discount)


I want to make 10 monthly payments by signing up with FACTS. Using this link: https://online.factsmgt.com/signin/4J8BX
 
 
Please bill my Credit card for the registration:
Name on CC:
Card #: Exp./ CVC Billing zip
Parent’s Signature: Date:
 
Note: This registration must be accompanied by a medical history including a complete immunization record signed by your physician.
 
The medical form is valid for one year since the day of the last physical exam.
 

Notes

1. Preschool is a ten-month program billed September 1 - July 1.
2. After school begins, new students enrolling on during any month will be required to pay the full month’s
tuition at the start.
3. A 3% discount is given to those who pay the full year’s tuition on or before September, 1.
4. A 5% discount will be given to referrals. Applies only to registrants who have not previously inquired.
5. A $20 late fee will be added to any account which is not paid in full prior to the 10th of each month, whether
you receive a statement or not.
6. A $20 charge will be added to any account for each check returned by the bank for any reason. Re-payment
of the returned check(s) must be made by cash, cashier’s check or money order.
7. Any inquiries regarding your account should be directed to the Tuition/Billing Office at 407.354.3660. If it
becomes necessary to withdraw a student from school , a two week notice is required. For withdrawal of
any student(s) the parent or responsible party of the account must: (1) complete and sign a withdrawal
form, and (2) bring tuition account current.
8. Fees will be charged at all grade levels for trips that require bus or van transportation

 

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Chai Jewish Preschool - Orlando • 7347 W Sand Lake Road • Orlando, FL 32819 • 800-765-7905

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