MM slash DD slash YYYY
Child's Name(Required)
MM slash DD slash YYYY
Address(Required)

Parent 1 Information

Name(Required)
Business Address(Required)

Parent 2 Information

Name(Required)
Business Address(Required)

Program of Interest

Emergency Form

Emergency Contacts

The following persons are authorized by me to pick up my child from school if I am unable to do so AND may also be called in an emergency if the parent/guardian cannot be reached. (Please list at least 2 local names and numbers - not the child's parents).

Authorized Pickup Contacts

The following persons are authorized by me to pick up my child from school if I am unable to do so. (Please list at least 2 local names and numbers - not the child's parents).
Consent
IGNORE THIS SECTION. EMPTY CONTENT

Permission Form

1. I/We grant permission for my child to use all the play equipment and participate in all activities while at Presbyterian Nursery School (PNS).(Required)
2. I/We grant permission for my child to leave the building and participate in on-site field trips under the supervision of PNS staff.(Required)
3. I/We grant permission for my child to be photographed or videotaped for usage in the school’s marketing and publicity which can include but not limited to website, promotional materials, internet and social media.(Required)
4. I/We grant permission for the PNS or church staff to take whatever steps may be necessary to provide emergency medical treatment. These steps may include but are not limited to administer first aid, contact child’s parent/guardian or physician, call an ambulance if necessary, transport child to emergency hospital or walk-in if parent advises or is not reachable. Any expense incurred due to a medical emergency will be the responsibility of the child’s family.(Required)
5. I/We grant permission for my child to be evaluated by members of the Presby Kids team.(Required)
6. I/We grant permission for my child's teacher and the Director to contact my child's prior preschool and prior/current service providers.(Required)
7. I/We grant permission for First Presbyterian Church of Fairfield to email me/us with information related to church events.(Required)

Parent Agreement

I acknowledge that I have read the parent handbook and agree to abide by the policies contained in it and that the techniques used to manage child behaviors in the facility have been discussed with me prior to enrollment.(Required)
I acknowledge that I have read the Attendance & Health portion of the parent handbook and agree to abide by the policies contained in it.(Required)
I have read and reviewed the following material from the Presbyterian Nursery School: Tuition Agreement, Form Requirements, and Permission Form.(Required)
I understand the need to have current contact information on file for Parents/Guardians, Emergency Contacts, and Authorized Pickup Contacts and agree to update the school as necessary.(Required)

Standard Binding Tuition Agreement

Presby Kids happily accepts your child into our school community for the upcoming academic year. Children are accepted for the entire school year or for the remainder of the school year if enrolled after the opening date.
I understand that I am responsible for the balance of the year’s tuition in the event of withdrawal. Extraordinary circumstances may be considered for the following reasons: the specific request from Presby Kids with just cause, or for verified medical conditions which preclude participation in the program.(Required)
I understand that a $150 Enrollment Fee & one month’s tuition is due at enrollment and the second tuition installment is due by May 1st. The balance, or next payment, is due on September 1st, and semi-annual or installment payments are due on the FIRST of the appropriate month thereafter.(Required)
Any bank fees incurred by the school will be passed to the parent/guardian responsible for the student.(Required)

Tuition Schedules

Please click here to review the tuition schedules.
Tuition Schedule Agreement(Required)