The Preschool at RMAE

Application for Enrollment 2014-2015

NAME OF APPLICANT:
_________________________
Last Name

__________________________
First Name

___________________
Middle Name

_______________
Preferred Name

_________________________________________________________________________________________________
Street Address / Mailing Address
______________________________
City

____________________________
State

__________________
Zip

__________________________
Home Telephone Number

_________________________
Date of Birth

____________
Sex

______________________________________________
Email

__________________________________________________________________
(Permission to use Email for Preschool communication – Please sign)
(This pertains to classroom, office, room parent communication)

PARENT/GUARDIAN INFORMATION:
_______________________________________________
Parent 1 / Legal Guardian: Relationship

______________________________________________
Parent 2 / Legal Guardian: Relationship

_______________________________________________
Street Address (if different)

______________________________________________
Street Address (if different)

___________________
City

________________
City

________ _
State

________
Zip

______________________________________________
Home Telephone Number / Cell Number

________ __
State

________
Zip

______________________________________________
Home Telephone Number / Cell Number

RMAE SIBLING INFORMATION for 2013/2014:
Name

Grade

School

______________________________

____________

______________________________

______________________________

____________

______________________________

______________________________

____________

______________________________

The Preschool at Rocky Mountain Academy of Evergreen * 2981 Bergen Peak Drive * Evergreen, CO * 80439 * 303-670-3447 x5 * Fax: 303-670-6930 *

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PROGRAM INFORMATION:
st

nd

rd

Please indicate below your program choice for enrollment (1 , 2 , 3 ):
2 days Tuesday/Friday
_________
3 days Mon/Wed/Thursday
_________
5 days Monday – Friday
_________
4 day Optional, if space available
_________
___________________________________________________________________________________________
AGE REQUIREMENTS:
Your child must be 2 years 6 months at the start of preschool.
Child’s age on August 25, 2014
________
Years

________
Months

Has your child had any previous preschool experience?

YES

NO

Please note: Child placement into each class program will be determined by the Preschool Administration.
(Class lists will be available at Open House; Date to be determined).

TERMS AND CONDITIONS:
A fee of $100 is due at the time this application is received by RMAE Preschool. This processing fee is
non-refundable.
___________________________________________________________________________________________
By affixing my signature to this application I agree to the terms and conditions as stated on this enrollment
form.

Signed: _________________________________________
(Parent / Guardian signature)
Date

For school use only:
Date application received: ______________________

Application Fee Paid:

yes

no

Received by: __________________________________________

Check #_____________

Other Payment Method _______________________

The Preschool at Rocky Mountain Academy of Evergreen * 2981 Bergen Peak Drive * Evergreen, CO * 80439 * 303-670-3447 x5 * Fax: 303-670-6930 *

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