________________________________________________________________________________________________
Dear Parents:
Thank you
for your interest in
In order to complete your application process, we need the following:
1. A completed Application For Entrance, including a signed Membership Agreement;
2. A copy of your child's birth certificate or other proof of birth date;
3. An application fee of $75.00, by check made payable to CLNS, Inc.
Please return your application material to me (my home address is below) or to the school (Monday-Friday, 9:15 a.m. to 12:15 p.m.). If you have any questions, please send me an email.
Ashley Del Sole
Admissions Chair
admissions@clns.org
10210 Duvawn Place, Silver Spring, MD 20902
_________________________________________________________________________
www.clns.org
APPLICATION FOR ENTRANCE: 2010-2011
SCHOOL YEAR
Child's legal name: Last __________________________ First_______________________
Child's preferred name or nickname: _________________ Sex: ____ Birth date: _________
Address: _____________________________________________________________________
_____________________________________________________________________
Name of Parent or Guardian: ______________________________________________________
Address: _____________________________________________________________________
_____________________________________________________________________
E-mail address: ________________________________________________________________
Home phone: ________________________Business phone: __________________________
Occupation or training: __________________________________________________________
Name of Parent or Guardian: ______________________________________________________
Address: _____________________________________________________________________
_____________________________________________________________________
E-mail address: ________________________________________________________________
Home phone: ________________________Business phone: __________________________
Occupation or training: __________________________________________________________
Other
children in family:
Name__________________________________
Birth
date
__________________________________
___________________________
__________________________________
___________________________
In which program do you wish to enroll your child?
* 2 year-olds: _____2 days A.M. (Tuesday-Thursday 9:30 AM-12:00 PM)
additional options:
* 3 year-olds: _____3 days A.M. (Tuesday-Wednesday-Thursday 9:30 AM-12:15 PM)
additional options:
Lunch: ___Tuesday ___Wednesday ____Thursday (12:15 PM - 12:40 PM)
Extended day: ___ Tuesday ___ Wednesday (12:40 PM - 2:30 PM)
* 4 year-olds: _____5 days A.M. (Monday through Friday 9:15 AM-12:15 PM)
additional options:
Lunch: ___Monday ___ Tuesday ____Wednesday ____Thursday (12:15 PM- 12:40PM)
Extended day: ___Monday ____Tuesday ____Wednesday (12:40 - 2:30 PM)
Are
you a former member of
If yes: Number of years: ___________ Dates: ___________________
Positions held: ____________________________________________________
Name of previously enrolled child(ren): ________________________________
Why do you
want to send your child to
Have you ever been in a parent cooperative nursery school before? _________
If yes, where? ________________________________ How long? ______________
Has your child ever been in any other kind of pre-school program? _______
If yes, where? ________________________________ How long? ______________
Are you currently on a waiting list at another school? _______
Are you currently a member of Cedar Lane Unitarian Universalist Church? ______
Important!
Please note:
1. A visit to the school by parent(s) and child as well as a meeting with the CLNS Teacher/Director is required before a child can be accepted for admission by the school. To arrange a visit, please contact Ashley Del Sole, Admissions Chair, at admissions@clns.org.
2. A non-refundable application fee of $75.00 (by check payable to CLNS, Inc.) and a proof of birth date are required with this application.
******************************************************************************
Cedar
Lane Nursery School, Inc. is a member of the
CLNS
does not discriminate on the basis of race, color or national origin.
CLNS is not affiliated with
MEMBERSHIP
AGREEMENT
The success of Cedar Lane Nursery School depends on the ability of all of its members to understand and honor their responsibilities to the school. The cooperation of each member is necessary for the proper functioning of the school.
The rules presented in this Membership Agreement are designed for the protection and health of our children as well as for the successful functioning of the school. A member is considered to be "in good standing" if they routinely fulfill the obligations specified in this Agreement. The rules may be modified from time to time by vote of the membership.
For a more complete explanation of our policies, curriculum and educational philosophy, please refer to the "Parent Handbook" posted on our website: www.clns.org. (A hard copy of the handbook is available for review at the school Monday through Thursday from 9:00 a.m. to 12:00 p.m.)
1. PARTICIPATION: Foremost among a parent's responsibilities is cooperation at school. Parents are generally assigned at least two days of co-op duty per month . Parents are expected to be on time and ready to fulfill their co-oping duties. If illness or emergency prevent a co-oping parent coming to school on their assigned day, the parent must arrange with another parent to substitute on an in-kind basis; the parent will be expected to pay any cost which may be incurred by the replacement parent for a baby sitter as well as repaying the day at school to their replacement. Parents also must attend four work days each year and are required to take on an administrative job within the school (e.g., newsletter, librarian, health and safety, membership, etc.).
2. ATTENDANCE AT MONTHLY MEETINGS: In order that we may work together as parents and teachers for the greatest benefit of our children, attendance at the monthly meetings by at least one parent or guardian of each child is mandatory. The President must be notified if a parent cannot attend. It is at these meetings that we coordinate our experiences, evaluate our roles as parent-teachers, take care of the business pertaining to CLNS, and (last, but not least) come to know one another better.
3. PHYSICAL EXAMINATION: After a child has been accepted for admission, several state-required health forms must be completed in order for a child to enroll in the school.
* The child's physician must complete a general health inventory form as well as those indicating proof of immunizations and lead screening;
* Each co-oping parent must have his or her physician complete a state health form documenting, among other things, a negative TB test within the last 12 months.
Health forms are provided by the school following the child's acceptance into the school. No child will be allowed to begin school until all health forms, for both child and parent(s), are completed and turned in.
4. TUITION AND FEES: Fees and tuition for CLNS for 2010-2011 are as follows:
* Application Fee: $75.00 (Non-refundable, due at the time of application for admission.)
* Monthly
Tuition: Two-day program for 2-year-olds (T,TH): $170.00;
Three-day program for 3-year-olds (T,W,Th): $220.00;
Five-day program for 4- and 5-year olds (M-F): $335.00.
* Supplies and Equipment Fee: $75.00 ($50.00 for 2-year-olds). Due in September.
* Activity Fee: $125.00 (3s, 4/5s--inlcludes $50 music) -- $100.00 for 2-year-olds -- includes $50 music fee. Due in September.
* Lunch Program: $5.00/day
* Extended Day: $12.50/day
The first month's tuition prepayment is due by March 15th to reserve your child's spot in class. It covers tuition for the partial months of September and June. A second month's tuition prepayment is due April 15th. This payment covers tuition for May. The two prepayments are non-refundable. When school starts, families pay tuition for October through April on a monthly basis before the 15th of the respective previous months (e.g., October's tuition is paid in September).
5. WITHDRAWAL AND REFUNDS:
The first two tuition prepayments are not refundable. Other tuition paid in advance may be refunded if withdrawal is for one of the following reasons, and after a written notice to the school's Board of Directors is received at least 30 days in advance of the withdrawal of a child from CLNS. :
* Serious and prolonged illness;
* Permanent removal of the family from the area; or
* Mutual agreement between member and Board on such withdrawal, if there is unsatisfactory adjustment to the school by the child or the member-participant, and if a suitable replacement child is found without loss of tuition to the school.
***********************************************************************
I have read the Cedar Lane Nursery School Membership Agreement and accept the rules as presented.
Signature of Parent ________________________________ Date _____________