Preschool Application - ChabadEmeraldHills.com
« Back to ChabadEmeraldHills.com

Preschool Application

  • at
    Pick a Date
  • Medical Information

  • Please note, that all children taking medications for medical needs or allergies will be required to fill out an additional medical form.

  • In case of a medical emergency requiring immediate emergency care, I hereby give permission to treat and transport my child by ambulance, to the nearest hospital necessary. I give permission for my child's medical information to be shared with medical staff.

  • Emergency Contact (other than parents)

  • Mother's Info

  • at
    Pick a Date
  • Father's Info

  • at
    Pick a Date
  • Family Info

  • School Policies Consent

  • Please click here to read the Consent Form (3 pages) before agreeing to  the policies below

  • Please click here to read the Parent Handbook

  • Once your application has been approved, you will be asked to submit the following forms.

    Your child will be fully registered and a spot will be secured only when all documents and tuition contract have been received and approved by our office. 

    ~ Swim Central Form

    ~Food Program Forms (do not date)

    Page 1

    Page 2 

    ~ Influenza Form

    ~Copy of Child's Birth Certificate

    ~Copy of Parents' Photo ID

    ~Copy of ID for people authorized for pick up 

    ~ School Medical Forms (your FLORIDA pediatrician will provide these - out of State forms are not accepted)

    ~ School Immunization Forms  (your FLORIDA pediatrician will provide these - out of State forms are not accepted)

    ~ VPK Eligibility Certificate (application opens January 1, 2018)  this is mandatory for all children turning 4 before September 1, 2018

  • Authorized People for Pick Up (other than parents)

  • Contact 1

  • Contact 2

  • Select a Password for Identification over the phone 

  • There is currently no room in the Nursery class for the 2019/20 school year.

    Please click here to be added to the waitlist. 

  • Our Nursery Program, for children who will be 3 by September 1, 2019, is currently full.

    To be added to wait list please visit www.chabademeraldhills.com/waitlist 

  • $0.00
  • Payment Options

  • The Non Refundable Registration Fee of $500 is due at time of enrollment. 

    Please select your method of payment. Applications will be processed once the Registration Fee has been paid. Children will not be accepted into the program, until all necessary documents have been submitted to our office.

  • Credit Card Info

  • Please note that there is a 2.5% processing fee on all credit card charges.

  • Credit Card
    Billing Address
  • Should be Empty:
Secure This page uses TLS encryption to keep your data secure.
Menu
DOCUMENT LIBRARY
The following items need to be submitted with Registration
  • Copy of Child's Birth certificate
  • Copy of Parents Photo ID's
  • Copy of Photo ID for people authorized for pick up