Riverdale Temple Nursery School Application for New Families

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Riverdale Temple Nursery School Application

For New Families

NURSERY SCHOOL
APPLICATION

Welcome to Riverdale Temple Nursery School! Riverdale Temple Nursery School is a warm and nurturing environment due to our dedicated and caring teachers and our amazing families. Thank you so much for your interest in our school.

About Your Child

* Child's First Name

* Child's Last Name

* Date of Birth

* Gender

* Has your Child had previous Nursery School experience?

Please list your Child's previous Nursery School below:

Registration Information

* What age group are you interested in registering for?

Please select any 3's Program options you are interested in for your child.

3's Early Drop Off Option - 8:00am to 8:40am3's Extended Day Option - 2:50pm to 5:00pm

Please select any Pre-K Program options you are interested in for your child.

Pre-K Early Drop Off Option - 8:00am to 8:45amPre-K Extended Day Option - 3:00pm to 5:00pm

About Your Family

* Are you a Riverdale Temple Member Family?

* Is there more than one Parent/Guardian to list below?

Primary Parent/Guardian Information

* First Name

* Last Name

* Mobile Phone Number

* Email

Business Information

Occupation

Work Phone Number

Do you have any special talents to help our school?

Secondary Parent/Guardian Information

* First Name

* Last Name

* Mobile Phone Number

* Email

Business Information

Occupation

Work Phone Number

Do you have any special talents to help our school?

Home Information

* Address (w/apt #, if applicable)

* City

* State

* Zip Code

Home Phone Number

Sibling Information

* Does your Child have siblings?

Please list the names & ages of your Child's siblings below:

* Does your Child have siblings that attended RTNS?

Please list the names of the siblings & the years they attended RTNS below:

Additional Information About Your Child

Please tell us how you heard about our program below:

What could you tell us about your child that will help us to make this a happy and fulfilling school experience?

What special talents/special needs/learning challenges does your child have?

* Has your child been evaluated for any special needs?

What were the results of the evaluation, including any medication prescribed?

* Does your Child have allergies?

Please list your Child's allergies below:

Registration Fees and Parent Signature

Parent Signature

In order for us to process this application, the total Registration Fee below for your 2's class selection is due today:

* Parent/Guardian Digital Signature

* Date

Mon, July 15 2024
9 Tammuz 5784

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Mon, July 15 2024 9 Tammuz 5784