| ADMISSION APPLICATION OCEAN EARLY CHILDHOOD CENTER Hop on board the learneng train! 58 Princeton Aveenue Brick, NJ 08724 www/oceanearly.com
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CHILD’S NAME _____________________________________Date of Birth _______________ Residence _________________________________Phone # ( )_________________ City State Zip Code Mother or Father’s Name _____________________ Address (if different from above) ____________________ Father’s Name & Work # ( ) ___________________ Cell Phone # ( ) ________________ Mother’s Name & Work # ( ) __________________ Cell Phone # ( ) ________________ Email Address___________________________ ALLERGIES ___________________________________________________________________ Other than parent, whom shall we contact in case of an emergency? __________________________
FEES:
BALANCE DUE ________________ Please check: |
| 3 YR OLD Program ____ Half Day AM 8:45 - 11:45 ____ Half Day PM 1:00 - 4:00 ____ Full Day 8:45 - 4:00 ____ Childcare Hours 7:00 - 6:00 ____ Other ____________________ |
PRE-K ____ M/W/F AM 9:00 - Noon _____ M/W/F PM 1:00 - 4:00 _____ T/Th Class 9:00 - 1:30 ____ Full Day 8: 45 - 4:00 ____ Childcare Hours 7:00 - 6:00 ____ Other ____________________ |
Kindergarten Half Day AM 8:45 - 12:15 ____ PM Enrichment Noon - 4:00 ____ Full Day 8:45 - 4:00 ____ Childcare Hours 7:00 - 6:00 ____ Other _________________ |
Days: 2 Days (T/TH) _____ 3 Days (M/W/F) _____ 4 Days _____ 5 Days _____ Other ___________
AFTER SCHOOL PROGRAM - Midstreams School ________ St. Peter's ________ St. Dominic's________
Dear Parents,
In order for us to be effective in meeting your child’s individual needs,
it is important that we know more about his/her background and past experiences.
We invite you to meet with us in discussing any additional information that you
feel would be relevant in helping us know your child. Please take a few moments
to fill out this important information to help us get to know your child better.
1. Other children in family and their ages ___________________________________
2. Child’s previous group experiences ________________________________________
How long did he/she attend? _______________ Where? ______________________
3. Is your child right-handed? __________ Left-handed? __________
4. At what age did toilet training start? ________________
Age that child was completely toilet trained _____________
5. Has your child any special habits, fears or idiosyncrasies
that we should know about? __________________________
________________________________________________________________________
6. What type of play activities does your child like? ________________________
________________________________________________________________________
7. List any ALLERGIES that your child has including food allergies: ___________
________________________________________________________________________
________________________________________________________________________
8. In what areas would you expect Ocean Early Childhood Center to help in your
child’s development? ______________________________________________________
________________________________________________________________________
9. Do you see your child as being (Circle One)
Leader - Follower Talkative - Quiet Outgoing - Shy
Even Tempered - Moody Independent - Dependent
PLEASE READ AND SIGN THE FOLLOWING:
I give permission to the physician selected by ocean Early Childhood Center to hospitalize; secure proper treatment for, and order injection, anesthesia or surgery for my child. It is further understood that all reasonable efforts will be made to notify the parents/guardians before any action is taken. In the event of an emergency and a responsible person from your child's card cannot be reach, the Center may get emergency care for your child. __________(Initial) I five my permission for my child to be bussed to a "safe school" in the case of any emergency. OECC has contracted with Hartnett Bus Co. to transport children to either Dover Country Day in toms River or The Little Tree in Allentown depending on the type of emergency. _____(Initial)
I understand that tuition is payable monthly, bi-weekly, or weekly and that no adjustments can be made for student absences for vacations or illness. A late fee of $25.00 will be added to your tuition if payments are not made by the 20th of each month. Return Check Fee is $25.00._____(Initial)
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