2019-20 St. Stanislaus Preschool New Student Application Form
Thank you for your interest in St. Stanislaus Catholic Preschool. Kindly complete our application; complete one for each child.

Once we have received your application, all the supporting materials, and the non-refundable application fee, we will review and process the documents.

We will get back to you as soon as possible with any questions or comments. Please do not hesitate to contact us if you have any questions.

Blessings,

St. Stanislaus Catholic Preschool
1416 Maze Blvd, Modesto, CA 95351
Phone: 209-524-3428

Student Information
Last Name of Student *
Your answer
First and Middle Name of Student *
Your answer
Gender of Student *
Age of Student *
Your answer
Date of Birth of Student *
Please use the Month-Date-Year format. Example: April 9, 2005
Your answer
Siblings *
Please check the box(es) of the grade(s) of the siblings who are also applying to either St. Stanislaus Catholic Preschool or St. Stanislaus Catholic School
Required
Potty Trained
Children must be potty-trained before enrollment. St. Stanislaus Catholic Preschool accepts fully potty-trained children between the ages of 2.9 to 6 years at time of enrollment, without regard to race, creed, or ethnic origin.
Parent/Legal Guardian Information
Residence *
Child primarily resides with
Marital Status of Parents *
Check all that apply.
Required
Residential Street Address *
This should be a complete street address
Your answer
Address City, Zip Code *
Please include the city and zip code
Your answer
Primary Phone Number *
Please provide the primary contact number. It may be home or cell number.
Your answer
Primary Email *
Please provide the email address where you wish all school communication to be sent.
Your answer
Father's Information
Full Name of Father *
Please include First M Last.
Your answer
Email of Father *
Your answer
Phone Number of Father *
Your answer
Birthplace of Father
Your answer
Drivers License Number of Father *
Please include state.
Your answer
Occupation of Father
Your answer
Employer and Address of Father
This should be a complete mailing address, including zip code.
Your answer
Mother's Information
Full Name of Mother *
Please include First M Last.
Your answer
Email of Mother *
Your answer
Phone Number of Mother *
Your answer
Birthplace of Mother
Your answer
Drivers License Number of Mother *
Please include state.
Your answer
Occupation of Mother
Your answer
Employer and Address of Mother
This should be a complete mailing address, including zip code.
Your answer
Faith Information
Baptism Date *
Date of Child's Baptism
Your answer
Faith of Family *
Please Choose the option that best fits your family.
Parishioner *
Are you a parishioner of St. Stanislaus Catholic Church?
Race & Ethnicity
Race *
Please Choose the option that best fits your family.
Ethnicity *
Please Choose the option that best fits your family.
We offer two (2) program schedules:
† Full Day - 7:30 a.m. to 5:45 p.m.
† Morning - 8:00 a.m. to 12:15 p.m.
Program Selection - First Child or No Sibling Rates *
Answer this question only if this registration is for first child or child with no sibling attending St. Stanislaus Catholic Preschool and/or St. Stanislaus Catholic School.
Program Selection - Second Child Rate *
Answer this question if this registration is for a second child and/or a child with a sibling attending either St. Stanislaus Catholic Preschool and/or St. Stanislaus Catholic School. Kindly note sibling rates are only for full day programs.
Admission Agreements
Please carefully read the statements below and click the Yes box to confirm that you have read and understand each statement. By clicking Yes, you also indicate that agree to comply with the terms as stated below, if accepted to St. Stanislaus Catholic Preschool.

Kindly note that many of these agreements are required by the California Community Care Licensing agency - Title 22.

Handbook Acknowledgement *
I/We have read and agree to be governed by the 2018-2019 St. Stanislaus Catholic Preschool Parent Handbook
Tuition & Fees *
I/We have read and understand the Tuition and Fee Schedule for St. Stanislaus Catholic Preschool.
Services Provided *
I/We understand the services and the options of scheduling of these services provided by St. Stanislaus Catholic Preschool as described in the handbook.
Parent Inspection Agreement - A *
I/We understand (a)It is the right of the Department of Social Services to perform the duties authorized in Section 101200(b) of the Licensing Regulations.
Parent Inspection Agreement - B *
I/We understand (b)/the Department of Social Services has the authority to interview children or staff, inspect and audit the children or child care center records without prior consent.
Parent/Director Conference *
I/We understand that there will be a mandatory initial parent/director meeting to discuss the child's physical, emotional development, admission policies and procedures, activities, services, registration fees and procedures in case of illness.
Acceptance Policy *
I/We understand that children will be accepted on a first-come first served basis without consideration of sex, race, color, or national or ethnic origin.
Tuition Delinquency Policy *
I/We understand that tuition is due on the first of each month and will be considered late after the 10th of each month. Pro-rated tuition (due to schedule changes) is due on the first day of the new schedule. Delinquency on an account may jeapordize a student's enrollment in the program.
Withdrawal & Change of Schedule Policies *
I/We understand that if I/we choose to withdraw our child from the St. Stanislaus Catholic Preschool or wish to change the schedule of services, I am/we are required to give two (2) weeks notice. If two (2) weeks notice is not provided, I/we will be liable for the fees for the two (2) weeks.
Fundraising Obligation *
I/We understand that in an effort to keep tuition affordable for all school families, it is required that parent(s) / guardian(s) of students enrolled in St. Stanislaus Catholic Preschool will support Fundraisers.
Verification *
I/We hereby attest that the aforementioned information is true. I/We understand that any false information may jeapordize acceptance.
Electronic Signature *
Please provide the full name of the person completing this form. Must be 18 years old.
Your answer
Date of Application *
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This form was created inside of St. Stanislaus Catholic Church. Report Abuse - Terms of Service