Ruth McGregor Elementary 4-year Old Preschool Program Registration
State Licensed Tuition Based Program
Email address *
What session are you enrolling your child in: *
Tuition and Payment Methods
Tuition is due at the beginning of the month.
• Payments not paid by Friday will be assessed a $10 late fee for each week payment is late.
• Tuition must be paid monthly at the beginning of each month online at www.myschoolbucks.com. Payments not paid on the Friday of the first week will be assessed a $10 late fee for each week payment is late.
• Non-payment of tuition is grounds for dismissal from the program.
• You will not be charged tuition for Christmas Break or Spring Break.
• In the event of inclement weather that exceeds five days, you will receive a credit for one week of the tuition rate.• In the event of school closure to shut the program down, tuition will be reimbursed from the date of closure.
• All parents will need to pay the full tuition or receive daycare assistance through DHS. We have no scholarships available for the 2020/2021 school year.
I agree to the tuition and payment methods listed above: *
Student's legal first & last name (as it appears on birth certificate) *
Gender *
Student date of birth *
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Student's City/State of Birth *
Student Street Address *
Student's City *
Student's State *
Student's Zip Code *
Are you a resident of Sand Creek or applying for School of Choice? (If school of choice an additional form will be sent to you) *
Student's Resident School District *
Has your young fives or kindergartner had any previous preschool or daycare experience? If yes, please indicate where. *
Parent/guardian 1 first and last name *
Guardian 1 Information: Name relationship to student *
Guardian 1 Email Address *
Guardian 1 Address, City, State, Zip *
Guardian 1 home phone, cell phone and work phone *
Guardian 2 First and Last Name *
Guardian 2 : Name relationship to student *
Guardian 2 Email Address
Guardian 2 Address, City, State, Zip
Guardian 2 home phone, cell phone and work phone
Student lives with: *
Does your household have other children who attend Sand Creek Community Schools *
If you answered yes to the previous question, please list the first and last name and grade levels of the other children
Living Status *
Student's Ethnicity *
Is the student's native tongue a language other than English? *
Is a language other than English spoke in the student's home environment? *
If you you answered yes, please indicate what language is spoken?
Does your child receive any Special Education Services?
If so, please indicate what services they are receiving.
Clear selection
Does your child have any medical conditions we should be aware of? *
If your child has a medical condition(s) we should be aware of please list them below.
Will your child use daily medication during school hours (including inhalers)? *
Will your student ride the bus to school? *
If so, please enter your pick up location.
Will your student ride the bus after school? *
If so, please enter drop off location.
Emergency Contact 1 First and Last Name
Emergency Contact 1 phone number *
Emergency Contact 2 First and Last Name *
Emergency Contact 2 phone number
Emergency Contact 3 First and Last Name
Emergency Contact 3 phone number
I AFFIRM THAT, AS THE PARENT/LEGAL GUARDIAN OF THIS STUDENT, ALL INFORMATION THAT I HAVE PROVIDED IS TRUE AND ACCURATE AND THAT MY CHILD AND I RESIDE AT THE ADDRESS AS GIVEN, I UNDERSTAND ANY FALSE INFORMATION PROVIDED BY ME MAY SUBJECT ME TO LEGAL PENALTIES. (SIGN FIRST AND LAST NAME BELOW). *
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