Prince of Peace Preschool 2024-25 Registration
Prince of Peace Lutheran Preschool offers a non-denominational Christian program that prepares children for entering the school system, excited to learn. Our philosophy is every child should be offered the same opportunity for education. Our teachers have early child or education backgrounds and participate in ongoing education. We follow the Department of family Service regulations.

Please complete the form below to register your child for preschool. A $50.00 pre-registration fee is required.
An immunization form must be submitted to the preschool within 30 days of enrollment by your child's physician showing proof of current immunizations.  
Child's Full Name *
Child's Nickname
Child is  *
Child's Date of Birth *
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Classes offered and Tuition Costs *
Individual(s) responsible for tuition *
Mother's full name *
Mother's home address, including city and zip *
Mother's email address *
Mother's primary phone number *
Mother's place of work *
Mother's place of work phone number *
Father's full name *
Father's home address, including city and zip *
Father's email address *
Father's primary phone *
Father's place of work *
Father's place of work phone number *
Child resides with: *
If selected "other" please explain *
Please list names and ages of other children in family *
Please list all adults authorized to pick the child up from preschool. Please list first and last names, relationship to the child, and their contact number 
Only written permission will permit us to release the child to any other person
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In case of emergency contacts (when parents cannot be reached)
Please list Name and contact number
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Child's physician and contact number *
Child's dentist and contact number *
Does your child have any FOOD allergies *
If your child has FOOD allergies, please list below *
Child's fears *
Child's dislikes *
Families Religious Affiliation *
Please share any other pertinent information that we may need about your child *
Please read the following carefully:
I hearby grant permission for my child to take part in the devotions and Bible stories which are part of the program at Prince of Peace Lutheran Preschool
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Authorization for Emergency Medical Care:
If a sudden illness or other serious medical emergency should occur and you cannot be reached, I hearby grant permission for the Director or other staff persons to take whatever steps necessary to obtain emergency care if warranted.
These steps may include, but are not limited to the following:
1 - Attempt to contact parent or guardian
2 - Attempt to contact child's physician
3 - Attempt to contact parent through persons listed in the emergency contact section
4 - If we cannot contact the persons listed, we will do any of the following:
     a - call another physician
     b - call an ambulance
     c - have the child taken to the emergency room accompanied by a staff member
5 - Any expense incurred under #4 will be borne by the child's family
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Authorization for Transport
I hereby authorize Prince of Peace Lutheran Preschool to transport my child as needed.
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Authorization for Upstairs
Prince of Peace Lutheran Preschool will be using the upstairs rooms every day for chapel, snack time, bring your own lunch day, and occasional gross motor activities. 
I am aware of these preschool activities and give permission for my child to go upstairs during these activities.
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Authorization for Social Media
Prince of Peace Lutheran Preschool has a FACEBOOK page. We will post announcements and show activities that the children are involved in during the year. We will not use the preschooler's name and will not use pictures of children that the parents do not want on FACEBOOK
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Authorization for us of Child's photos
At the preschool, we use your child's pictures and first names on their cubbies, sign-in cards, bulletin boards, coat hooks, and in different places in the classrooms. We also occasionally use children's pictures on the screen in our church sanctuary when doing a preschool program. It is required by DFS that we have your permission to do this.
I hereby grant for Prince of Peace Lutheran Preschool to use my child's photos for these times.
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Prince of Peace Lutheran Preschool Contract
I agree to pay the monthly tuition to Prince of Peace Lutheran Preschool by the 1st day of the month, September through May. (Not all months will have 4 weeks, some have 5 and some have 3, regardless, the monthly tuition remains the same for all months.) Unless different arrangements have been made with the director, those paying tuition after the 10th of each month will be charged an additional $15.00 service charge for the late payment. NSF checks will be made up with cash and a $10.00 bank charge fee. After two (2) NSF checks, cash will be expected for the rest of the years tuition.
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