Rose Scharlin Membership Application

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Please fill out the information below. Once you have submitted the application, you will be directed to pay our $50 application fee. If you have any problems with the application please email admission@rosescharlin.com. We look forward to getting to know you and your little one!

Email *

Child's Name *

Parent's Names *

Phone number *

Address *

Child's Birthday *

YYYY

Child's Gender *

Male

Female

When would you like your child to start school? *

Start of the next school year in the fall

Start of the spring semester in January

As soon as possible

Other:

How many days per week would you like your child to attend? *

Three

Four

Five

Other:

Any Special Needs: physical, developmental, emotional, dietary etc. *

Ethnicity (Optional)

What do you seek in this nursery school environment for your child and your family? *

How did you hear about Rose Scharlin?

Cooperative Commitment *

I understand that Rose Scharlin is a cooperative nursery school made up of member families who pool resources and talents to continue the work of the school. As such, the operation of the school is wholly dependent upon the full cooperation and participation of each member family. Upon admission to the school, my family is ready to commit to attending weekly workdays with children, monthly membership and/or parent education meetings, maintenance and housekeeping workdays (for the upkeep of school property) and fundraising activities scheduled by the parent membership.

I Agree

I Agree to pay a $50.00 one-time Application Fee

Required

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This form was created inside of Rose Scharlin Cooperative Nursery School.