2019/2020 Cold Springs TK Application
Please fill out this form in it's entirety.

Transitional Kindergarten is a unique program that allows your child to get an extra year to learn and grow with a more structured and challenging curriculum before going to Kindergarten. Our program will allow your child to be challenged and be equipped for greater success the following year by giving him/her the gift of time. Transitional Kindergarten bridges the gap from our Junior Kindergarten program to Kindergarten.

Carol Hendry, Director
Cold Spring Preschool

Email address *
Transitional Kindergarten is Monday - Friday: Tuition $235/mo.
Hours are Monday - Friday from 8:45am - 12:30pm
There is a one time Application fee of $65.
You provide a peanut-free lunch for your child.
All children must be current on immunizations.
This is a 9-month commitment. The annual tuition is broken down into 9 equal monthly payments.
The first month's tuition is due by August 1 and then on the 1st-5th of each month, September - April.
Date of Enrollment: *
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Child's Full Name *
Your answer
Child's Date of Birth *
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Gender *
Child's Address: *
Your answer
Parent's Marital Status: *If divorced, a copy of the Divorce Order noting custodial arrangements must be provided to the preschool prior to starting school. *
Child lives with: *
Father/Guardian's Name: *
Your answer
Father/Guardian's Preferred method of contact: (Please provide at least one contact phone number.) *
Father/Guardian's Cell Phone #:
Your answer
Father/Guardian's Home Phone #:
Your answer
Father/Guardian's Work Phone #:
Your answer
Mother/Guardian's Name: *
Your answer
Mother/Guardian's Preferred method of contact: (Please provide at least one contact phone number.) *
Mother/Guardian's Cell Phone #:
Your answer
Mother/Guardian's Home Phone #:
Your answer
Mother/Guardian's Work Phone #:
Your answer
In case of emergency contact (First/Last name): *
Your answer
Emergency contact phone #: *
Your answer
In case of emergency contact (First/Last name):
Your answer
Emergency contact phone #:
Your answer
In case of emergency contact (First/Last name):
Your answer
Emergency contact phone #:
Your answer
Name of Child's Physician: *
Your answer
Physician's Phone #: *
Your answer
Name of Child's Dentist: *
Your answer
Dentist's Phone #: *
Your answer
I give my permission to my child's teacher or Preschool Director to authorize Emergency care for my child in the event: No family emergency contacts can be reached, the child's family physician can't be reached, or the Preschool staff deems the situation to be an emergency. *
My child has allergies: *
If yes, please indicate allergies below:
Will medical devices be provided to preschool? *
If yes, in case of emergency, my child will have the following medical devices at school provided by the parent/guardian:
Please list any illnesses that your child has had:
Immunizations and Tests: (We must have a copy from your child's physician)
Date of last physical exam: *
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Has your child had an eye exam? *
Has your child had a hearing test? *
Has your child been diagnosed with any medical conditions the preschool should be aware of? *
If yes, please indicate:
Your answer
I give permission for my child's photo to be used for school projects, displays or programs. *
I give permission for my child's photo to be displayed in the church hallways. *
I give permission for my child to take campus walks with supervision. *
Please let us know if you have any questions or would like to schedule a tour. Please contact the Director, Carol Hendry, at (704) 782-1875 or email: preschool@coldspringsumc.org
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A copy of your responses will be emailed to the address you provided.
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