School Readiness Preregistration

2016-2017

*We provide 2 day and 3 day options for preschool!

School Readiness is a preschool program designed for children ages 3-5 years old. Your child must be three by Sept. 1st to enroll. You may choose a 2 day or 3 day a week option for preschool and each day is a 3 hour session. Children enrolled will receive practice in a variety of skill areas including fine motor, large motor, cognition, social, language and literacy, and self-help. Children will also have the advantage of being familiar with the building in which they will attend kindergarten. To reserve a spot for next year, simply fill out and return the registration materials below. Our state funding requires that priority be given to those children entering kindergarten in September of 2016, or those most in need of services. Because of this requirement, the three year old registrations will be held until just after July 30th. Any remaining spots at that time will be filled by this age group at that time by using a lottery system. Otherwise, enrollment is on a first come, first serve basis. Days and times for the classes are listed below.

Parent's Name______

Address______

City______Zip Code______

Home/ cell #______Other # ______

Email Address______

Child's Name______

Child's Birth Date ______/______/______Preferred Language______

Has this child participated in preschool screening? ___yes ___ no

If no, your child will be required to have screening within 90 days of starting preschool.

Please choose the option you prefer. Indicate your first (1), second (2), and third (3) choices.

2 Day Options / 3 Day Options (for 4 yr olds only)
M/W Mornings: 7:45-10:30 / M/W/F Mornings: 7:45-10:30
M/W Afternoons: 12:00-2:45
T/Th Mornings: 7:45-10:30 / T/Th/F Mornings: 7:45-10:30
T/Th Afternoons: 12:00-2:45

**Please take note of the times!

Fees are based on family income. Please circle the rate at which you will be paying.

Monthly Class Fee
Family Income / 2 Day Option / 3 Day Option
$75,000 + / $110 / $155
$50,000-75,000 / $100 / $150
$35,000-50,000 / $90 / $140
$20,000-35,000 / $80 / $120
$10,000-20,000 / $70 / $110
$0-10,000 / $60 / $90
*Scholarships are available

*A onetime registration fee of $80 will be due by September 1st.

*If you would like to know more about scholarships, or other payment options, please call 534-4232

ext. 1672 or email

Please list any preschoolers (relatives, daycare, or others) and specify if you would like them together or separate because of social and/or transportation needs. We will try to accommodate but there are no guarantees due to the class options and times that registrations are turned in.

______

Class lists will be compiled July 30th. Shortly thereafter you will receive a complete registration packet. The packet will include your child's class with a calendar, a handbook, health forms, and a registration form.

Parent Signature:______Date:______

Please return forms to: PEM School Readiness, Attn: Jody Schwarzhoff

600 W. Broadway, Plainview, MN 55964