2020/21 Nature Preschool Application Thank you for your interest in our Nature Preschool! Child's First Name*Child's Last Name*Child's Gender*FemaleMaleChild's Date of Birth* Date Format: MM slash DD slash YYYY Parent/Guardian First Name*Parent/Guardian Last Name*Current Status*Current StudentAlumni FamilySchlitz Audubon MemberNon-MemberHome Phone NumberMobile Phone Number*Parent Email Address* Home Address*City*State*Select a stateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip*Class Offerings Morning Classes (mixed age classes for 3 – 5 year olds) Monday/Wednesday/Friday 8:45am - 11:30am Monday/Wednesday/Friday 9:00am - 11:45am Tuesday/Thursday 8:45am - 11:30am Tuesday/Thursday 9:00am - 11:45am Afternoon Classes (mixed age class for 3 – 5 year olds) Tuesday/Thursday 12:30pm - 3:15pm Tuesday/Thursday 12:45pm - 3:30pm Tuesday/Wednesday/Thursday 12:45pm - 3:30pm 4 – 5 year old class (K4) Monday through Thursday 12:45pm - 3:30pm Please rank your order of preference, listing only the classes that you would accept. We try to honor your first choice. However, the Preschool reserves the to create optimal learning communities in each class and create balanced classrooms (i.e. age and gender).First ChoiceMake selectionM/W/F 8:45amM/W/F 9:00amT/Th 8:45amT/Th 9:00amT/Th 12:30pmT/Th 12:45pmT/W/Th 12:45pmMon-Th K4 afternoonNot applicableSecond ChoiceMake selectionM/W/F 8:45amM/W/F 9:00amT/Th 8:45amT/Th 9:00amT/Th 12:30pmT/Th 12:45pmT/W/Th 12:45pmMon-Th K4 afternoonNot applicableThird ChoiceMake selectionM/W/F 8:45amM/W/F 9:00amT/Th 8:45amT/Th 9:00amT/Th 12:30pmT/Th 12:45pmT/W/Th 12:45pmMon-Th K4 afternoonNot applicableFourth ChoiceMake selectionM/W/F 8:45amM/W/F 9:00amT/Th 8:45amT/Th 9:00amT/Th 12:30pmT/Th 12:45pmT/W/Th 12:45pmMon-Th K4 afternoonNot applicableFifth ChoiceMake selectionM/W/F 8:45amM/W/F 9:00amT/Th 8:45amT/Th 9:00amT/Th 12:30pmTh/Th 12:45pmT/W/Th 12:45pmMon-Th K4 afternoonNot applicableSixth ChoiceMake selectionM/W/F 8:45amM/W/F 9:00amT/Th 8:45amT/Th 9:00amT/Th 12:30pmT/Th 12:45pmT/W/Th 12:45pmMon-Th K4 afternoonNot applicableSeventh ChoiceMake selectionM/W/F 8:45amM/W/F 9:00amT/Th 8:45amT/Th 9:00amT/Th 12:30pmT/Th 12:45pmT/W/Th 12:45pmMon-Th K4 afternoonNot applicableCommentsSchlitz Audubon Nature Preschool 2020/2021 Application Agreement 1. I understand that the application fee is non-refundable and must accompany my child’s completed application. 2. I understand that I am responsible for payment of contracted fees, and that the first semester or full year tuition payment will be due on August 1 and second semester’s tuition is due on December 1. 3. I understand that Preschool tuition is non-refundable. 4. I understand that I do not receive adjustments in tuition for holidays, inclement weather closings or days missed. 5. I understand that a $25.00 charge is assessed for each Non-Sufficient Funds (NSF) check received. 6. I understand that per Wisconsin State licensing regulation, my child must be fully toilet trained to attend the Preschool. By “fully toilet trained” we mean that your child must wear underpants (not pull-ups) and be able to urinate and have their bowel movement on the toilet as well as wipe themselves after. On August 1st, when the first tuition payment is due, if my child is not completely toilet trained, I will decide to: a) pay the tuition and have the Preschool hold the space until my child is ready to start school, b) put my child on a wait list in the hopes that a spot will open after he/she is toilet trained or c) decide to hold off and wait until the next school year. In all 3 cases, my child’s $250 deposit will be held until they are ready to enroll. 7. I understand that I will be notified of my child’s enrollment status by the end of February, and that if a place has not been secured, my child will be placed on a wait-list. 8. I understand that, should my child be accepted, a link to our online enrollment packet will be emailed to me in mid-July. 9. I agree to complete and return the Preschool enrollment packet to the Preschool Coordinator by the August 1 deadline.* I have read and agree to the statements listed above in the Application Agreement, Digital Signature of Parent/Guardian*Date* Date Format: MM slash DD slash YYYY For priority member registration, you must have a current membership at Schlitz Audubon Nature Center as of January 27, 2020.Application Fee* Price: $45.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Security Code Cardholder Name PhoneThis field is for validation purposes and should be left unchanged.
