Nature Preschool Application Thank you for your interest in our Nature Preschool! We will be in touch within 2-3 business days. Child's First Name*Child's Last Name*Child's Gender*FemaleMaleChild's Date of Birth* 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 8:45 - 11:30am Monday/Wednesday/Friday 9:00 - 11:45am Tuesday/Thursday 8:45 - 11:30am Tuesday/Thursday 9:00 - 11:45am Afternoon Classes (mixed age class for 3 – 5 year olds) Monday/Wednesday 12:30 - 3:15pm Tuesday/Thursday 12:30 - 3:15pm Tuesday/Thursday 12:45 - 3:30pm 4 – 5 year old class (K4) Monday through Thursday 12:45 - 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 Choice*Make selectionM/W/F 8:45amM/W/F 9:00amT/Th 8:45amT/Th 9:00amM/W 12:30pmT/Th 12:30pmTh/th 12:45pmMon-Th K4 afternoonNot applicableSecond ChoiceMake selectionM/W/F 8:45amM/W/F 9:00amT/Th 8:45amT/Th 9:00amM/W 12:30pmT/Th 12:30pmT/Th 12:45pmMon-Th 12:45 (K4)Not applicableThird ChoiceMake selectionM/W/F 8:45amM/W/F 9:00amT/Th 8:45amT/Th 9:00amM/W 12:30pmT/Th 12:30pmTh/th 12:45pmMon-Th K4 afternoonNot applicableFourth ChoiceMake selectionM/W/F 8:45amM/W/F 9:00amT/Th 8:45amT/Th 9:00amM/W 12:30pmT/Th 12:30pmTh/th 12:45pmMon-Th K4 afternoonNot applicableFifth ChoiceMake selectionM/W/F 8:45amM/W/F 9:00amT/Th 8:45amT/Th 9:00amM/W 12:30pmT/Th 12:30pmTh/th 12:45pmMon-Th K4 afternoonNot applicableSixth ChoiceMake selectionM/W/F 8:45amM/W/F 9:00amT/Th 8:45amT/Th 9:00amM/W 12:30pmT/Th 12:30pmTh/th 12:45pmMon-Th K4 afternoonNot applicableSeventh ChoiceMake selectionM/W/F 8:45amM/W/F 9:00amT/Th 8:45amT/Th 9:00amM/W 12:30pmT/Th 12:30pmTh/th 12:45pmMon-Th K4 afternoonNot applicableComments We are gauging interest in our 30-minute After School Care program, in order to plan ahead. Let us know below if you expect to use this service. (Checking the box is not a commitment.) I expect my child to participate in After School Care. To apply early, you must have a current membership at Schlitz Audubon Nature Center as of January 29, 2018. Become a member. Application Fee* Price: $35.00 Non-refundable Application fee: $35 per child. American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name Schlitz Audubon Nature Preschool 2018/2019 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, due to the semester/school year planning required for the Preschool at Schlitz Audubon Nature Center, 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 til the next school year. In all 3 cases, my child’s registration fee and 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 complete enrollment packet will be emailed to me in mid July.* I have read and agree to the statements listed above in the Application Agreement, Digital Signature of Parent/Guardian*Date* EmailThis field is for validation purposes and should be left unchanged.