2021-2022 Hope Christian Preschool Registration Form

Please fill out this form and click submit. For some required boxes you can just write NA (not applicable) if you have nothing to add.
Any questions feel free to contact us.
Katherine Bonine
Director, Hope Christian Preschool
651-480-2417 / preschool@hopeofhastings.com
www.hopeofhastings.com/preschool
REGISTRATION FEE

Thank you for choosing Hope Christian Preschool.

A one-time, non-refundable fee of $50.00 and a completed registration form are required at the time of registration. All other forms including immunization record, health summary and permission form must be returned before the first day of class.
$50
 
PARENT/LEGAL GUARDIAN INFORMATION

We recognize that each family is unique in the makeup of it. Please do not list "biological" or "do not contact" information of a parent that has no input in the child's education. For example: list the Dad at home that is actively taking care of the child, not a biological parent.

 
 
Please select one option.
 
 
 
 
 
 
 
I WOULD LIKE TO REGISTER MY CHILD FOR...

Must be able to use toilet and dress independently.
 
 
 
Please select one option.
Please select one option.
AFTER SCHOOL CARE*

$25 per session. Days chosen are a contractual commitment, accounts will be billed for the chosen days regardless of absence. Drop in's are permitted depending on available space. School approved bag lunch is required for all children in After School Care. https://www.health.state.mn.us/people/foodsafety/away/lunches.html

Child(ren) must be picked up by 6PM. Late charges will apply. 


*minimum number of children needed to run a session is 3.
Please select all that apply.
 
 
 
 
 
 
 
 
OTHER FAMILY INFORMATION

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
EMERGENCY INFORMATION

 
 
 
 
 
 
 
 
In case of an emergency, I give my permission for my child to be treated by a physician or hospital, in an emergency, Hope Chrisitan Preschool will call 911.
Please select one option.
 
 
 
 
 
 
 
 
ALTERNATE AUTHORIZED PICK UP PERSON(S)

 
 
 
 
 
 
 
 
 
 
 
 
I give permission for my child to be picked up and transported to/from Hope Christian Preschool by the below-named person(s). I will notify Hope Christian Preschool immediately if the above information changes. Pick-up by any person not listed on this form will require advance notice from the parent in the form of a signed, dated note for each occasion.

Alternate person(s) must show a current ID or Drivers License to pick up.
Please select all that apply.
ELECTRONIC TUITION DEBIT FORM 1

I/we hereby authorize Hope Lutheran Church to initiate debit/credit entries to my/our account(s) as indicated below at the financial institution named below, hereinafter called Financial Institution, to debit/credit the same to such account. I/we agree to have available funds in the account on the designated date to effect this transfer. I/we agree to pay any applicable fees for this service as disclosed by the Financial Institution. This authority will remain in effect until I/we notify the bank in writing at least 5 banking days prior to the next transfer effective date. i/we acknowledge that the origination of ACH transactions to the account must comply with the provisions of the U.S. law.
 
 
 
 
 
 
 
Please select all that apply.
 
Please select all that apply.
ELECTRONIC TUITION DEBIT FORM 2

I/we hereby authorize Hope Lutheran Church to initiate debit/credit entries to my/our account(s) as indicated below at the financial institution named below, hereinafter called Financial Institution, to debit/credit the same to such account. I/we agree to have available funds in the account on the designated date to effect this transfer. I/we agree to pay any applicable fees for this service as disclosed by the Financial Institution. This authority will remain in effect until I/we notify the bank in writing at least 5 banking days prior to the next transfer effective date. i/we acknowledge that the origination of ACH transactions to the account must comply with the provisions of the U.S. law.
 
 
 
 
 
 
Please select all that apply.
 
Please select all that apply.
CHILD CARE IMMUNIZATION FORM

Immunization record and health summary form must be returned before the first day of class. Go to these links for the forms. Upload the completed form. This can be done now or before Preschool starts.
IMMUNIZATION FORM
HEALTH CARE SUMMARY
PERMISSION SLIP 





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Should you have any questions or need assistance in filling out this form please contact:

Katherine Bonine

Director, Hope Christian Preschool

 
 
 
 
 

Description

Please fill out this form and click submit. For some required boxes you can just write NA (not applicable) if you have nothing to add.
Any questions feel free to contact us.
Katherine Bonine
Director, Hope Christian Preschool
651-480-2417 / preschool@hopeofhastings.com
www.hopeofhastings.com/preschool