2024-25 Enrollment Packet – The Children's Circle – Myers Park United Methodist Church

Parent/Guardian Information

Mother/Legal Guardian #1 Name*

First Last

Mother/Legal Guardian #1 Cell Phone Number*

Mother/Legal Guardian #1 Work Phone Number

Mother/Legal Guardian #1 Email Address*

Mother/Legal Guardian #1 Address*

Street Address City State ZIP Code

Child Lives With Mother/Legal Guardian #1*

Yes

No

Mother/Legal Guardian #1 May Pick Up Child*

Yes

No

Mother/Legal Guardian #1 Should Be Included on Preschool Communication*

Yes

No

Be sure to input email address to receive communication.

Father/Legal Guardian #2 Name

First Last

Father/Legal Guardian #2 Cell Phone Number

Father/Legal Guardian #2 Work Phone Number

Father/Legal Guardian #2 Email Address

Father/Legal Guardian #2 Address Same as Above

Father/Legal Guardian #2 Address

Street Address City State ZIP Code

Child Lives With Father/Guardian #2

Yes

No

Father/Guardian #2 May Pick Up Child

Yes

No

Father/Guardian #2 Should Be Included on Preschool Communication

Yes

No

Be sure to input email address to receive communication.

How many children will you have at TCC for the 2024-25 school year?*

Student Information #1

Child's Full Name*

First Middle Last

Goes by*

This name will be used for labeling classroom spaces/items.

Date of Birth*

Gender*

Is your child allergic to anything? (Y/N) If Yes, please describe.**

*For confirmed allergies, we will follow up with the Allergy Alert Form and Action Plan for you to complete.

Does your child have any special conditions or medical issues to be aware of? (Y/N) If Yes, please describe.**

*For special conditions or medical issues, we will follow up with the Special Care Plan for you to complete.

Please upload photo of your child. This will be used for records purposes only.

PHOTO REQUIRED. Please attempt to upload via this form. If you have any issues, you may email photo to Jamie Curtis at jcurtis@mpumc.org

Accepted file types: jpg, gif, png, jpeg, Max. file size: 300 MB.

Student Information #2

Child's Full Name*

First Middle Last

Goes by*

This name will be used for labeling classroom spaces/items.

Date of Birth*

Gender*

Is your child allergic to anything? (Y/N) If Yes, please describe.**

*For confirmed allergies, please complete the Allergy Alert Form and Action Plan - available on the preschool website.

Does your child have any special conditions or medical issues to be aware of? (Y/N) If Yes, please describe.**

*For special conditions or medical issues, please complete the Special Care Plan - available on the preschool website.

Please upload photo of your child. This will be used for records purposes only.

PHOTO REQUIRED. Please attempt to upload via this form. If you have any issues, you may email photo to Jamie Curtis at jcurtis@mpumc.org

Accepted file types: jpg, gif, png, jpeg, Max. file size: 300 MB.

Student Information #3

Child's Full Name*

First Middle Last

Goes by*

This name will be used for labeling classroom spaces/items.

Date of Birth*

Gender*

Is your child allergic to anything? (Y/N) If Yes, please describe.**

*For confirmed allergies, please complete the Allergy Alert Form and Action Plan - available on the preschool website.

Does your child have any special conditions or medical issues to be aware of? (Y/N) If Yes, please describe.**

*For special conditions or medical issues, please complete the Special Care Plan - available on the preschool website.

Please upload photo of your child. This will be used for records purposes only.

PHOTO REQUIRED. Please attempt to upload via this form. If you have any issues, you may email photo to Jamie Curtis at jcurtis@mpumc.org

Accepted file types: jpg, gif, png, jpeg, Max. file size: 300 MB.

Emergency Care Information

This will be kept on file for your family's entire enrolled period at TCC. TCC will provide a yearly review of this information for returning students.

Name of Pediatrician*

Pediatrician's Phone Number*

Hospital Preference*

Name of Insurance Plan*

ID#*

Subscriber's Name (on insurance card)*

First Last

Emergency Contacts

To whom child(ren) may be released if legal guardian is unavailable. These will be kept on file for your family's entire enrolled period at TCC. TCC will provide a yearly review of these contacts for returning students.

Emergency Contact #1 Name*

First Last

Emergency Contact #1 Phone*

Emergency Contact #1 Relationship*

Emergency Contact #2 Name*

First Last

Emergency Contact #2 Phone*

Emergency Contact #2 Relationship*

Emergency Contact #3 Name

First Last

Emergency Contact #3 Phone

Emergency Contact #3 Relationship

Permissions

Permissions will be applied for the entire enrollment period for your family at TCC.

TCC Directory*

The Children's Circle Directory, distributed to each family in the fall, is for school family use and may not be reproduced without permission. For the Directory, please select ONE of the two options below:

Photography*

I give approval for my child(ren)'s picture to be used on The Children's Circle's social media sites (Facebook and Instagram), in printed materials or in videos promoting TCC.

Yes

No

Procare Solutions - Classroom Communication Tool*

I give my child(ren)'s teachers permission to use my information to provide access to Procare Solutions, which will be maintained by his or her teachers. Procare Solutions is password protected and only for the parents in my child(ren)'s classroom. This account/app will serve as a communication tool between the teachers and the parents and will include classroom updates and photos of the children engaged in activities and events.

Yes

No

Class Email List*

I give my child(ren)'s teachers permission to share my email address with the other families in the classroom. My email address will only be used for the purpose of classroom communications.

Yes

No

Parent/Legal Guardian Name*

First Last

Parent/Legal Guardian Signature*

Date*

Parent/Legal Guardian Emergencies Agreement

Consent for the Parent/Legal Guardian Emergencies will be applied for the entire enrollment period for your family at TCC.

As parent/legal guardian, I give consent to have my child(ren) receive first aid by facility staff, and if necessary, be transported to receive emergency care. I understand that I will be responsible for all charges not covered by insurance. I give consent for an emergency contact person listed on this form to act on my behalf until I am available. I agree to review and update this information whenever a change occurs.

Parent's/Legal Guardian’s Signature*

Date*

Potty Training Policies Agreement

Consent for the Policy Training Policies Agreement will be applied for the entire enrollment period for your family at TCC.

Potty Training Policy*

Children in our Toddlers and Twos program are NOT expected to be potty trained. We ask that parents provide disposable diapers as well a complete change of clothes that will remain in your child’s cubby at school. If your child begins the potty training process while in our Toddlers or Twos program, we will partner with you to help with this process within the confines of our busy preschool day.

Children enrolled in our 3s, 4s and TK program MUST BE potty trained in order to attend. Children must be wearing underwear and very rarely having accidents. Please note that wearing pull-ups isn’t considered being potty trained.

Why do 3s, 4s and TK have to be potty trained?
• There are strict standards for changing and disposing of wet or soiled diapers.
• The classrooms are not equipped for diaper changing.
• When an adult is busy changing a child’s diaper or soiled clothing, it is taking away from learning time for all students and it removes one adult from the direct supervision of and interaction with the rest of the class.

A potty-trained child is a child who can do the following:
1. Communicate to the teachers that he/she needs to go to the restroom before they need to go.
2. Alert him/herself to stop what he/she is doing, to go and use the bathroom.
3. Pull down his/her clothes and get them back up without assistance.
4. Wipe him/herself after using the toilet. (With bowel movements as well as urine)
5. Get on/off the toilet by him/herself.

We will certainly offer the opportunity to use the bathroom multiple times throughout the day. We do understand that even potty-trained children will occasionally have toileting accidents, especially when he/she is in a new environment. By definition, "accidents" are unusual incidents and should happen infrequently. In these instances, the teachers will help children to change their clothes, encouraging independence as much as possible.

Please dress your child in clothing that can be undone and changed easily. Please send a complete change of clothes that is appropriate for the season that will remain in your child’s cubby at school. Parents will be notified if a child has a toileting accident.

I have read, understand and agree to the Potty Training Policy of The Children's Circle and will comply to these requirements.

Parent/Legal Guardian Name*

First Last

Parent/Legal Guardian Signature*

Date*

Tuition Policies Agreement

Consent for the Tuition Policies Agreement will be applied for the entire enrollment period for your family at TCC.

Parent/Legal Guardian Name*

First Last

Parent/Legal Guardian Signature*

Date*

Form Submission

Please hit submit to complete the 2024-25 Enrollment Packet.