Assumption Early Childhood
35 JeffersonAvenue'Emerson,
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NJ o763o. 201.262.0300
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January 30,2017
Dear Parents/Guardians:
Thank you for yoir interest in Assumption Early Ghildhood Center! lt is registration (for our new families)
& re-registration time (for our in-house families)! We are looking fon /ard to reserving a place for all
interested Pre-K & K. students for the upcoming 2017- 2018 school year.
For our "in house" parents (those families re-registering for Sept.2017)...in order for you to have a
guaranteed place for your child in September, you must SEND lN THE REGISTRATION FEE CHECK
($350.00) and the REGISTRATION PAPERWORK PACKET by Wednesday, March 1"1.
We thank you IMMENSELY for your support of our program!
No registration is complete untilthe following are submitted:
.Please note... REGISTRATION FEE lS NON-REFUNDABLE....-
1. Registration Fees check in the amount of $ 350.00. This $ 350.00 amount should be given in
money order or one check made out to Assumption EGC. lf you register more than one child,
the second child is a $300.00 Registration Fee.
2.
All registration paperwork received by you in our packet.
IN ORDER FOR YOUR CHILD TO BE REGISTERED IN A CLASSROOM FOR SEPTEMBER 2017, THE
REGISTRATION FEE OF $ 35O.OO MUST BE PAID BY MARCH 1ST . REGISTRATION FEE MUST BE PAID
FOR AT THE ACTUAL TIME OF REGISTMTION! FOR OUR "IN HOUSE'' FAMILIES....AN ADDITIONAL
WILL BE ADDED TO LATE REGISTR.ATIONS....LATE REGISTRATIONS ARE THOSE COMPLETED
AFTER MARCH 1,2017.
$5O.OO
Please feel free to call the Main Office with any questions regarding this information.
God Bless,
Miss Jurevich
Director
ASSUIAPTTON EARLY CHILDHOOD CENTER REGTSTRATION APPUTCATION
35 Jefferson Ave, Emerson NJ 07630 (entronce on Locust Ave) 201-262-03OO Fqx 2Ot-26?-5910 www.ossumpfionccad.org
(All families are required to complete - New or Re-registering)
*All information is kept confidential*
"We must secure this information to better serve the needs of your child*
Date of Entry
Grade
5
Full
5
Half
Child's Name
3
Full
3 Half
Date of Birth
Child's Nickname (if any)
Country of Birth
Home Address
Town
7ip,
Home Ph
Child's Religion
Father's Name
Religion
Address
Cell Ph
Occupation
Work
Ph
E-mail Address (father)
Mother's Name
Religion
Address
Cell Ph
Occupation
Work
Ph
E-mail Address (mother)
MaritalStatus
Other Languages Spoken at Home
Names & Ages of Siblings
Legal Guardian (if applicable)
Address
Cell
Home Ph
Ph
Work
Ph
|sthereacustodialarrangementforthechild?-yes
Child's Race/Ethnicity (check all that apply)
Gender:
no
Male
Native Black/African American _Native
_Asian
-American _Hispanic or Latino _White _Some other Race
Indian/Alaska
Female
Hawaiian/Pacific lslander
Describe any health problems your child may have
Describe any behavior problems your child may have
Has your child had any previous Day Care or Nursery placement?
lf so, please list name of person or school
Has your child had experience playing
with other children?
What makes him/her mad or upsgt?
How does he/she show feelings?
What time does your child go to bed?
Awaken?
Does he/she normally take a nap?
How long?
Can your child be relied upon
to indicate bathroom needs?
lf your child has any unusual terms to indicate the need to urinate or have a bowel movement, please state
them
Does your child need
to
use
the bathroom frequently?
Does he/she have bathroom accidents?
To what foods is he/she allergic?
ls your child a good eater?
What makes your child most happy?
List any fears your child may have, and how he/she will react to them
Approximate time of drop off
Pick up?
Please write below any additional information about your child that would be helpful to the teacher
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