________________________________________________________________________________________________
Dear Parents:
Thank you for your interest in
In order to complete your application process, we need the
following:
1. A completed Application For Entrance,
including a signed Membership Agreement;
2. A copy of your child's birth certificate
or other proof of birth date;
3. An application fee of $75.00, by check
made payable to CLNS, Inc.
Please return your application material to me (my home
address is below) or to the school (Monday-Thursday,
Doreen Bunten
9903 Cedar Lane
Bethesda, MD 20814
Admissions
Chair
(301) 530-5443
_________________________________________________________________________
www.clns.org
APPLICATION FOR ENTRANCE: 2008-2009 SCHOOL YEAR
Child's legal name: Last
__________________________
First_______________________
Child's preferred name or
nickname: _________________ Sex: ____
Birth date: _________
Address: _____________________________________________________________________
_____________________________________________________________________
Name of Parent or Guardian:
______________________________________________________
Address: _____________________________________________________________________
_____________________________________________________________________
E-mail address:
________________________________________________________________
Home phone: ________________________Business phone: __________________________
Occupation or training:
__________________________________________________________
Name of Parent or Guardian:
______________________________________________________
Address: _____________________________________________________________________
_____________________________________________________________________
E-mail address:
________________________________________________________________
Home phone: ________________________Business phone: __________________________
Occupation or training:
__________________________________________________________
Other children in family:
Name__________________________________ Birth
date
__________________________________ ___________________________
__________________________________ ___________________________
In which program do you wish to enroll your child?
* 2 year-olds:
_____2 days A.M. (Tuesday-Thursday 9:15-11:45 AM)
additional options:
* 3 year-olds:
_____3 days A.M. (Monday-Wednesday- Friday 9:15AM-12:00 PM)
additional options:
Lunch:
___Monday ___Wednesday (
Extended day: ___Monday ___ Wednesday (12:30 – 2:30 PM
* 4 year-olds: _____4
days A.M. (Monday through Thursday 9:15AM-12:00 PM)
additional options:
Lunch:
___Monday ___ Tuesday ____Wednesday ____Thursday (
Extended
day: ___Monday ____Tuesday ____Wednesday (
Are you a former member of
If
yes: Number of years: ___________
Dates: ___________________
Positions
held:
____________________________________________________
Name
of previously enrolled child(ren):
________________________________
Why do you want to send your child to
Have you ever been in a parent cooperative
nursery school before? _________
If yes, where?
________________________________
How long?
______________
Has your child ever been in any other kind of
pre-school program? _______
If yes, where?
________________________________
How long?
______________
Are you currently on a waiting list at another
school? _______
Are you currently a member of Cedar Lane Unitarian
Universalist Church? ______
Important! Please note:
1. A
visit to the school by parent(s) and child as well as an interview/discussion
with CLNS Teacher/Director is required before a child can be accepted for
admission by the school. To arrange a
visit, please contact Doreen Bunten, Admissions Chair, at (301) 530-5443.
2. A
non-refundable application fee of $75.00 (by check payable to CLNS, Inc.) and a
proof of birth date are required with this application.
******************************************************************************
Cedar Lane
Nursery School, Inc. is a member of the
CLNS does not
discriminate on the basis of race, color or national origin. CLNS is not affiliated with
MEMBERSHIP
AGREEMENT
The success of
The rules presented in this Membership Agreement are
designed for the protection and health of our children as well as for the
successful functioning of the school. A
member is considered to be “in good
standing” if they routinely fulfill the obligations specified in this
Agreement. The rules may be modified
from time to time by vote of the membership.
For a more complete explanation of our policies,
curriculum and educational philosophy, please refer to
the "Parent Handbook" posted on our website:
www.clns.org. (A hard copy of the handbook is available for
review at the school Monday through Thursday from
1.
PARTICIPATION: Foremost among a parent's responsibilities is
cooperation at school. Parents are
generally assigned at least two days of co-op duty per month . Parents are expected to be on
time and ready to fulfill their
co-oping duties. If illness or
emergency prevent a co-oping parent coming to school on their assigned day, the
parent must arrange with another parent to substitute on an in-kind basis; the parent will be
expected to pay any cost which may be incurred by the replacement parent for a
baby sitter as well as repaying the day at school to their replacement. Parents also must attend four work days each
year and are required to take on an administrative job within the school (e.g.,
newsletter, librarian, health and safety, membership, etc.).
2. ATTENDANCE
AT MONTHLY MEETINGS: In order that we may work together as parents
and teachers for the greatest benefit of our children, attendance at the monthly meetings by at least one parent or
guardian of each child is mandatory. The President must be notified if a parent
cannot attend. It is at these meetings
that we coordinate our experiences, evaluate our roles as parent-teachers, take
care of the business pertaining to CLNS, and (last, but not least) come to know
one another better.
3. PHYSICAL
EXAMINATION: After a child has been accepted for
admission, several state-required health forms must be completed in order for a
child to enroll in the school.
* The child's physician must complete a general health
inventory form as well as those indicating proof of immunizations and lead
screening;
* Each
co-oping parent must have his or her
physician complete a state health form documenting, among other things, a
negative TB test within the last 12 months.
Health forms are provided by the school following the
child's acceptance into the school. No
child will be allowed to begin school until all health forms, for both child and parent(s), are completed
and turned in.
4. TUITION AND
FEES:
Fees and tuition for CLNS for 2007-2008 are as follows:
* Application
Fee: $75.00 (Non-refundable, due at the time of application for
admission.)
* Monthly
Tuition: Two-day program for 2-year olds (T,TH): $170.00;
Three-day program for 3-year olds (M,W,F): $200.00;
Four-day
program for 4-year olds (M-TH): $265.00.
* Supplies
and Equipment Fee: $75.00
and Activity Fee: $75.00 for 3/4 year olds
and $50 for 2 year olds (Due in
September.)
* lunch program $5.00/day
*extended day $12.50/day
The first two tuition prepayments are non-refundable.
The first prepayment is due at time of admission. The first month's tuition covers the two
weeks of September and the two weeks of June.
May 2008 tuition is due at the June 2007 membership meeting. Subsequent
payments are due at the monthly membership meetings, starting in September.
5. WITHDRAWAL
AND REFUNDS:
The first two tuition prepayments are not
refundable. Other tuition paid in
advance may be refunded if withdrawal is for one of the following reasons, and
after a written notice to the school’s Board of Directors is received at least
30 days in advance of the withdrawal of a child from CLNS. :
* Serious and prolonged illness;
* Permanent removal of the family from the area;
* Mutual agreement between member and Board on such withdrawal,
if there is unsatisfactory adjustment to the school by the child or the
member-participant, and if a suitable replacement child is found without loss
of tuition to the school.
******************************************************************************
I have read the Cedar Lane Nursery School Membership
Agreement and accept the rules as presented.
Signature
of Parent ________________________________ Date
_____________