IFP Registration Form | Ithaca Forest Preschool

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Parent Name (Account Holder)

Full Name

Email Address

Phone Number

XXX-XXX-XXXX

Secondary Phone #

XXX-XXX-XXXX

When is the best times to contact you?

Our office hours are M-F, 9am-4:30pm

Participant's Full Name

Full Name

Participant prefers to be called (if applicable):

Participant's Gender

Participant Birth Date

DD/MM/YYYY

The participant is my child / step child

Yes

No, we have a different relationship (i.e., grandchild, etc)

Mailing Address

City

State/Province

Zip/Postal

How did you hear about Ithaca Forest Preschool?

i.e. friends, Internet search, flyer, etc.

Which payment option works best for your family?

Full payment by the due date(s)

Automatic payments from a debit or credit card

For full year participants only: 3 proportional payments on 8/1, 11/1, and 2/1

Please see our website for more information on payment options

Financial assistance is available. Do you plan to apply for a scholarship?

Yes

Forest Preschool Support Questions:

What, if any, experience does your child have with non-family caregivers or structured programs (for example child care, preschool, camps)?

Has your child had any prior special needs? Has your child ever had an IFSP (Individual Family Service Plan) or IEP (Individual Education Plan)? If so, would you be willing to share those documents with us so we can better understand how to support your child? How do you think the issues your child was assessed for might impact them at Forest Preschool?

How is your child doing with potty training? Are you confident they will need only minimal assistance by the time school starts? What kind of assistance do you anticipate they might need, especially given we are outdoors and the child will often be wearing a lot of layers of clothing?

Do you know if your child already knows any of the other students or any of the the Ithaca Forest Preschool instructors? (If yes, who?)

Is there anything else you want to tell us about your child’s needs while with us? How can we best support your child’s transition to Forest Preschool?

Please list any recent/current illness/injury (please provide dates); Existing medical conditions; Restrictions/limitations; Special needs/diets; Allergies (eg. medications, food, insect stings); Other Concerns or Conditions:

If none, type "NONE"

Medications that will be brought to the program:

If none, type "NONE"

Participant Demographic Information

Residence

Ethnicity

Hispanic

Non-Hispanic

Ithaca forest preschool

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Forest Preschool Support Questions:

Participant Demographic Information