1Child Information2Family Information3Other Information4Submit Application Child's Full Name* First Middle Last Child's Preferred Name Child's Birthdate* Month Day Year Child's Gender* Male Female Non-Binary Is this child a returning student?* Yes No What class was this child in last year?*Early LearnerPreschoolParent TotHave you previously applied to WPELC for this child?* Yes No Is this child a sibling of a WPELC current student or alum?* Yes No Full Name(s) of Current or Alumni Sibling(s):* Are you also submitting an application for another sibling?* Yes No Remember to submit a separate application for each child you wish to enroll next year.Full Name(s) of Child's Sibling(s):* Class SelectionPlease select the class you wish to enroll in for the 2023-2024 school year.* Parent-Tot (ages 18 months to 2.5 years) Early Learner (ages 2.5 to 3.5 years) Preschool (ages 3.5 to 5 years) Parent-Tot PreferencesParent-Tot Classes meet one day a week from 9:15am-10:45am (1.5 hours per week). Children attend with a parent or guardian. Fees: 1 Day Per Week (1.5 hours per week) – $190 monthly tuition. There is a one-time Activity Fee of $185 for all students.My child will be 18 months old by September 1, 2023 (1 year old by March 1, 2023).*Students must meet this age requirement to be considered for the Parent-Tot Class. Sorry – no exceptions. Yes No Parent-Tot Class Preference* Wednesday Thursday Is there any information we should take into consideration with your Class Preference?For example, you may not be able to accept a placement on another day or are coordinating your schedule with a sibling enrolled at WPELC.Early Learner PreferencesEarly Learner Classes meet two or three days a week from 9:00am-11:30am (snack provided). Fees: 2 Days Per Week (5 hours per week) – $290 monthly tuition 3 days per week (7.5 hours per week) – $425 monthly tuition There is a one-time Activity Fee of $185 for all students.My child will be 2.5 years old by September 1, 2023 (2 years old by March 1, 2023).*Students must meet this age requirement to be considered for the Early Learner Class. Sorry – no exceptions. Yes No Early Learner Class Preference* 2 Days Per Week – Tuesday / Thursday 3 Days Per Week – Monday / Wednesday / Friday Is there any information we should take into consideration with your Class Preference?For example, you may not be able to accept a placement on another day or are coordinating your schedule with a sibling enrolled at WPELC.Enrichment (FYI Only): WPELC Teachers offer an additional Enrichment hour after regular class two or three days per week for Early Learners. Each Enrichment hour focuses on a different theme including storybook experience, cultural exploration, science, music and movement, dance and art. Early Learners bring a sack lunch if staying for Enrichment. Enrichment is optional. Sign up and payment for Enrichment occurs during the school year.Preschool PreferencesPreschool Classes meet two or three days a week from 9:00-1:00 (snack provided and students bring their own lunch). Fees: 2 Days Per Week (8 hours per week) – $390 monthly tuition 3 days per Week (12 hours per week) – $575 monthly tuition There is a one-time Activity Fee of $185 for all students.My child will be 3.5 years old by September 1, 2023 (3 years old by March 1, 2023).*Students must meet this age requirement to be considered for the Preschool Class. Sorry – no exceptions. Yes No Preschool Class Preference* 2 Days Per Week – Tuesday / Thursday 3 Days Per Week – Monday / Wednesday / Friday Extra Day Option*If staffing allows, we intend to offer an additional class day for our Tuesday/Thursday Preschool students on Mondays OR Fridays. If applying for the Tuesday/Thursday Preschool class, please indicate your interest in this Extra Day option. Yes, I am interested. No, I am not interested. I’m not sure yet. Is there any information we should take into consideration with your Class Preference?For example, you may not be able to accept a placement on another day or are coordinating your schedule with a sibling enrolled at WPELC.Enrichment (FYI Only): WPELC Teachers offer an additional Enrichment hour after regular class one or two days per week for Preschoolers. Each Enrichment hour focuses on a different theme including storybook experience, cultural exploration, science, music and movement, dance and art. Enrichment is optional. Sign up and payment for Enrichment occurs during the school year. Parent / GuardianName* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Main Phone*Second PhoneOccupation* Name of Business*If not applicable, write NA. Business PhoneDoes this child have a second parent/guardian?* Yes No Second Parent / GuardianName* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Main Phone*Second PhoneOccupation* Name of Business*If not applicable, write NA. Business PhoneChild's SiblingsDoes this child have one or more siblings?* Yes No Please list siblings in order of birth.Name* First Last Birthdate* Month Day Year Name First Last Birthdate Month Day Year If more than two siblings, please list names and birthdates Does your child have any medical conditions (allergies, diabetes, etc) or other special needs?* Yes No Please Explain* Does your child have any previous group experience?* Yes No Please Explain* Is your child potty trained?* Yes No Tell Us MoreHow did you hear about our school?* Why do you believe our school is a good match for your child and your family?*What aspects of a parent cooperative preschool are most important to you?*Is there anything else that you'd like us to consider along with your application? Admissions Process WPELC considers applications on a loose lottery system, meaning we strive to balance all classes by age and gender. If we cannot offer your child a spot, we will place your child’s name in our Wait Pool and will notify you if a spot becomes available. Application due dates and fees depend on your application status. Key dates and instructions are listed below: Friday, January 27, 2023: Applications for CURRENT families are DUE. To receive priority, your application must be received by Friday, January 27, 2023 and your family must be in good standing. Friday, February 10, 2023: Applications for NEW families DUE with a $65 Application Fee for first-time applicants. Friday, February 24, 2023: Offer of acceptance or waitlist letters are emailed. Please verify that your email is correct on this application.Nondiscrimination Policy WPELC admits students of any race, color, national and ethnic origin and religion to all the rights, privileges, programs and activities generally accorded or made available to students at the school, and it does not discriminate on the basis of race, color, national and ethnic origin or religion in administration of its educational policies, admission policies, and scholarship program, and athletic and other school administered programs. Please note that, although we are located in a church building, we are nonsectarian. We address the annual holidays as they affect children’s lives.Tuition Assistance WPELC encourages diversity and does not discriminate on the basis of race, ethnicity, religion or economics. We encourage families who might benefit from financial assistance to apply for a scholarship. Qualification is determined on a need basis. Applications are available at www.wpelc.org and are due by May 5, 2023.Also Due with Application Any student new to the program (including siblings) is required to pay the $65 non-refundable application fee. Returning students or second-time applications do NOT need to pay. If this applicant requires an application fee, you will be directed to PayPal to complete this transaction.SignatureTuition AssistanceWPELC has a Tuition Assistance program that is open to all families. Tuition assistance can be granted for any partial amount up to the total tuition due. Tuition Assistance can be requested at any time during the year and the process is completely confidential. I would like to be contacted by a school administrator regarding the confidential Tuition Assistance program. Family Responsibilities Acknowledgement*I understand I am not a member of WPELC until I am notified of my child’s acceptance to the school, have paid the non-refundable retainer fee and have officially accepted a placement offer. Once we become members, I agree to fulfill my responsibilities as set forth in the WPELC Parent Handbook. This application is good for the 2023-2024 school year. If my child is not admitted this year, I understand that we need to apply again for the following year and the application fee will be waived with proof of previous payment. I understand Online Application Acknowledgement*Once you press the Submit button, your information will be sent to Washington Park Early Learning Center. You will receive a confirmation email with your submitted information. If you do not receive this confirmation, your form was not submitted properly. Please email admissions@wpelc.org if you do not receive the confirmation or the submitted information is incorrect. I understand First Parent/Guardian Signature* Reset signature Signature locked. Reset to sign again Second Parent/Guardian Signature* Reset signature Signature locked. Reset to sign again Enrollment FeeEnrollment Fee Amount to Be Charged $0.00
