Admission Application for 2021-2022

2021-2022 School Year

Application MUST be completed entirely to be considered (even by returning students). Please allow enough time to complete the application in one session. You will not be able to save and return later. If you prefer to manually complete the Application for Admission, please click here to download the print version.

PreSchool Application for 2021 - 2022

Application for Admission
Section 1/5 Tell us a little about your child
Applicant Name*
Name of the child, not the parent.
First Middle Last
Age as of 9/1/2021*
Years and Months, 2 years 10 months would be 2/10
Birthday*
MM slash DD slash YYYY
Nickname
Gender
- Female
- Male
Address-Child
Child's Address

Street Address Address Line 2 City State ZIP Code

The Preschool and Parents’ Morning Out/Toddler Program are in operation M-F from 9:30am-1:30pm. Toddlers may only attend one or two days per week.

CLASS	AGE	DAYS
PARENT MORNING OUT/TODDLER	12 months by 9/1/2021	May Attend 1 or 2 Days M T W TH F
2 YEAR OLD	2 by 9/1/2021	MWF, M-F
3 YEAR OLD	3 by 9/1/2021	MWF, M-F
OLDER 3S / YOUNG 4S	4 by 1/1/2022	MWF, M-F
PRE-K	4 by 9/1/2021	Must Attend 5 Days M-F

Parent Morning Out/Toddler Class
Child must be age 12 months by 9/1/21 and may only attend 1 or 2 days per week. Please select the days of attendance below.
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
2-Year Old Class
Child must be age 2 by 9/1/21 to attend this class. Please select one of the blocks below to designate days of attendance.
- M/W/F
- T/TH
- M-F
2-Year Old Class
Child must be age 2 by 9/1/21 to attend this class. Please select one of the blocks below to designate days of attendance.
- M/W/F
- T/TH
- M-F
3-Year Old Class
Child must be age 3 by 9/1/21 to attend this class. Please select one of the blocks below to designate days of attendance.
- M/W/F
- M-F
Older 3's/Young 4's
Child must be age 4 by 1/1/22 to attend this class. Please select one of the blocks below to designate days of attendance.
- M/W/F
- M-F
Pre-K
Child must be age 4 by 9/1/2021 and must attend 5 days, M-F.
- M-F
Parent/Guardian
Section 2/5 Tell us about the Parent/Guardian
Father's Name
Prefix First Middle Last Suffix
Father's Address
(if different than childs)

Same as Childs

Street Address Address Line 2 City State ZIP Code
Father's Phone
Cell phone is most helpful.
Father's Email
Father's Employer
Father's Type of Business
Father's Occupation
Father's Title
Father's Business Address
Street Address Address Line 2 City State ZIP Code
Father's Business Telephone
Mother’s Name
Prefix First Middle Last
Mother’s Address
(if different than childs)

Same as Childs

Street Address Address Line 2 City State ZIP Code
Mother’s Telephone
Cell phone is most helpful.
Mother's Email
Mother’s Employer
Mother’s Type of Business
Mother’s Occupation
Mother’s Title
Mother’s Business Address
Street Address Address Line 2 City State ZIP Code
Mother’s Business Telephone
Parents’ Marital Status
- Married
- Separated
- Divorced
- Never Married
Custody
Who has Custody of Child
- Father
- Mother
Correspondence
Correspondence should be sent via:
- Postal Mail
- Email
Mail Correspondence
Postal Mail Correspondence should be sent to:
- Father
- Mother
Email Correspondence
Email Correspondence should be sent to:
- Father
- Mother
Family
Section 3/5 Tell us about the Family
Member Family
Is your family a member of Northside Drive Baptist Church
- Yes
- No
Other Church
If no, please tell us your church affiliation:
How did you hear about the preschool?
How many children are in the family?
- Only child
- Two children
- Three children
- Four Children
Second Child's Name
First Last
Second Child's Gender
- Female
- Male
Second Child's Age
Second Child's Birthdate
MM slash DD slash YYYY
Second Child's School they attend
Third Child's Name
First Last
Third Child's Gender
- Female
- Male
Third Child's Age
Third Child's Birthdate
MM slash DD slash YYYY
Third Child's School they attend
Fourth Child's Name
First Last
Fourth Child's Gender
- Female
- Male
Fourth Child's Age
Fourth Child's Birthdate
MM slash DD slash YYYY
Fourth Child's School they attend
Other Caregivers
Are there any other people who are with your child(ren) on a regular basis? (i.e. grandparents or other relatives, nanny, housekeeper, etc). if so, please explain:
- No
- Yes
Language
Primary Language spoken at home
- English
- Spanish
Child Details
Section 4/5 Tell us a lot about your child
Has your child had previous other early educational experiences?
Preschool / Parents Day Off (PDO) / Daycare
- No
- Yes
Other School name
Other School Dates Attended
Other School Address
Street Address City State ZIP Code
Other School Telephone Number
Does your child have any physical or developmental disabilities, or behavioral, emotional, or sensory issues?
- No
- Yes
Physical Challenges
Please explain any Physical Challenges:
Do you have any concerns with regard to your child’s development?
- No
- Yes
Developmental Concerns
Please share your Developmental Concerns:
Has your child had any problems with verbal communication?
- No
- Yes
Speech Threapy
Please tell us about any Speech Threapy they may have taken:
Have there been any serious diseases, accidents, surgical procedures or hospital stays for your child?
- No
- Yes
Serious Afflictions
Please list any Serious diseases, accidents, surgical procedures or hospital stays your child has had:
Does your child take any medication?
- No
- Yes
Medications
Please describe any Medication your child takes:
Under the care of a physician other than their regular pediatrician?
- No
- Yes
Physician Care
Please explain:
Is there a history of recurring ear infections?
- No
- Yes
Ear Infections
Please give Ear Infection dates
Is your child under any dietary restrictions?
- No
- Yes
Dietary Restrictions
Please explain any Dietary Restrictions and why?
Immunizations
Are your child’s Immunizations up to date? (ga form 3231 needs to be provided within 30 days of registration)
- Yes
- No
Does your child have any Allergies?
- No
- Yes
Allergy Plan
Please explain (upon enrollment we must have an Allergy action plan on file)
Pediatrician Name
Prefix First Last
Pediatrician Telephone number
Is there anything else you would like us to know about your child?
Policies and Procedures for Application
Section 5/5 Please let us help you with your child's early development needs
1. Registration for the 2020-2021 School Year is now open. Priority Admissions will be given to current students and their siblings. You can register online or mail your completed application to 3100 Northside Drive NW, Atlanta, GA 30305.
2. A $100 nonrefundable registration fee must accompany each application in order for it to be considered complete. No space will be held without payment of this fee and a completed application. All checks should be made payable to The Preschool at NDBC.
3. Acceptance letters will be emailed by January 2020, and a commitment is due by February 2020. Once your child is accepted into the program, he/she is expected to complete the school year (August, 2020 – May, 2021). All prepaid fees and tuition are nonrefundable.
  If you withdraw a child after August 1, 2020, full annual tuition will be due.
4. Tuition may be paid in one payment or in 3 equal installments due on May 1, 2020, August 1, 2020, and December 1, 2020. A separate check for the supply fee must be submitted with the May 1, 2020, tuition check. Supply fees will vary according to the number of days your child attends. Younger siblings receive a 10% discount and active church members receive a 10% discount. Multiple discounts are not available.
5. The Preschool at Northside Drive Baptist Church is exempt from the state license. The program is not licensed by Bright from the Start: Georgia Department of Early Care and Learning and IS NOT REQUIRED to be licensed.
This application is hereby being made for the admission of my child to The Preschool at Northside Drive Baptist Church. A $100.00 registration fee per child is attached. I understand that all prepaid fees are non-refundable and that if my child is accepted, I am obligated to pay all tuitions for the full school year as set forth above.
By Signing & Initialing this application, I understand fees and tuition are non-refundable and agree to the above payment terms. In addition, by signing The Preschool at NDBC’s enrollment contract, parents and/or guardians grant consent to The Preschool at NDBC to photograph, videotape, or film their children for the Preschool’s use, such as for publications, advertisements, press releases, and website. Parents receive no compensation for such use. Parents not wishing to have their child’s image used must notify the Preschool office in writing within 30 days of the first day of school.
The Preschool at Northside Drive Baptist Church is exempt from state license. The program is not licensed by Bright from the Start: Georgia Development of Early Care and Learning and IS NOT REQUIRED to be licensed.
Who is signing and paying?
- Father
- Mother
$100 nonrefundable registration fee*
Price:
Signature*
Parent ~ Guardian Initials*
Comments
This field is for validation purposes and should be left unchanged.

Admission Application for 2021-2022

2021-2022 School Year

PreSchool Application for 2021 - 2022

Application for Admission

Parent/Guardian

Family

Child Details

Policies and Procedures for Application