Phone number *
Phone type Mobile Home Work Other
Household members
Please add the name and information of student , parents/guardians and siblings. In addition, please add the contact information for all trusted adults who are authorized to pick up your child in the emergency contact section.
+ Add adult + Add child Registration Fee - $60 *
The Registration Fee covers all curriculum and materials needed for the summer.
Daycare Fees - $7.50 per hour *
Daycare fees will accrue for any attendance exceeding contracted hours. Daycare fees will be billed to you the month following the accrual.
Summer Enrollment Options
Select from the following enrollment options:
Available Discounts
Please indicate if any of these discounts will be applicable to you.
Tuition Payments & Fees *
Tuition payments are due on the 1st of every month. Invoices will be emailed each month on the 1st.
Emergency Contact(s) *
Please list the name(s) and phone number(s) of any emergency contact(s) or adults authorized to pick up your child (not including the parent/guardian[s] listed above).
Unauthorized Individuals
Use the space below to provide names of individuals who are unauthorized to pick up your child. You must notify the preschool immediately if there are any court orders restricting non-custodial parents or others from contact with the child. You must provide the preschool with a copy of the order.
Allergies, Social/Emotional Concerns/Diagnosis, Unusual Medication Information. *
List any allergies, social/emotional concerns or diagnosis, or unusual medication information.
Doctor Name/Address/Phone *
Please list your child's doctor name, address, and phone number.
Hospital Preference/Phone *
Please list your child's preferred hospital and the phone number.
Insurance Provider/Policy Number *
Please list your child's insurance provider and policy number.
Statement Acknowledgement & Agreement *
I hereby pledge that I will pay my financial obligations to Community Christian Preschool (CCP) on the due date. I understand that if my student's accounts become delinquent, that he/she may not be allowed at school until the account is current. I authorize CCP personnel to seek medical treatment with the medical providers named above for my child in the event of an emergency. If no preference is listed, I give permission for my child to be treated at the nearest hospital (Hemet Valley Medical Center) or treatment center. Occasionally, CCP takes photographs of the students while in the classroom, at recess, or special events. I give consent to have my child's photographs published or displayed on our school website and other CCP venues. I understand that the standard of CCP does not tolerate profanity, obscenity in word or action, dishonor to the Holy Trinity and the Word of God, disrespect to the personnel of the school, or continued disobedience to the established policies of the school. I understand that falsification of information on this form could lead to the student's suspension or expulsion. Checking the box below indicates my agreement to CCP's electronic sign-in/sign-out procedures. I understand it is my responsibility to keep a current list of authorized persons on the Emergency Contact Form and to inform the school of any changes. I hereby certify my consent and submission to all governing policies of the school, including disciplinary policies as outlined in the Handbook for Parents & Students . It is understood that the services of the school are engaged in mutual consent, and that either I or the school reserve the right to terminate any or all services at any time . Admission to CCP is a privilege, not a right.
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