2023-2024 Gan Keshet Preschool Application - Form

2023-2024 / 5784

Applicants must be 2.0 to 5.0 years old by September 1st of the admission year.

PLEASE NOTE: This form is for families who want to pay the application fee by credit card or automatic fund transfer.
If you prefer to mail a check to CBI, please use this form instead:
https://www.cbinorthampton.org/form/2023-2024-g.k.-preschool-application-check-payment.html

Applicant Information

* Child's first name

Middle name

* Last name

Nickname

* Birthday

* Child's age on 9/1/23

(years/months)

* What pronouns does your child use?

* Has your child had previous preschool or daycare experience?

If so, please write the name and address of school or center, length of experience and contact person.

* Does child live with both parents?

^{If not, please describe living arrangements}

* Home address

* City

* Zip code

* Home phone

* Primary email address

* Child's physician

* Physician phone

Family Information

* Parent 1's Name

Parent 1's Address

Parent 1's Email

Preferred Pronouns

* Parent 1's Occupation

* Parent 1's Employer

* Parent 1's Business phone

* Cell phone

* Parent 2's name (or write n/a if one parent only)

Parent 2's Address

Parent 2's Email

Preferred Pronouns

Parent 2's Occupation

Parent 2's Employer

Parent 2's Business phone

Cell phone

* Are you a member of Congregation B'nai Israel or have a child enrolled at Lander-Grinspoon Academy

Please Select Oneyesno

Siblings' Names and Ages: Are any Gan Keshet Alumni? If yes, please indicate with an asterisk*

Does your child have any special strengths or needs of which the preschool should be aware?

Is your child toileting independently? If no, please describe where your family is at in the toilet-learning process:

My electronic signature below authorizes Gan Keshet staff to discuss my child with the appropriate teacher/caregiver at his/her/their preschool or daycare.

Program selection

Please select your preferred class option based on your child's age as of September 1st:

Chamaniah (Sunflower) ages 3.11-5.0

N/AMonday-FridayTuesday-Friday

Garin (Seed)/ 2.10-3.10 years

N/AMonday-FridayTuesday-Friday

Please review the acceptance procedure details in our Admissions Policy

Scholarships: Limited scholarship money is available. A letter explaining financial need is among the requirements.

Scholarships: Limited scholarship money is available. A letter explaining financial need is among the requirements.Please check if interested and contact our Preschool Director about receiving information and applying by April 1st.

Application fee

Credit CardCheck/ACHPay Later/OtherA $25.00 non-refundable application fee is required when this application is submitted. Our official application period is November 1st through February 28th. Applications received prior to November 1st will be dated November 1st.
You may pay directly via your credit card/bank by checking the box above.
Please note: Your application is not complete until payment is received.

Parent Name

* My electronic signature below represents the commitment to paying the full year’s tuition as indicated by my program selection(s) on this application.

My electronic signature below represents the commitment to paying the full year’s tuition as indicated by my program selection(s) on this application.

* Your application will not be considered as "complete" until payment has been received for the application fee. This fee is $25. If you want to pay immediately after submitting this form, please check the "credit/bank" box above. By checking this box, you acknowledge you understand.

Your application will not be considered as "complete" until payment has been received for the application fee. This fee is $25. If you want to pay immediately after submitting this form, please check the "credit/bank" box above. By checking this box, you acknowledge you understand.