Enrollment Process | Wild Heart Preschool

Admission application

Expected start date:

Child's date of birth:

Child's Name:

Parent A name:

Parent A phone number:

Parent A Email:

Parent A Home address:

Parent B Name:

Parent B Phone number

Parent B email:

Parent B Home address:

Physicians Name and Phone number:

Physicians Address:

1st responsible individual to be called in an emergency when parents cannot be reached (must be individual other than parent)Name and phone number:

2nd responsible individual to be called in an emergency when parents cannot be reached (must be individual other than parent) Name and phone number:

The following individuals are authorized to pick my child up from Wild Heart:

Days and times my child will be in care- ex. M-F 8:00-5:00

I give my consent for my child's photographs to be used on the schools social media pages and website:

Yes

I give consent for my child to be transported and supervised by the operation's employees for emergency care:

Yes

I give consent for my child to participate in sprinkler play and water table play:

Yes

I give consent for my child to participate in field trips. This applies for monthly walking trips to the Austin Public Library once your child is in the Owl's class.

Yes

Has your child had a previous serious illness or injury, or hospitalization during the past 12 months:

Does your child have any diagnosed food allergies:

I give consent to Wild Heart to secure any and all necessary emergency medical care for my child:

Yes

In an emergency please take my child to the following emergency care facility

Is your child currently taking any medications:

Is the medication prescribed for continuous use and any side effects we should be alerted to:

Does your child have any limitations or restrictions on activities, accommodations, modifications, or adaptive equipment:

Are their any special words your child uses that might not be readily recognized:

How does your child resolve conflict:

What are your child's favorite toys and activities:

Tell us about your family and who your child lives with:

What is your child's current nap schedule and routine:

I acknowledge receipt of the school's operational policies including those for : Discipline and guidance, suspension and expulsion, emergency plans, procedures for health checks, procedures for parents to discuss concerns with the director, procedures for parents to participate in operation activities, procedures for the release of children, immunization requirements, meals and food service practices, procedures to visit the school without securing prior approval, procedures for parents to contact childcare licensing, DFPS, and child abuse hotline:

Yes

Enrollment Agreement: Wild Heart will provide methods to pay tuition by check, Zelle, or credit/debit card. If paying by card there is a 3% processing fee that will be applied. Zelle is the preferred method of payment. Tuition is due on the first of each month. If tuition is late, a $10/day fee will begin on the 3rd day of the month and continue to accrue until payment is received. If you decide to withdraw your child from Wild Heart, you must give thirty (30) days written notice prior to withdrawal. You agree to pay all tuition and fees for the thirty (30) days following your notice, even if your child is not in attendance. No refunds are issued for any tuition (including advance prepaid and/or discounted tuition) or fees as a result of withdrawal from Wild Heart for any reason. A late pick-up fee of $1 per child is due for each minute your child(ren) remains after a 5-minute grace period. A $25.00 fee will be charged for a check returned for insufficient funds. Wild Heart Preschool is open 8 AM to 5 PM, Monday-Friday, and closed for certain holidays as stated in the Parent Handbook. The hours and holiday schedule are set and posted annually, but may be changed at any time with sixty (60) days’ notice. The tuition rates are set annually, but may be changed at any time with sixty (60) days’ notice. Your child will only be released to you or to the persons you have listed in the Authorized Pickup section of this form. Emergencies may prevent you from picking up your child; therefore, include those individuals whom you would authorize in such events. If you need to add an authorized person at a later date you must notify Wild Heart Preschool management in advance in writing. I agree to all additional policies in the current version of the Parent Handbook

Yes

Parent Signature:

Date signed:

Enrollment Documents

Essential paperwork to complete your child's enrollment smoothly at Wild Heart Preschool will be emailed when a spot becomes available.