VPK Only 2015-2016 School Year

8350 Okeechobee Blvd.
West Palm Beach, FL 33411
Phone: 561-798-9300 Fax: 561-472-1603
Director – Mrs. Vicki Ingram – Ext. 223
www.bcsbulldogs.org
VPK Only
2015-2016 School Year
All information must be provided for this application to be considered.
Please attach a copy of student’s birth certificate, current physical, & immunization forms.
CIRCLE ONE:
NEW STUDENT
RETURNING STUDENT
(PLEASE PRINT)
STUDENT INFORMATION
Student's Name _______________________________________________________________(__________________ )
Last
First
Middle
Preferred Name
Social Security #
-
FAMILY INFORMATION
Parents are:
___ Married
Sex _____
-
Age _____
Date of Birth ____/____/_____
MM / DD / Year
___ Separated ___ Divorced ___ Mother Deceased
___ Father Deceased
If parents are divorced or separated, who has legal custody? ______________________________________
Student lives with:
___ Mother and Father
___ Mother and Stepfather
___ Mother only
___ Father and Stepmother
___ Father only
___ Guardian(s)
Do you have any siblings enrolled in BCS? _____ If yes, please complete information below
Name:__________________________ grade: ______
Name:__________________________ grade: ______
Name:__________________________ grade: ______
Name:__________________________ grade: ______
Father/Guardian: ______________________________SS#:______________________DL#:______________________
Required
Required
Home Address: ____________________________________________________________________________________
Street
City
State
Zip
Phone: (_____) _______________ (_____) _______________ (_____) _______________
Home
Business
Cell #
Email:___________________________________________@_______________________________________________
Occupation: _______________________________________________________________________________________
Company
Position/Title
Church Home: ____________________________________________________________ Member?
Yes
or
No
Mother/Guardian: ______________________________SS#:______________________DL#:______________________
Required
Required
Home Address: _____________________________________________________________________________________
Street
City
State
Zip
Phone: (_____) _______________ (_____) _______________ (_____) _______________
Home
Business
Cell #
Email:___________________________________________@_______________________________________________
Occupation: _______________________________________________________________________________________
Company
Position/Title
Church Home: ________________________________________ Member?
Yes
or
No
MEDICAL INFORMATION
Please list Physical Limitations, Allergies, and/or Current Medications: ________________________________________
__________________________________________________________________________________________________
In Case of Emergency: In the event of illness or other emergency and we are unable to reach you, please fill in the names
of at least two (2) friends, relatives, or neighbors who would be authorized to remove your child from campus.
Name/Relationship
Address
Telephone #
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Physician ___________________________________ Phone _____________________ Hospital ___________________
Has the student ever been assessed through Child Find, Early Steps, or any other agency? __________________________
__________________________________________________________________________________________________
Had any type of special testing? _____ If yes, please describe and include a copy of the latest evaluation report.
__________________________________________________________________________________________________
Does your child have an IEP? Yes or No
If yes, please include the latest assessment report.
SCHOOL INFORMATION
Was student previously enrolled at BCS?
Yes or No
Circle grades attended at BCS:
K3
K2
If yes, what year(s): ________________
School other than BCS last attended: __________________________________________ (_______) ________________
School Name
Telephone Number
School Address:
__________________________________________________________________________________________________
Street
City
State
Zip Code
Reason for withdrawal from prior school: _______________________________________________________________
__________________________________________________________________________________________________
Why do you want your child to attend Berean Christian School? ______________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
STATEMENT OF COOPERATION
1)
It is the parent’s responsibility to secure the VPK Certificate from Family Central and turn it in to the Business Office. Family Central is
located at 3111 S. Dixie Hwy., West Palm Beach, FL 33405.
__________ (Parent’s initials required)
2)
I understand that I must provide a copy of my child’s birth certificate, a current original immunization form as well as a current original
physical form completed on both sides. This must be turned in to the Preschool no later than Monday, August 3, 2015.
__________ (Parent’s initials required)
3)
I understand the VPK hours are from 8:30AM until 11:49AM only.
__________ (Parent’s initials required)
4)
Parents are responsible to obtain and read the Preschool Parent Handbook. Berean will provide access to this document via RenWeb and/or
school website.
__________ (Parent’s initials required)
5)
The school reserves the right to dismiss any student who, in the discernment of BCS administration, does not cooperate with the
educational process and/or to the rules and regulations as outlined in the Preschool Parent Handbook. It is recommended that parents
attend all parent and enrollment meetings in order to obtain important information and/or policy changes.
__________ (Parent’s initials required)
6)
I understand that my child must be present at least 80% of the VPK instructional hours to continue enrollment in the VPK program.
__________ (Parent’s initials required)
7)
I understand that Preschool operates from August through May and is closed during Fall Break and Spring Break, however, childcare is
available. VPK instructional hours do not occur during these weeks. If you are in need of child care during these weeks, the fees are $200
for 5 days, $120 for 3 days and $80 for 2 days. I further understand that payment is due at the time of registration for the break. Payment
will be accepted in the form of cash, check or money order only.
__________ (Parent’s initials required)
8)
I understand that my child is required to wear official BCS uniforms. Uniforms are purchased through the Sunshine School Uniform store.
Substitute uniforms will not be acceptable.
__________ (Parent’s initials required)
9)
I understand that Berean Christian Preschool holds a K4 Graduation ceremony and my child’s participation is voluntary. I further
understand the fee is $75 and if I choose to have my child participate payment is due in full by 3/1/2016. Payment will be accepted in the
form of cash, check or money order only.
__________ (Parent’s initials required)
10) In the case of a serious accident or serious illness, the undersigned request(s) to be called immediately. If unable to make contact, Berean
Christian School or Preschool may call the physician noted on this application or take emergency-care measures as are necessary and
appropriate under the circumstances.
__________ (Parent’s initials required)
11) If, at any time, I feel it necessary as a school parent to pursue legal action against Berean Christian School in a court of law, and if a
judgment is handed down in the favor of Berean Christian School, I agree to pay, in full, all legal and attorney fees, court costs, and all
other expenses that the school may incur as a result of my action.
__________ (Parent’s initials required)
12) I give permission for Berean Christian School to use any photographs, videotapes, DVD or audio tapes of my child(ren) in the yearbook,
school promotional information, school website, social media and/or advertising.
__________ (Parent’s initials required)
Signature below signifies I have received:
a.) “Know Your Childcare Facility” brochure (CF-FSP PI #175-24).
b.) Preschool Discipline Policy.
c.) VPK Attendance Policy, which includes Preschool closing dates.
IF STUDENTS ARE LIVING WITH BOTH PARENTS,
BOTH PARENTS MUST SIGN THIS STATEMENT BELOW.
___________________________________________
Parent's/Guardian's Signature
___________________________________________
Parent's/Guardian's Signature
___________________
Date
___________________
Date
Office Use Only
Account Current __________
A. Families ______________
S. Sheet _________________
VPK Certificate __________
Magnet _________________
Enrollment Complete ______
Preschool Discipline Policy
Discipline is a vital component to the learning process of a child. Gentle discipline is neither
permissive nor punitive, rather a means of teaching, guiding, and training. When boundaries
and expectations are clearly defined, children feel secure. By setting rules and clearly
communicating expectations, misbehaviors can be avoided and children can develop selfdiscipline and self-control. At Berean Christian Preschool, children will receive gentle, loving,
and Biblically modeled discipline. After clearly communicating expectations, the following
steps will be followed:
♦ To encourage good behavior, teachers provide praises as they “catch” children making the
right choice.
♦ A situation may be remedied by simply redirecting the child.
♦ If redirection does not cause the desired change in behavior, the child may be separated from
the group for a short period of time. This may be a “time-out” chair or a place in the room
where the child is supervised while taking a few minutes to reflect on the fact that his/her
actions did not represent good decision making.
After a brief interval, the teacher discusses the incident and appropriate behavior with the
child. When the child returns to the group, the incident is over. The period of time a child is
in “time-out” depends upon the child’s age. 2 year olds will serve a time-out no longer than
2 minutes, 3 year olds no longer than 3 minutes, and 4 year olds no longer than 4 minutes.
♦ If a child is aggressive toward another (pushing, shoving, hitting, spitting, biting), the
aggressor will be immediately removed from the group and placed in “time out”.
♦ A behavior may warrant calling a parent during the day to speak with their child over the
phone. On rare occasions, a parent may be called to come to the school to speak with their
child.
♦ Should these efforts fail to produce the desired behavior in the child, parents will be called
to meet with the Preschool Director and the child’s teacher to develop a suitable strategy for
correcting the child’s inappropriate behavior.
♦ If the above steps do not produce the desired behavior, the child will be withdrawn from the
Preschool.
♦ No spanking or any kind of corporal punishment is allowed.
Preschool Discipline Policy1 of 2
NOTE: If a child bites another, the aggressor and victim’s parent will be called to advise them
of the incident. The aggressor will receive a bite report and the victim will receive an
incident report. These reports are to be signed and dated by the parent/guardian. The
white and yellow copies are retained by the school and the parent receives the pink
copy.
A child who bites a 3rd time may be withdrawn from the Preschool.
If you have any questions or concerns about any of the discipline procedures, please contact the
Preschool Director.
Preschool Discipline Policy 2 of 2
VPK Only Attendance Policy
Children are to be in class during instructional hours from 8:30am to 11:49am. Children absent more than
20% of the VPK instructional days may be withdrawn from the program. To minimize the number of
absences, it is suggested that families plan vacations during Fall Break, Thanksgiving Break, Christmas break,
and Spring Break. The first day of school will be August 24, 2015 and the last day of school will be May 26,
2016.
Preschool will be closed the following days for the 2015-2016 school year:
Labor Day - September 7, 2015
Fall Break - October 5 – 9, 2015…NOTE: Childcare offered – see note below.
Thanksgiving Break - November 23-27, 2015
Christmas Break - December 21 – January 4, 2016
Martin Luther King, Jr. Day - January 18, 2016
Staff Development Day - February 12, 2016
President’s Day - February 15, 2016
Spring Break - March 7-11, 2016…NOTE: Childcare offered – see note below.
Staff Development Day – March 14, 2016
Good Friday - March 25, 2016
K4 Graduation - May 6, 2016
NOTE: If you need childcare for your preschooler during Fall Break and/or Spring Break, you will to need
follow the steps below:
Fall Break – October 5-9, 2015 - Fill out the WebForm on RenWeb and submit payment no later than
September 18, 2015. Payments after September 18, 2015, will not be accepted.
Spring Break – March 7-11, 2016 - Fill out the WebForm on RenWeb and submit payment no later than
February 19, 2016. Payments after February 19, 2016, will not be accepted
If you choose for your child to participate in the K4 Graduation, practices will take place after VPK hours and a
detailed practice schedule will be provided in February. On practice days, you will need to pack a lunch for
your child or order a hot lunch from our school cafeteria. Children will eat from 12:00 – 12:30. You will need
to pick up your child promptly at the end of each practice.
VPK Curriculum will not take place on the following dates:
Harvest Day – November 20, 2015
Christmas Party Day – December 18, 2015
Grandparent’s Day – March 4, 2016
Although VPK will not operate on these days, an invitation is extended to our VPK Only students to enjoy the
party with their classmates.