Preschool Overview::

Accredited by the National Association for the
Education of Young Children (NAEYC), The Elizabeth
Peabody House’s Preschool Program focuses on the
whole child. With a seasoned faculty, our program’s
holistic approach in and outside the classroom
is designed to stimulate the child intellectually,
physically, emotionally and socially. The curriculum
offers a host of learning opportunities, including
field trips, guest speakers and a low student-teacher
ratio. Another asset is its diverse student body whose
families hail from around the globe. With the world
getting ever-smaller in size and scope, our program
offers children a world view that increasingly is vital to
lifelong success.

describe the imageA preschool teacher reads to students during classtime.

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Fall 2012 Preschool Preliminary Registration Form

Child’s Enrollment Form
Check One:





SCHOOL AGE ONLY
I certify that documentation of physical examination and immunizations in accordance with public school health requirements, and lead poisoning screening in accordance with public health requirements are on file at my child’s school.
Fee Agreement
Slot




 


Developmental History and Background Information
Regulations for licensed child care facilities require this information to be on file to address the needs of children while in care. If any of this information changes, please inform us so that our records are accurate and up-to-date.
Developmental History
Health
Eating Habits
Toilet Habits
Sleeping Habits
Please note: The American Academy of Pediatrics has determined that placing a baby on his/her back to sleep reduces the risk of Sudden Infant Death Syndrome (SIDS). SIDS sit he sudden and unexplained death of a baby under one year of age. If you child does not usually sleep on his/her back, please contact your pediatrician immediately to discuss the best sleeping position for your baby. Please also take the time to discuss your child’s sleeping position with your caregiver.
Social Relationships
Daily Schedule
Emergency Information and Medical Consent
I authorize staff in the child care program who are trained in the basics of first aid and CPR to give my child first aid and/or CPR when appropriate.
I understand that every effort will be made to contact me in the event of an emergency requiring medical attention for my child. However, if I cannot be reached, I hereby authorize the program to transport my child to the nearest medical care facility and to secure necessary medical treatment for my child.
EMERGENCY CONTACTS
Do you give permission for child to be released to these people?


Transportation Plan and Authorization
My child will arrive at the program by



My child will depart from the program by


I give permission for my child to be released from the program at the end of the day as stated above and/or I give my permission to the following people to receive my child at the end of the day. (If no one else is authorized, please indicate below by writing “No one”).





Any “Other” transportation requests must be stated in writing and maintained in the child’s file or the above plan must be implemented. This permission is valid for one program year from the date of signature.
General Permissions
1. Daily Walking Field Trips: I give permission for my child to attend daily walking field trips as part of the EPH programs daily plan, including walks to Foss Park, Marshall Street Park, Somerville Public Library, Shaw’s and other neighborhood walks.
2. Photographs: I give permission for my child to be photographed by EPH staff for curriculum, classroom and agency use.
3. Consultation Services/Observations: I give permission for consultants from the Somerville Community Partnerships for Children to observe my child in the program as part of consultation services to EPH.
I understand that specific field trips and observations of my child for referral or special concern purposes will only be conducted with specific written permission for each activity.
I give permission for



EPH CLOSURES: July 2012 – June 2013

Monday July 4, 2011 July 4 – Holiday
Monday August 29, 2011 Staff Training – Program Prep
Tuesday August 30, 2011 Staff Training – Program Prep
Monday September 5, 2011 Labor Day
Monday October 10, 2011 Columbus Day
Thursday November 24, 2011 Thanksgiving Day
Friday November 25, 2011 Day after Thanksgiving
Monday December 26, 2011 Day after Christmas
Monday January 16, 2012 Martin Luther King Jr. Birthday
Monday February 20, 2012 Washington’s Birthday
Monday April 16, 2012 Patriots’ Day
Monday May 28, 2012 Memorial Day
Thursday June 14, 2012 Staff Training – Program Prep
Friday June 15, 2012 Staff Training – Program Prep
Please note: As mandated by the Massachusetts Department of Early Education and Care, private pay families and those with a co-pay are billed for the 14 authorized closure dates for holidays and professional development. A calendar of these dates has been provided to you.
IMPORTANT INFORMATION

All Elizabeth Peabody House child care programs participate in the Child and Adult Care Food Program (CACFP), a Federal program that provides healthy meals and snacks to children receiving day care. EPH is reimbursed for serving nutritious meals which meet USDA requirements. It is very important that you fill out the attached paperwork. Even if you do not meet the requirements for free or reduced meals, we still need to file the information for all enrolled children. Your income and private information will not be shared with anyone or used for any purpose other than to be reimbursed for meals served to children at EPH.

Thank you!