KinderPrep Kindergarten Application

Office Paperwork Checklist

Student: ______________________________________________________________

Parent(s): _____________________________________________________________

Open House Session attended: _____________________________________________

Date of Kindergarten observation: __________________________________________

Please initial to indicate that the following forms are on file in the KinderPrep Office:

_________________ KinderPrep Application with all signatures

_________________ Birth Certificate

_________________ Current Medical Form*

*Form should be current as of application date. An updated
form may be necessary prior to beginning school in September.

__________________ Tuition payment is current

For Office Use Only

Forms: Application _______________________________

Supplement ______________________________

Teacher Evaluation ___________________

Office Forms ______________________________

Tuition Payment Record: __________________________

Attendance: ________________________ 3 year old program ________________________ 4 year old program

KinderPrep Preschool New Creation United Methodist Church

4320 Bruce Road Senior Pastor: Rev. Randy Duncan
Chesapeake, VA 23321 Associate Pastor: Rev. Stephanie Parker
757-673-4602
kinderprep@newcreationumc.org