Preschool Application, Falls Church, VA

Preschool Application: Falls Church, VA
Application School Year*
- 2024-2025
- 2025-2026
The school year runs from end of August through Mid June. Summer Camp is offered during the summer. (Registration for Summer Camp opens every Janaury)
Today's Date
Date Format: MM slash DD slash YYYY
What date are you interested in starting on? Month/Day/Year*
If unsure, please give an approximation.
How did you hear about us?*
Please specify your answer above*
Please tell us which parents told you about us, which website you saw, which flyer pointed you to us, or which other method led you to us.
Note:
Students must be at least 2 1/2 years old to attend our CommuniKids Falls Church program. Children under 2 1/2 will be added to our waitlist.
Child's Information
Name*
First Middle Last
Preferred name
DOB*
Month
Day
Year
Gender*
- Male
- Female
Sibling of current or former CommuniKids Preschool student?*
- Yes
- No
Please add siblings information*
Name DOB Location Year Attended
Does your child have any other siblings?*
- YES
- NO
Siblings Information*
Name D.O.B
Ethnicity:*
- Asian
- Caucasion
- African
- Hispanic/Latino
- Native American
- Pacific Islander
Program Information
Please choose program(s) from the list below.
What language program are you applying for?*
- Spanish Preschool
- French Preschool
- Mandarin Preschool
Program Type*
- 5 Days - Full Day 8:30am-3:00pm
- 5 Days - Half Day 8:30am-12:30pm
After Care*
- Yes
- No
Family Information
Name of Parent/Guardian 1*
P1 First Name P1 Last Name
Address of Parent/Guardian 1*
Street Address City State / Province / Region ZIP / Postal Code
United States
Country
Primary Phone of Parent/Guardian 1*
Alternate Phone of Parent/Guardian 1
Email of Parent/Guardian 1*
Occupation of Parent/Guardian 1
Name of Parent/Guardian 2
P2 First Name P2 Last Name
Address of Parent/Guardian 2
Street Address City State / Province / Region ZIP / Postal Code
United States
Country
Primary Phone of Parent/Guardian 2
Email of Parent/Guardian 2
Occupation of Parent/Guardian 2
Linguistic Information
Native language of Parent/Guardian 1:*
Native language of Parent/Guardian 2:*
Dominant language spoken at home:*
Language(s) spoken by the child:*
General Information
Has your child previously been enrolled in a preschool program?*
- Yes
- No
If so, where? How many days per week?
Why are you interested in a language immersion program?*
Does your child have any health concerns that would limit participation at school?*
Does your child have one of the following plans; IEP/IFSP/ or 504?*
- Yes
- No
If yes, please provide more details
Would you like information about tuition assistance?*
- YES
- NO
Click here to learn more about our tuition assistance programs!
Notes to Admissions Director
Please initial that all the above information is accurate:
Parent/Guardian's initials*
Notes to Admissions Director

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Name	DOB	Location	Year Attended

Name	D.O.B

CommuniKids Preschool

Preschool Application: Falls Church, VA

Note:

Child's Information

Program Information

Family Information

Linguistic Information

General Information

Please initial that all the above information is accurate:

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