CommuniKids Preschool

Preschool Application, Falls Church, VA

Preschool Application: Falls Church, VA
Application School Year*
- 2023-2024
- 2024-2025
The school year runs September through June. Summer Camp is offered during the summer Months (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.
Child's Information
Name*
First Middle Last
Preferred name
DOB*
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. Children should be the required age by the start of the Academic School Year. Before and After Care services are available.
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
- Maybe
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 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 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!
Please initial that all the above information is accurate:
Parent/Guardian's initials*

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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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