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Programs
Little Wonders Preschool
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Board Portal
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2023 Preschool Registration
2023 Preschool Registration
Preschool Online Registration
Class Registration
FOR 3-YEAR-OLDS: Please choose the class you would like for your child (child must be 3-years-old by September 1st, 2023)
Tuesday/Thursday - $195/month
Monday/Wednesday/Friday - $270/month
Monday through Friday - $400/month
FOR 4-YEAR-OLDS/5-YEAR-OLDS: Please choose the class you would like for your child (child must be 4-years-old by September 1st, 2023). 3-day & 5-day classes are currently full. Please email mlascurain@ywcacarlisle.org to be added to our waiting list.
ALL PRE-K CLASSES CURRENTLY FULL - please email mlascurain@ywcacarlisle.org to be placed on our waiting list.
Child's Information
Child's Name
(Required)
First
Last
Child's Age
(Required)
Child's Birthdate
(Required)
Child's Gender Identity
(Required)
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Demographics - please select all that apply
(Required)
African American/Black
Asian American/Pacific Islander
Hispanic/Latinx
Native American
White/Caucasian
Prefer not to answer
Select All
Primary Language Spoken at Home
(Required)
Does your child have any special needs or does your child receive any therapies/support services from the Capital Area Intermediate Unit (CAIU) for early childhood intervention?
(Required)
Please list any therapists/support providers that may be working with your child during school.
Phone for any therapists/support service providers for your child.
Has your child exhibited any barriers to learning (including anxiety, language skills/speech, running away, aggression, physical limitations, social limitations, etc.)?
Is this your child's first experience in a school setting or group?
(Required)
Yes
No
Is this your child's first time away from parent/guardian or direct member of your family (like grandparents, relatives, etc.)?
(Required)
Yes
No
Would you like information on our scholarship program?
(Required)
Yes
No
Parent/Guardian Information
Parents/Guardians Name
(Required)
First
Last
Phone
Email
Employer
Work Phone
Additional Parent/Guardian Info (if applicable)
First
Last
Phone
Email
Address (if not the same as parent/guardian listed above)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Employer
Work Phone
Emergency Contacts - In the event that parent/guardian cannot be reached, please list 2 emergency contacts for your child.
Name of Emergency Contact #1
(Required)
Emergency Contact #1 Phone
(Required)
Name of Emergency Contact #2
(Required)
Emergency Contact #2 Phone
(Required)
People Authorized to Pick Up My Child - Photo ID required at time of pick up
Pick Up Person #1
Pick Up Person #1 Phone
Pick Up Person #2
Pick Up Person #2 Phone
Pick Up Person #3
Pick Up Person #3 Phone
Child's Health Information
Please list any allergies or medical conditions.
Please list any prescriptions to be kept at school (doctor's form required).
Does your child have an EPIPEN?
Yes
No
Doctor's Name
Doctor's Phone #
Is your child covered by insurance?
(Required)
Yes
No
Primary Health Insurance Provider:
Insurance Provider Phone #
Insurance Identification #
Insurance Group #
Dentist's Name
Dentist's Phone #
RELEASE INFORMATION
I understand that, in the event of an emergency involving my child, it may be necessary for a staff person or other representative of YWCA Carlisle to administer basic first aid to my child and/or transport my child to a hospital, physician's office or other health care facility. I hereby consent to the treatment and/or transportation of my child under such circumstances, and release YWCA Carlisle, its employees, director and agents from any claim arising out of or related to such treatment or transportation, except in the case of gross negligence. I will bear all expenses incurred in transportation and medical treatment.
(Required)
A check in this box signifies your consent.
I do not consent. (Regrettably, your child will not be able to attend preschool. Please contact the Director with questions).
Additional Releases - Please check any and all boxes that apply:
(Required)
I give permission for my child to be photographed for classroom projects, activities, and special events.
I give permission for my child’s photo to be used on the school website, on all YWCA Carlisle & Cumberland County social media accounts, marketing materials, and other school promotions, both print and electronic (including, but not limited to YWCA Carlisle’s annual report), understanding my child’s name will not be displayed.
I give my permission for my/my child's contact information to be distributed to my child's class for the purpose of contacting classmates for play dates and birthday parties.
I hereby agree to give YWCA Carlisle & Cumberland County two (2) weeks notice of withdrawal of my child and understand I forfeit any paid tuition if I do not give such notice and complete a withdrawal form for my child prior to their last day of school.
I hereby agree to abide by the YWCA Little Wonder’s Preschool fee policies, including paying a late pick up fee of $1.00 per minute after 5 minutes late, paying my tuition by the 15th of the month prior to service, paying a $15 late fee if monthly payment is not received by the 25th the month prior to service, and that my child cannot attend classes for any unpaid dates until payment has been made. I understand that my child’s spot in the preschool is only guaranteed for one week of non-payment unless a written payment agreement is reached with the preschool director and signed by both the preschool director and a parent or guardian of my child.
Select All
How did you hear about us?
Social Media (Facebook, Instagram, LinkedIn)
Website
Advertisement
Other
REGISTRATION FEE: Registration fee will hold your child's spot in the class, and will also register your family as members of the YWCA Carlisle & Cumberland County as required in the parent handbook.
Please choose the class that your child will be attending:
Monday/Wednesday/Friday
Tuesday/Thursday (3-year-old-class only)
Monday thru Friday
Total
Method of Payment
I will pay my registration fee by credit card (see below)
I will pay my registration fee by check (understanding that your child's spot in a class cannot be guaranteed until check is received by YWCA Carlisle). Check should be mailed to YWCA Carlisle, Attn: Thomas Kohutiak, 301 G Street, Carlisle PA 17013.
Credit Card
Cardholder Name
Card Details
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