TIGER TOTS PRESCHOOL APPLICATION
MORNING PROGRAM OR AFTERNOON (please circle)
APPLICATION
Child’s Name_____________________________________________Sex: M____F____
Last First MI
Address:________________________________________________________________
Date of Birth:______________________Home Telephone:________________________
Mother’s Name:_____________________________________
Place of Business:____________________________________ Day Phone__________
Brothers and Sisters
Name Age
______________________________________
______________________________________
______________________________________
Person providing transportation to Nursery School_______________________________
From Nursery School______________________________________________________
In case of emergency, when parent(s) cannot be reached –
Name_________________________________________Tel. #_____________________
Address:________________________________________________________________
General state of child’s health:
Excellent Good Fair Poor
Allergies?_____________________________
Any other health concerns?__________________________________________________
Does your child have the opportunity to play with others?_________________________
Does your child have knowledge of colors?_____________________________________
Fluency of speech: Excellent □ Good □ Fair □ Poor □
Does your child have knowledge of numbers?_____Letters?_____
*Will you permit your child to attend field trips?_____*Supervision will be two high school student chaperons per
each child as well as other chaperons.
The charge for this program is $150.00
A $25.00 deposit will be required upon acceptance.
The balance of $125 will be required at the beginning of the school year.
Your child must be toilet trained to attend preschool. High school students will
accompany children to the bathroom. However, no one is permitted to enter the stall with
the child.
____________________________
Parent Signature
_____________________________
Date
Please send application to:
Mrs. Pauline Pratt (morning) or Mrs. Mary Ann Dolezsar (afternoon)
Taunton High School/Tiger Tots
50 Williams St.
Taunton ,MA 02780