Pre K Enrollment | Immanuel Lutheran

Pre School Package Enrollment Form

Students Last name

Middle Name

Students First name

Students Gender

Male

Female

Birthday

Month

Day

Year

Students Baptismal Date

Students Church Membership

Parent(s) Name(s)

Phone

Do you receive text at the above phone number?

Address

Preferred method of contact

Emergency contact name, phone number and relation to student

Name(s) and relation of persons (other than parents) authorized to pick student up from school

Please note anything medical or educational which is important for us to know:

Please select your preferred session

Preschool 3's - 3 mornings per week, Tuesday, Wednesday, Thursday, 8:00 -11:00 a.m.

Preschool 3's - 5 mornings per week, Monday - Friday. 8:00 -11:00 a.m.

Preschool 4's - 3 afternoons per week, Tuesday, Wednesday, Thursday, 12:00 noon - 2:30 p.m.

Preschool 4's - 5 afternoons per week, Monday - Friday 12:00 noon - 2:30 p.m.

List days and times needed for day care

Upload Certificate of Child Health Examination if this is your child's first year in Preschool

Upload lead screening for zip codes 62214 and 62803

Exam forms may be turned in at a later date as allowed by Illinois state law.

Blank forms may be downloaded at: https://www.immanuelokawville.org/copy-of-school-1

Space will be reserved for your child only with payment of a non-refundable registration fee of $75.00, payment may be made in person at the school office or mailed to 606 S. Hanover St., Okawville, IL.,62271, make check payable to Immanuel Lutheran School.

Enrollment will be on a first-come first served basis. Admisssion policies for the Early Childhood Program are that of Immmanuel Lutheran School, namely, that admission is open first to members of Immaunel Lutheran Church, secondly to members of sister congregations, thirdly, to children presently enrolled in the program, and finally, to the general public.
Each child needs a record proving he/she has received the required immunizations appropiate for his/her age.
If this is your childs first year in preschool, he or she is required to have a physical exam.
If your child was enrolled this past year, his/her physical will remain current for this year as long as the physical is not more than two years old.
A TB skin test is highly recommended but not a requirement for a child entering the pre-school program.
Included in the physical is a requirement for a diabetic screening.
A lead-screening is required by the state for all children age six and under living in the zip code area of 62214 and 62803.
Beginning in the fall of 2002, children entering into any school operated program for the first time at kindergarten level and below are required to show proof of having received one dose of the chickenpox vaccine on or after their first birthday.
The original birth certificate is required the first day of school - a copy will be made in the office and the original will be returned.

We occasionally take pictures

of the kids in action with the materials

or doing other activities for our website and/or Facebook page.

We hope to use these to keep parents

up to date on the happenings at school.