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PARENT RESOURCES

 

 

 

 

 

 

 

CALENDAR, APPLICATION, ENROLLMENT FORMS, HANDBOOK

APPLICATION

If you'd like to apply your child for a spot in one of our nursery school programs, please print and fill out our Application form by clicking on this link: APPLICATION. Once you're finished, return the application to our school by mail or hand, along with a check made out to YCNS for our $75 non-refundable application fee. Mailing address: YCNS, P.O. Box 1146, 247 Veterans Road, Yorktown Heights, NY 10598    


SEPTEMBER ENROLLMENT FORMS

Once your child is admitted, we ask that you fill out and submit the admissions forms below prior to the start of the school year. The majority of forms are submittable directly from this site; the only exception is the Health Form, which is available as a printable PDF. The Health Form will need to be filled out and signed by your child's pediatrician (or an NP from the office). Alternatively, if you wish to print and fill out the forms and return them to our school by mail or hand, you are welcome to do so. Simply click the green header for each form and it'll take you to the PDF. Mail the forms back to us at YCNS, P.O. Box 1146, 247 Veterans Road, Yorktown Heights, NY 10598    


Date *
Date
Child's Name *
Child's Name
Sex
Mother's Name *
Mother's Name
Mother's Phone *
Mother's Phone
Mother's Cell *
Mother's Cell
Father's Name
Father's Name
Father's Phone
Father's Phone
Father's Cell
Father's Cell
Languages spoken at home *
Please specify in notes below if languages other than English are spoken at home
Have you ever suspected that your child has vision problems? If yes, please explain:
Have you ever suspected that your child has hearing problems? Yes No If yes, please explain:
Has your child every had trouble walking, climbing, reaching or holding on to things? If yes, please explain:_
Has your child ever had any significant injuries or hospitalizations? If yes, please explain:
What are your child's favorite activities?
School district child will attend
Date
Date

Child's Name *
Child's Name
Please describe any medical conditions, allergies, treatments, medication currently needed by your child
I authorize Yorktown Community Nursery School to arrange and provide for my child while in attendance at the school, such medical or other care deemed necessary in the event of illness, injury, or other emergency. I will pay the costs incurred therefore and request that notice be given to any person listed above in the event of such illness, injury, or other emergency.
Date *
Date
Home Phone *
Home Phone
Work Phone *
Work Phone
Cell Phone *
Cell Phone
Date *
Date
Home Phone *
Home Phone
Work Phone *
Work Phone
Cell Phone *
Cell Phone
Contact #1 Name *
Contact #1 Name
Contact #1 Phone *
Contact #1 Phone
Contact #1 Cell Phone
Contact #1 Cell Phone
Contact #2 Name *
Contact #2 Name
Contact #2 Phone *
Contact #2 Phone
Contact #2 Cell Phone *
Contact #2 Cell Phone
Contact #3 Name *
Contact #3 Name
Contact #3 Phone *
Contact #3 Phone
Contact #3 Cell Phone *
Contact #3 Cell Phone

Child's Name *
Child's Name
IF FOR ANY REASON, THERE IS A FAMILY SITUATION WHICH DICTATES THAT CERTAIN INDIVIDUALS MUST NEVER BE ALLOWED TO TAKE YOUR CHILD FROM THE SCHOOL, YOU MUST INFORM THE STAFF OF THE SITUATION AND PROVIDE US WITH A PICTURE OF THE INDIVIDUAL.

Child's Name *
Child's Name
YORKTOWN COMMUNITY NURSERY SCHOOL EMERGENCY EVACUATION PLANS Note: The following plans have been developed by the Board and staff of YCNS in accordance with the directive of the Westchester County Office of Emergency Planning that in any evacuation plan, the primary goal is that family re-unification be effected as soon as possible. In the event an area wide evacuation is called for and your child is attending Yorktown Community Nursery School, the staff will use its best efforts to follow the plans outlined below. In the event that constraints of time or circumstance do not allow the plans to be followed exactly as provided below, the Director of YCNS shall have the authority to exercise her reasonable judgment in determining how to transport your child to be reunited with you or someone on your Emergency Information Form as soon as possible. PLAN 1: In the event of an evacuation which is not immediate or emergency in nature, your child will be released as provided for by you on the Emergency Information Form you have filled out and given to the Director. PLAN 2: In the event that an immediate emergency evacuation of the area is called for, the staff will use its best efforts to release your child as provided for by you on the Emergency Information Form you have given the Director. PLAN 3: In the event that an immediate emergency evacuation of the area is called for and neither you nor anyone on the Emergency Information Form is immediately reachable, the staff of YCNS will see that your child is transported by bus as provided for by Westchester County Office of Emergency Planning to the assigned reception center to await your pick-up. If the county evacuation bus does not come to YCNS as planned, a YCNS staff member, if available, or another YCNS parent will drive your child to the assigned reception center. The assigned reception center for YCNS is: John Jay Senior High School, address: 60 North Salem Road (routes 121-124) Cross River, NY 10518 (914)763-7200 Potassium Iodide (KI) Administration: If notified by the State or County Health Department of a radiation emergency, the staff of YCNS will begin to administer one dose of KI as provided by the county Office of Emergency Planning to all the children at the school. Your child will be administered KI unless you have given the Director a signed letter stating that you do not want KI given to your child under any circumstances.
Date *
Date
Date
Date
Child's Name *
Child's Name
Date of Birth *
Date of Birth
Date of Most Recent Dental Exam + Cleaning *
Date of Most Recent Dental Exam + Cleaning
Dentist's Name *
Dentist's Name
Date *
Date