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Trinity Lutheran Church Havertown, PA
Called to Proclaim Christ! Empower Learning! Share God's Love!

2020 Trinity Lutheran Nursery School
Summer Session at Trinity
May 26 to July 30
(no camp June 30 July 1 July 2)
Tuesday, Wednesday & Thursday mornings 9 to 11:30 $75.00 a week
2 mornings 9 to 11:30 $ 55.00 a week
Lunch Bunchers until 1:30 ( $10.00 a day) Late Show 1:30 to 3:00 ( $10.00 a day)
Registration
Name__________________________________ Age________
Address_________________________________Cell Phone__________
________________ ___________e mail address_____________________________
Phone__________________
Class presently attending___________________
Allergies_________________________________
Food Sensitivities__________________________
Pediatrician__________________Phone________
In case of emergency:
Name_________________Phone_____________
Name_________________ Phone_____________
I give permission for my child____________to receive EMT ____________________(signature)
Please circle the weeks you are interested in participating and on the line next to the week fill in the number of days…2 or.3
Please complete and return with the fee for the first week of participation before May 1st.
Weeks participating__________________ Amount due______________
Please return the form to school before May 1st with a $75.00 deposit which will be credited to the first week of camp.
May 26…… “Harry Potterville”.______
June 2……… “Star War’s Space Frontier”______
June.9…….. “Super Heroes”________
June 16….. “Disney Magic”_________
June 23……. “Made in the USA”________
July 7 ……… “Digging for Dinosaurs”_____
July 14…. .”Creepy Crawlers” _______
July 21………..”Under the Sea”______
July 28………..Olympics______
PLEASE COMPLETE THE REVERSE SIDE PICK UP INFO
Trinity Lutheran Nursery School & Mothers’ Morning Out
Child’s Name_________________________________
Class_______________________________________
Emergency Contact information:
In the order of notification
Name Relation Phone number
1.___________ __________________ ______________
2.___________ ___________________ ______________
3.___________ ____________________ _______________
People Permitted to pick up your child from school:
Name Relation Phone
1._____________ __________________ _________________
2._____________ ___________________ ________________
3._____________ ____________________ ________________
4.____________ _____________________ _________________
Allergies:__________________________________________________
Food Sensitivities_________________________________________________________
Does your child have asthma? yes or no
Does your child have an inhaler ? Yes or no Does your child have an epi pen? yes or no
e mail address___________________________________________________
I give my permission for my child _____________________________, to have his/her photo taken at school for our facebook page and web page.
Please attach photo
2020 Trinity Lutheran Nursery School
Summer Session at Trinity
May 26 to July 30
(no camp June 30 July 1 July 2)
Tuesday, Wednesday & Thursday mornings 9 to 11:30 $75.00 a week
2 mornings 9 to 11:30 $ 55.00 a week
Lunch Bunchers until 1:30 ( $10.00 a day) Late Show 1:30 to 3:00 ( $10.00 a day)
Registration
Name__________________________________ Age________
Address_________________________________Cell Phone__________
________________ ___________e mail address_____________________________
Phone__________________
Class presently attending___________________
Allergies_________________________________
Food Sensitivities__________________________
Pediatrician__________________Phone________
In case of emergency:
Name_________________Phone_____________
Name_________________ Phone_____________
I give permission for my child____________to receive EMT ____________________(signature)
Please circle the weeks you are interested in participating and on the line next to the week fill in the number of days…2 or.3
Please complete and return with the fee for the first week of participation before May 1st.
Weeks participating__________________ Amount due______________
Please return the form to school before May 1st with a $75.00 deposit which will be credited to the first week of camp.
May 26…… “Harry Potterville”.______
June 2……… “Star War’s Space Frontier”______
June.9…….. “Super Heroes”________
June 16….. “Disney Magic”_________
June 23……. “Made in the USA”________
July 7 ……… “Digging for Dinosaurs”_____
July 14…. .”Creepy Crawlers” _______
July 21………..”Under the Sea”______
July 28………..Olympics______
PLEASE COMPLETE THE REVERSE SIDE PICK UP INFO
Trinity Lutheran Nursery School & Mothers’ Morning Out
Child’s Name_________________________________
Class_______________________________________
Emergency Contact information:
In the order of notification
Name Relation Phone number
1.___________ __________________ ______________
2.___________ ___________________ ______________
3.___________ ____________________ _______________
People Permitted to pick up your child from school:
Name Relation Phone
1._____________ __________________ _________________
2._____________ ___________________ ________________
3._____________ ____________________ ________________
4.____________ _____________________ _________________
Allergies:__________________________________________________
Food Sensitivities_________________________________________________________
Does your child have asthma? yes or no
Does your child have an inhaler ? Yes or no Does your child have an epi pen? yes or no
e mail address___________________________________________________
I give my permission for my child _____________________________, to have his/her photo taken at school for our facebook page and web page.
Please attach photo
2020 Trinity Lutheran Nursery School
Summer Session at Trinity
May 26 to July 30
(no camp June 30 July 1 July 2)
Tuesday, Wednesday & Thursday mornings 9 to 11:30 $75.00 a week
2 mornings 9 to 11:30 $ 55.00 a week
Lunch Bunchers until 1:30 ( $10.00 a day) Late Show 1:30 to 3:00 ( $10.00 a day)
Registration
Name__________________________________ Age________
Address_________________________________Cell Phone__________
________________ ___________e mail address_____________________________
Phone__________________
Class presently attending___________________
Allergies_________________________________
Food Sensitivities__________________________
Pediatrician__________________Phone________
In case of emergency:
Name_________________Phone_____________
Name_________________ Phone_____________
I give permission for my child____________to receive EMT ____________________(signature)
Please circle the weeks you are interested in participating and on the line next to the week fill in the number of days…2 or.3
Please complete and return with the fee for the first week of participation before May 1st.
Weeks participating__________________ Amount due______________
Please return the form to school before May 1st with a $75.00 deposit which will be credited to the first week of camp.
May 26…… “Harry Potterville”.______
June 2……… “Star War’s Space Frontier”______
June.9…….. “Super Heroes”________
June 16….. “Disney Magic”_________
June 23……. “Made in the USA”________
July 7 ……… “Digging for Dinosaurs”_____
July 14…. .”Creepy Crawlers” _______
July 21………..”Under the Sea”______
July 28………..Olympics______
PLEASE COMPLETE THE REVERSE SIDE PICK UP INFO
Trinity Lutheran Nursery School & Mothers’ Morning Out
Child’s Name_________________________________
Class_______________________________________
Emergency Contact information:
In the order of notification
Name Relation Phone number
1.___________ __________________ ______________
2.___________ ___________________ ______________
3.___________ ____________________ _______________
People Permitted to pick up your child from school:
Name Relation Phone
1._____________ __________________ _________________
2._____________ ___________________ ________________
3._____________ ____________________ ________________
4.____________ _____________________ _________________
Allergies:__________________________________________________
Food Sensitivities_________________________________________________________
Does your child have asthma? yes or no
Does your child have an inhaler ? Yes or no Does your child have an epi pen? yes or no
e mail address___________________________________________________
I give my permission for my child _____________________________, to have his/her photo taken at school for our facebook page and web page.
Please attach photo
Septembe r10 – Nursery School begins11:30 dismissal
September 11 – Nursery School 11:30 dismissal
September 14 – First day of Enrichment, lunch bunch, early morning drop off and the late shows
September 21- first week of MMO – dismissal 11:00
September 28- 2nd week ofMMO- dismissal 11:00
October 5 – MMO Lunch Bunch 1:30 – $10.00
October -12 School Closed Columbus Day
November 3 Election Day.closed
November 25 – No Lunch Bunch
No Late,or late late show
No Aft. Kindergarten Enrichment
November 26 &27- Thanksgiving Holidays (closed)
December 9 – Lunch With Santa
December 18 – last day of MMO and
Enrichement before Christmas break
December 21 to January 3 – Christmas Holidays
January 4- Classes resume
January 18- Martin Luther King Day- closed
February 15 – Presidents’ Day -closed
March 29 to April 5- Easter Vacation
April 6- Classes resumes
May 31- Memorial Day (closed)
June18- Last Day of MMO
MMO-2020
Trinity Lutheran MMO Summer Session 2020
June 16 to July 30
Tuesday, Wednesday and Thursday mornings 9 to 11:30 $75.00 a week
2 mornings 9 to 11:30 $55.00 a week
Lunch Bunchers 11:30 to 1:30 ..($10.00 a day) …Late Show 1:30 to 3:00 ($ 10.00)
Registration
Name………………………………………………………………… Age________________________
Address_______________________________
_______________________________ Cell #______________________
Phone____________________
Class presently attending__________________________
Allergies___________________________________________________________________
Food Sensitivities____________________________________________________________
In Case of emergency:
Name……………………………………………….Phone#
Name……………………………………………….Phone#
I give my permission for my child ……………………………to receive Emergency Medical Treatment
Please Circle the weeks you are interested in participating and on the line next to it fill in the number of days 2 or 3
June 16……………Here Comes The Sun__________
June 23……………4th of July_____
July 7…………….We are Going Camping_____
July 14…………….Five Little Monkeys____
July 21…………… Teddy Bear Picnic ________
July 28…………
_________
Please complete and return with the fee for the first week of participation before May 1st
Weeks participating_______________ Amount due___________
Please complete the reverse side
Trinity Lutheran Nursery School & Mothers= Morning Out
Child=s Name_________________________________
Class_______________________________________
Emergency Contact information:
In the order of notification
Name Relation Phone number
1.___________ __________________ ______________
2.___________ ___________________ ______________
3.___________ ____________________ _______________
People Permitted to pick up your child from school:
Name Relation Phone
1._____________ __________________ _________________
2._____________ ___________________ ________________
3._____________ ____________________ ________________
4.____________ _____________________ _________________
Allergies:__________________________________________________
Food Sensitivities_________________________________________________________
Does your child have asthma? yes or no
Does your child have an inhaler ? Yes or no Does your child have an epi pen? yes or no
e mail address___________________________________________________
I give my permission for my child_____________________, to have her photo taken at school for our facebook page and web page. Yes no
Please attach photo
2020 Nursery School Summer Session
2020 Trinity Lutheran Nursery School
Summer Session at Trinity
May 26 to July 30
(no camp June 30 July 1 July 2)
Tuesday, Wednesday & Thursday mornings 9 to 11:30 $75.00 a week
2 mornings 9 to 11:30 $ 55.00 a week
Lunch Bunchers until 1:30 ( $10.00 a day) Late Show 1:30 to 3:00 ( $10.00 a day)
Registration
Name__________________________________ Age________
Address_________________________________Cell Phone__________
________________ ___________e mail address_____________________________
Phone__________________
Class presently attending___________________
Allergies_________________________________
Food Sensitivities__________________________
Pediatrician__________________Phone________
In case of emergency:
Name_________________Phone_____________
Name_________________ Phone_____________
I give permission for my child____________to receive EMT ____________________(signature)
Please circle the weeks you are interested in participating and on the line next to the week fill in the number of days…2 or.3
Please complete and return with the fee for the first week of participation before May 1st.
Weeks participating__________________ Amount due______________
Please return the form to school before May 1st with a $75.00 deposit which will be credited to the first week of camp.
May 26…… “Harry Potterville”.______
June 2……… “Star War’s Space Frontier”______
June.9…….. “Super Heroes”________
June 16….. “Disney Magic”_________
June 23……. “Made in the USA”________
July 7 ……… “Digging for Dinosaurs”_____
July 14…. .”Creepy Crawlers” _______
July 21………..”Under the Sea”______
July 28………..Olympics______
PLEASE COMPLETE THE REVERSE SIDE PICK UP INFO
Trinity Lutheran Nursery School & Mothers’ Morning Out
Child’s Name_________________________________
Class_______________________________________
Emergency Contact information:
In the order of notification
Name Relation Phone number
1.___________ __________________ ______________
2.___________ ___________________ ______________
3.___________ ____________________ _______________
People Permitted to pick up your child from school:
Name Relation Phone
1._____________ __________________ _________________
2._____________ ___________________ ________________
3._____________ ____________________ ________________
4.____________ _____________________ _________________
Allergies:__________________________________________________
Food Sensitivities_________________________________________________________
Does your child have asthma? yes or no
Does your child have an inhaler ? Yes or no Does your child have an epi pen? yes or no
e mail address___________________________________________________
I give my permission for my child _____________________________, to have his/her photo taken at school for our facebook page and web page.
Please attach photo
Registration form for Nursery School
Trinity Lutheran Nursery School
Registration
2020-2021
Child’s Name___________________________ Date of application_____________
Nickname______________________________ Birth Date____________________
Address________________________________ Phone_______________________
________________________________ Email address____________________________
Mothers’ Name__________________________ Work Number_________________
Occupation______________________________ Cell Phone___________________
Father’s Name___________________________ Work Number________________
Occupation______________________________ Cell Phone___________________
List of siblings, name , school presently attending and ages:
________________________ __________ _________________________________
________________________ __________ ________________________________
________________________ __________ ________________________________
________________________ __________ ________________________________
________________________ __________ ________________________________
Religious affiliation___________________ Church Name___________
Nearest neighbor of relative in case of an emergency:
Name__________________ Phone____________
Address_________________________________________
Name __________________Phone__________
Address________________
Doctor_______________________ Phone_______________
Dentist_______________________ Phone_______________
In case of an emergency, my child may be taken to ________________________(hospital)
Food sensitivities____________________________Does your child have asthma?___________
Allergies___________________________________
Does your child have an inhaler? _____ or epi pen? ___________
Any important information you would like to share about your child such as habits, likes, dislikes, illnesses,___________________________________________________________________
I give my permission for the school to administer first aid to my child,_____________________________
Signed_____________________________.
I give my permission for ____________________________to participate in any class activity or trip during the school year thereby releasing the school from any liability. Signed_____________________Date__________
Return the Registration form and Pick up form with the Registration fee
Please return a copy of your child’s inoculation schedule before classes begins in September
Please check:
Nursery Class ( 3 year old A.M. program) 9 to 11:30
2 day Monday and Wednesday class_________
2 day Tuesday and Thursday class_________
(the 2 day Nursery class offers an optional 3rd day, Friday )
(if interested, please check here ___________)
3 day Tuesday, Wednesday, Thursday class_____(optional 4th day on Friday)______
5 day Nursery class______________
Pre-K (4 year old A.M. program)9 to 11:30
5 day Monday thru Friday________
4 day Monday thru Thursday class________
3 day Tuesday, Wednesday Thursday class_____
Pre-K class. 8:45 to 1:45
5T day Monday thru Thursday 8:45 to 1:45
Friday 8:45 to 11:30 _______
Fees:
Registration: Activity
5 day $ 40.00 Pre-k classes $22.00
4 day $ 40.00 Nursery classes $20.00
3 day $ 35.00
2 day $ 30.00
Arrival and Dismissal
A.M. classes 9 to 11:30
5 day pre-k class 8:45 to 1:45 Monday thru Thursday ,
8:45 to 11:30 Fridays
**EARLY MORNING ARRIVAL 8:00FREE*************
Tuition fees:
2 day program $190.00
3 day program $ 225.00
4 day program $255.00
5 day program $ 285.00 (9 to 11:30)
5 day transitional program $320.00 (8:45 to 1:45)…Friday (9 to 11:30)
******Lunch Bunch..11:30 to 1:30..fee is $10.**************
******LATE SHOW 1:30 to 3:00….fee is $10 3:00 to 5:00…the fee is $10.00
Payment is due the first school day of each month for 9 months. The fee is $_______a month
Signature of Parent_______________________
Does your child receive services from DCIU or Early Intervention?______
If your child has an IEP, please give a copy to the teacher and one to the director
If you do not have a home church , would you like to have the Pastor visit you? Yes or No
2020-2021
Trinity Lutheran Nursery School & Mothers’ Morning Out
Child’s Name_________________________________
Days and Room child is enrolled _______________________________________
Emergency Contact information:
In the order of notification (include parents)
Name Relation Cell number
1.___________ __________________ ______________
2.___________ ___________________ ______________
3.___________ ____________________ _______________
4.___________ ___________________- ________________
People Permitted to pick up your child from school:
Name Relation Cell Number
1._____________ __________________ _________________
2._____________ ___________________ ________________
3._____________ ____________________ ________________
4.____________ _____________________ _________________
Allergies:__________________________________________________
Food Sensitivities___________________________________________
Does your child have asthma? yes or no
Does your child have an inhaler ? Yes or no Does your child have an epi pen? yes or no
e mail address________________________________________
Photo release:
Permission for my child,____________________________to have their picture taken for publication on the church’s web site, school’s facebook page and the local paper
___Yes, I give my permission
___No, I do not give my permission
Signed________________________________Date___________________
Please include a copy of your child’s inoculation record before school begins
Please attach photo
Registration form Mothers’ Morning Out:
Trinity Lutheran MOTHERS’ Morning Out
Registration 2020-2021
Child=s Name___________________ Date of Application_________
Nickname____________________________ Birth date_________________
Address________________________ Home Phone____________________
_________________________ Email _____________________
Mother’s Name__________________ Work Number_____________
Occupation___________________
Cell Phone______________________________
Father’s Name___________________ Work Number_____________
Occupation______________________ Cell Phone______________
List of siblings, name, ages & school:
______________________ ________
______________________ ________ ________________
______________________ ________
______________________ ________ ________________
______________________ ________
Religious affiliation_ (name of church)____________________________________
Nearest neighbor of relative in case of an emergency:
Name________________ Phone____________
Address__
Name__________________________________ Phone_______________
Address___________________________________
_________________________________
Doctor____________________ Phone_____________
Dentist____________________ Phone_____________
In case of an emergency, my child may be taken to _________________
(hospital)
Food sensitivities____________________________Does your child have asthma?___ inhaler?___
Allergies_____________________________________Does your child have an epi-pen?______
Any important information you would like to share about your child such as habits, likes, dislikes, illnesses_____________________________________________________________
___________________________________________________________________________
I give my permission for the school to administer first aid to my child, ____________
Signed_______________________.
I give my permission for _________________to participate in any class activity or trip during the school year thereby releasing the school from any liability.
Signed________________________Date___________________
Please Check:
Room B2 years old by September 1: Monday Tuesday Wednesday Thursday Friday
Room AUnder 2 years old by Sept. 1: Monday Tuesday Wednesday Thursday,
2020-2021 School Year
Registration fee due at the time of application $ 25.00
The school year is divided into 4 sessions. Payments are made during the months of September, November, February and April. Tuition is based on the number of days per week your child participates in the program. Bills will be posted outside the classroom at the beginning of each session. The fee per day is $33.50 for the first day. The second day is $33.00
Arrival 9:00 A.M.
Dismissal 11:30 A.M.
At dismissal, my child will be taken home by: ________________________________________________________________
At dismissal, we need to see a driver=s license as proof of identification.
The teachers will list the names of people permitted to pick up the child in the classroom.
Signature of parent_______________________________
Signature of director______________________________
Early morning drop off……..8:00 …..FREE
Lunch Bunch…..11:30 to 1:30 …..$10.00
PLEASE BRING A COPY OF YOUR CHILD=S INOCULATION
Does your child receive services from Early Intervention? Yes No
If yes, please send us a copy of the IEP……..Thank you
If you currently do not have a home church, would you like a visit with the Pastor of Trinity? Yes or No
Trinity Lutheran Nursery School & Mothers’ Morning Out
Child’s Full Name__________________________________________
Class________________________________
Emergency Contact information:
In the order of notification (list mom as #1)
Name Relation Phone number
1.___________ __________________ ______________
2.___________ ___________________ ______________
3.___________ ____________________ _______________
People Permitted to pick up your child from school:
Name Relation Phone
1._____________ __________________ _________________
2._____________ ___________________ ________________
3._____________ ____________________ ________________
4.____________ _____________________ _________________
Allergies:__________________________________________________
Food Sensitivities___________________________________________
Does your child have asthma? yes or no
Does your child have an inhaler ? Yes or no Does your child have an epi pen? yes or no
e mail address________________________________________
Photo release:
Permission for my child,____________________________to have their picture taken for publication on the church’s web site, school’s facebook page and the local paper
___Yes, I give my permission
___No, I do not give my permission
Signed________________________________Date___________________
Please include a copy of your child’s inoculation record before school begins
Please attach photo
Too Sick To Go To School
Too Sick for School??????
At one time or another, every parent faces this dilemma: Is my child too sick to send to school? Below are some helpful hints to help you know when not to send your sick child to school:
* Temperature of 100 degrees or more within the past 24 hours
* Vomiting or diarrhea within the past 24 hours
* Earache
* When strep is suspected but the results of a throat culture are not yet known.
*A positive throat culture for strep: student should be on antibiotic treatment for 24 hours before returning to school.
* Any symptoms of acute illness such as persistent cough or runny nose accompanied by body aches.
* A red eye with crust, mucous or excessive tearing (until diagnosed by a physician and treated with medication for 24 hours (pink eye)
*Any skin lesion with honey brown crusts (until diagnosed by a physician and treated with medication for 24 hours if impetigo
* Skin lesion: mild itchy ring shaped pink patch with a scaly, raised border and a clear center ( until diagnosed by a physician and treated with antifungal cream (ringworm)
*If your child has head lice that has not been treated
* If your child requires any medication for pain stronger than Tylenol or Ibuprofen, they should not attend school.
The guidelines listed above are meant to help parents determine if a child should attend school or other activities. Your child should look and behave like him/her self for 24 hours before returning to school.
-A sick child who returns to school too soon is at risk for picking up other infections due to lowered immunity
– A child who is still sick is likely to infect other students and staff
-A child who is not feeling well will not be able to focus on schoolwork.
Please notify school if your child develops any communicable condition.
Remind your child about frequent hand washing. It is the most effective means of preventing the spread of communicable diseases.
Health: Children may not attend school if they are sick. Sickness includes: vomiting, diarrhea, coughing, skin infections, running nose and fevers. No medications can be administered during school hours by the teachers. If emergency treatment is necessary during school hours, we will notify you and call the EMT center.
Illness:
Please use the following guidelines to help you determine the wellness of your child. If any doubts exist as to whether you should send your child to school, it is generally better to keep him home. Keep your child home if he:
a. has a fever in the morning or on the previous night
b. has a cold with a running nose, cough scratchy or sore throat
c. new or unexplained eruption or spots on the skin
d. unusual fatigue or chills
e. nausea, vomiting or diarrhea
In the event your child becomes ill during the session, the school will attempt to call the parent first. If no answer, we will use the emergency number on the form. Please notify the school if your child develops a communicable disease such as chicken pox, etc. Your child will automatically be sent home from school if he shows symptoms of any of the following:pink eye, impetigo, head lice, fifth’s disease, fever and persistent cough.
Some diseases in a pregnant woman may threaten the health of the mother and/or her unborn child. In general pregnant women are well advised to avoid persons who have infectious illnesses, particularly if rashes are involved.
The following are some examples of such diseases:
Chickenpox: Most pregnant women have already had chickenpox as a child and are immune to the disease. In this case, they and their unborn babies are safe from exposure to the
chickenpox virus. However, if a woman, who has not had chickenpox and is not immune, comes into contact with a known case during her pregnancy, there may be a significant health risk. She should inform her OB as a matter of urgency, so that an assessment can be made and preventive measures can be considered.
2. ‘‘Fifth’’ disease or ‘‘Slapped Cheek’’ disease. If a woman is exposed to this virus in early pregnancy (before twenty weeks gestation), she should promptly inform her OB . Investigations can be initiated to check if infection has been acquired so that actions can be taken to reduce the chance of problems with the pregnancy. In general, it is probably advisable that women in early pregnancy should take ‘‘avoiding action’’ in the educational setting if a known outbreak of ‘‘Fifth’’ disease occurs.
3. Rubella (German measles): Exposure to rubella virus in a non-immune woman during early pregnancy may lead to damage to the unborn baby. It is also now routine for women to be offered testing for immunity to rubella as part of their routine antenatal care.
4. Please call the school office and if your child
5. is diagnosed with these diseases since we have
6. many pregnant women here at Trinity.