Summer Application

Dear Parents and Caregivers,

Thank you for your interest in Park Prep Academy. Below is the Park Prep Academy Summer Camp Application for Admission. Please allot approximately 10-30 minutes to complete all sections in this application entirely. Please note: The application is considered INCOMPLETE AND WILL NOT BE REVIEWED until the application fee of $35/child has been received. Please utilize one of the methods below for submission of the application fee.

In-Person Submission: Cash or Check made out to PARK PREP ACADEMY

Electronic Submission: Zelle: director@parkprepacademy.com

Within a week of receipt of your completed admission application and application fee, a confirmation email or phone call will be placed to inform you on the status of your child’s application. We look forward to reviewing your child's application and working with your child and family soon!

Sincerely,
Justine Wanat, Director
Jocelyn Carley, Assistant Director

Summer Application for Admission (1/5)

Child Applicant's Name Child Applicant's Date of Birth Desired Enrollment Schedule 2 days per week3 days per week5 days per week5 days per week + Unlimited Before Care5 days per week + Unlimited After Care5 days per week + Unlimited Before + After Care Intended Session July AND AugustJuly Session ONLYAugust Session ONLY

Summer Application for Admission (2/5)

Child Information

Child's Name Name child is usually called Gender Home Address Home Telephone

Summer Application for Admission (3/5)

Parent/Caregiver Information

Name of Parent or Caregiver Address Zip Code Telephone Email Address Education Occupation Present Position Name and Address of Employer Zip Code Telephone

Parent/Caregiver Information

Name of Parent or Caregiver Address Zip Code Telephone Email Address Education Occupation Present Position Name and Address of Employer Zip Code Telephone

Summer Application for Admission (4/5)

Please answer all questions entirely.

1. How did you hear about Park Prep Academy and what factors led you to apply? Do you know any current/former PPA Families? 2. In what way would you like to see Park Prep Academy influence your child’s growth and development throughout the summer? 3. What experience, if any, does your child have being in a group setting/structured environment? (i.e. daycare center, dance class, sports teams) 4. What areas of your child’s development are you most pleased with? 5. What is presently your child’s favorite and/or strongest interest? What activities does your child enjoy most? 6. Is your child fully toilet-trained? If not, please elaborate on your child’s standing and what you are doing to support/reinforce his/her efforts? 7. What type of activities does your child find the most challenging? Are there any areas of your child’s development you have questions/concerns about? 8. Has your child ever been evaluated for any area of development? Has your child received any developmental services including: speech, OT, PT, etc.? Does your child receive any services currently? 9. Which other summer programs are you applying to at this time? Additional Comments

Summer Application for Admission (5/5)

We are committed at PARK PREP in the development and the education of your child. The following information will help us understand your child and his/her needs while continuing to support all family structures through the use of curriculum and an interactive community.

1. Please describe your child’s home and family and/or custodial arrangements below. Please include information if one/both of the parents are deceased or if the parents are divorced or separated. Who cares for your child when you are not at home? What other adult(s) influence your child’s life? Is there anything else you wish for the school to know about your child/family? 2. Please describe your child’s general health including allergies, asthma, etc. 3. Please list the name, address, and telephone of your child’s regular pediatrician.

This application is considered INCOMPLETE AND WILL NOT BE REVIEWED until the application fee of $35/child has been received. Please utilize one of the methods below for submission of the application fee upon submission of this application. This fee is nonrefundable.

In-Person Submission: Cash or Check made out to PARK PREP ACADEMY

Electronic Submission: Zelle: director@parkprepacademy.com

I am returning this completed application packet to be reviewed for enrollment of my child into Park Prep Academy. I have read and accept the information listed in this application packet and understand that submission of this packet does not guarantee admittance into the Academy. I understand that my child's application will not be reviewed until the application of $35/child is received utilizing one of the indicated forms of submission.