Grace Preschool 2026-2027 Registration - Grace Fellowship Church

Your name *

Email address *

Child's First Name *

Child's Preferred Name *

Child's Date of Birth *

Gender *

Male

Female

Registration Information

Number of years this child has attended Grace Preschool: *

Do not include the upcoming 2026-2027 school year.

My child's age *

Choose your child's age as of 9/1/2026

Grace Preschool Enrollment Admission

Operation #1712363
Director- Lori Bynum

Child's Address *

Street Address

Apt. #

City, State and Zip Code

Child lives with: *

Mother

Father

Both

Other

Father's Address (if different from child)

Street Address

Apt. #

City, State and Zip Code

Father's cell phone number *

Mother's Address (if different from child)

Street Address

Apt. #

City, State and Zip Code

Mother's cell phone number *

Mother's email address *

Secondary emergency contact: *

If parents cannot be reached

Emergency contact relationship *

Emergency contact phone number *

Emergency contact address *

Street Address

Apt. #

City, State and Zip Code

I hereby authorize Grace Preschool to allow my child to leave the facility ONLY with the following persons. Children will only be released to a parent, or a person designated by the parent/guardian after verification of ID. *

Parents of the child are authorized to pick up child unless a legal document is on file stating otherwise. If no one else is authorized to pick up the child put NONE.

List the NAME and PHONE NUMBER of each designated person.

Example: Jane Doe 281-398-3412

Medical Needs *

List any special problems that your child may have, such as allergies, existing illnesses, previous serious illness, injuries and hospitalizations during the past 12 months, any medications prescribed for long-term continuous use, and any other information which Grace Preschool staff should be aware of.

None

Yes (describe below)

Please describe medical needs, if any: *

N/A if none

Does your child have a diagnosed FOOD allergy that requires an allergy action plan? *

If your child has a doctor diagnosed food allergy state licensing requires Grace Preschool to have an action plan on file and all medications stated in the action plan on campus.

Yes (describe below)

Please describe asthma and/or food allergy and action plan, if any. *

N/A if none.

Water Activities *

I hereby give/do not give consent for my child to participate in water activities consisting of splashing and wading pools, sprinkler play, buckets of water, water table play and various water toys.

I give consent

I do not give consent

My child is able to swim without assistance: *

Yes

If no, what type of swimming assistance is needed? *

N/A if none.

Inflatable Play Equipment (State Compliant) *

I hereby give/do not give my consent for my child to participate.

I give consent

I do not give consent

Lunch/Snack *

I understand that Grace Preschool does not provide lunch or snack. As the parent, I am responsible for meeting my child's daily nutritional food needs.

Photographs *

Teachers will take pictures throughout the year. I hereby give/do not give consent for my child's picture to be displayed in the classroom, added to the class yearbook that is distributed to other students in the class via an end of year Shutterfly book and posted on the ProCare Engagement App, etc. If consent is not given your child will not be in any photos taken throughout the year.

I give consent

I do not give consent

Nature Walks/Picnics *

I hereby give/do not give my consent for my child to leave the preschool building and/or fenced playground area. All activities will be on Grace Fellowship property. Grace Preschool does not provide any off-site field trips.

I give consent

I do not give consent

Transportation *

I hereby give/do not give my consent for my child to be transported and supervised by Grace Preschool staff for emergency care. Grace Preschool does not provide any other transportation. Consent is required for enrollment.

I give consent

I do not give consent

Receipt of Written Operational Policies and Parent Rights *

I acknowledge receipt of the Parent Handbook, available online at whatisgrace.org/preschool, which contains the facility's operational policies and parent rights as required by Child Care Licensing. Copies of the Parent Handbook are available in the preschool office. It is my responsibility as a parent of a child enrolled at Grace Preschool to familiarize myself with all policies and parental rights stated in the Parent Handbook.

Authorization of Medical Attention

If I cannot be reached to make arrangements for emergency medical care, I authorize the person in charge to take my child to:

Phone Number of Physician *

Name of Hospital/Emergency Facility *

Address of Hospital/Emergency Facility *

Phone number of Hospital/Emergency Facility *

Electronic Signature for Emergency Care *

I give consent for this facility to secure any and all necessary emergency medical care for my child

Childcare operations are public accommodations under the Americans with Disabilities Act (ADA), Title lll. If you believe that an operation may be practicing discrimination in violation of Title lll, you may call the ADA Information Line 800-514-0301. *

Electronic signature for Enrollment Admission form *

Grace Preschool Directory

We will be compiling a directory for your child's class. The information we receive (address, phone number, email, and parent names) on the Enrollment Admission Information Form will be used.

You have permission to include the following check marked information in the class directory page: *

Child's name

Parent's name

Address

Phone number

I would prefer NOT to be included in the preschool directory

Grace Fellowship Preschool Financial Agreement

Financial terms and conditions

Please read each statement: *

I understand that I must pay the registration fee to secure a spot for my child.
I understand that the registration fee is NON-REFUNDABLE.
I understand that tuition will be paid in 9 equal payments. The first tuition payment will be due August 1, 2025. The last tuition payment will be due on April 1, 2026.
I understand that tuition is due on the 1st of each month and that tuition paid after the 5th of the month will incur a $10/day late fee.
I understand that full tuition is due each month regardless of absences, holidays, or other school closings.
I understand that monthly tuition is NON-REFUNDABLE.
I understand that there are NO "make-up days" for missed days.
I understand that if my tuition payment is returned as insufficient, a $25.00 fee will be charged.
If tuition is prepaid by the semester or year, a refund will be given with 30 days written notice of intent to withdraw child.
Grace Preschool will follow the KISD calendar except for start date, ending date and teacher workshops.
I understand that children not picked up by 2:40 will be left in the Director's care and I will be subject to a late fee as defined in the Parent Handbook.
I understand that during rest time all children are required to remain quiet on their mats for a minimum of 25 minutes. Any child unable to follow this guideline will need to be picked up prior to rest time. Tuition will not be prorated. (Beginning in January of the current school year, adjustments to quiet time may be made in the 4-year-old class).
I understand that I will not be allowed to register my child for the following school year unless my current tuition is paid in full at the time of registration.

I agree to the financial terms listed above *

Electronic signature

Tuition Express

We are excited to offer the safety, convenience and ease of Tuition Express, a payment processing system that allows secure, on-time tuition and fee payments to be made from either your bank account or credit card.
Registration will be paid using the account designated below.
Tuition will be paid on the 1st of each month using the account designated below.
ACH transactions are free.
Credit and Debit transactions will incur a 3.5% convenience fee.
If a payment is returned as insufficient a $25.00 fee will be charged.

CURRENT STUDENTS - YOU ONLY NEED TO FILL OUT A NEW TUITION EXPRESS FORM IF YOU WANT TO UPDATE YOUR PAYMENT INFORMATION.

MONTHLY TUITION RATES
2-Day Classes - $295
3-Day Classes - $395
4-Day Classes - $495

I will pay by: *

Credit Card (3.5% transaction fee)

Bank Account (NO fee for ACH transactions)

I already have a Tuition Express form on file at Grace Preschool and do not need to update my payment information.

Release and Hold Harmless Agreement

I hereby grant permission for my child to use all play equipment and participate in all the activities of the Grace Preschool program. I knowingly hold harmless Grace Fellowship Church, Grace Preschool, their officers, directors, agents, employees, volunteers, and contractors, from any claims that might result from any accidents involving my child.

I hereby grant permission for my child to be included in evaluations and pictures connected with the school program. Said pictures will include still, motion, images, and/or other likenesses of my child for promotional purposes. I irrevocably relinquish and give to Grace Preschool all right, title, and interest that I may have in the finished pictures, negatives, reproductions, film, tape and copies of the original films, videos, prints and negatives, and further grant Grace Preschool the right to give, transfer and exhibit the negatives, original prints, film, video and copies or facsimiles thereof, for advertising purposes, to any individual, business firm or publication.

I understand that Grace Preschool will not assume responsibility for any child who has not been left in the care of a staff member upon arrival at school.

I hereby grant permission for the Director, or Acting Director, to take whatever steps may be necessary to obtain emergency medical care if warranted.

These steps may include, but are not limited to, the following:

Attempt to contact a parent or guardian.
Attempt to contact the child's physician.
Attempt to contact the parent(s) through any of the persons listed as emergency contacts.

If unable to reach the parent or physician, Grace Preschool will do any or all of the following:
a) Call another physician or paramedic; and/or
b) Call an ambulance, and/or
c) Have the child taken to an emergency hospital in the company of a staff member.

Any expenses incurred above will be borne by the child's family.

I acknowledge the above agreement: *

Electronic signature and date *

Address *

Street Address

Apt. #

City, State and Zip Code

Contact Phone Number of Parent or Guardian: *

Child's Information

Registration Information

Grace Preschool Enrollment Admission

Authorization of Medical Attention

Grace Preschool Directory

Grace Fellowship Preschool Financial Agreement

Tuition Express

Release and Hold Harmless Agreement