Temple Emanuel Preschool Application 2025-2026

Welcome to a New Year at Temple Emanuel Preschool!

Our goals are to:

Provide a nurturing, loving environment that is an inviting, secure and comfortable place for children to learn, explore, and grow.
Provide a program that is appropriate to each child's stage of development.
Encourage creativity, positive self concept, discovery, and initiative in each individual child.
Provide a positive social experience as a member of a group.
Provide an environment and program that fosters children's knowledge and appreciation for the values, customs, and celebrations of Judaism.

Tuition and Schedule

Enrollment/Tuition
Registration fee: $90 per child
Security fee: $150 per family (non-temple members)
Tuition rates for 1-year-olds, 2-year-olds, and 3-year-olds:
2-days/week: $320/month
3-days/week: $330/month
4-days/week: $340/month
5-days/week: $350/month
Tuition rate for 4-year-old class (5 days/week option only): $350/month

download the 2025-2026 calendar (link)

*We can offer financial assistance, please select the option at the end of this form. All requests are kept confidential and we try our best to ensure that finances are not a barrier to participation in our education programs.

* Email to Send Confirmation/Receipt To

* Parent 1 Name

* Parent 1 Cell Phone

Parent 2 Name

Parent 2 Cell Phone

Number of Students to Enroll

* Child 1's First Name

* Child 1's Last Name

Child1 Birthday

* Child 1 Will Be Enrolled In...

Please list days attending if less than full week and contact Colleen Lerner once the application has been submitted.

To provide the appropriate learning environment for your child, please answer the following questions:

Have there been any major changes or disruptions in your child's life this year?

Please inform us as major changes occur.

Are there any special needs that could impact your child's learning?

Examples of special needs include physical, developmental, behavioral/emotional, social, or sensory issues/impairments.

* Does your child have any allergies? (required)

The following health information is confidential and
will only be shared with a physician in case of a medical emergency.

Child 1's Medication

* I understand that the Preschool has my permission to seek emergency medical care for my child if a parent, guardian, or emergency contact cannot be reached.

I understand that the Preschool has my permission to seek emergency medical care for my child if a parent, guardian, or emergency contact cannot be reached.

* Health Insurance Provider

Health Insurance ID

Health Insurance Group

* Child 2's First Name

* Child 2's Last Name

Child2 Birthday

* Child 2 Will Be Enrolled In...

Select all that apply.

To provide the appropriate learning environment for your child, please answer the following questions:

Have there been any major changes or disruptions in your child's life this year?

Please inform us as major changes occur.

Are there any special needs that could impact your child's learning?

Examples of special needs include physical, developmental, behavioral/emotional, social, or sensory issues/impairments.

* Does your child have any allergies? (required)

The following health information is confidential and
will only be shared with a physician in case of a medical emergency.

Child 2's Medication

* I understand that the Preschool has my permission to seek emergency medical care for my child if a parent, guardian, or emergency contact cannot be reached.

I understand that the Preschool has my permission to seek emergency medical care for my child if a parent, guardian, or emergency contact cannot be reached.

* Health Insurance Provider

Health Insurance ID

Health Insurance Group

* Doctor's Name

* Doctor's Phone Number

* Emergency contact 1

Not a Parent

* Emergency Contact 1 Cell Phone Number

* Emergency contact 2

Not a parent

* Emergency Contact 2 Cell Phone Number

* Immunization Policy

Immunization PolicyI/We have read and agree to Temple Emanuel's Prechool Immunization Policy.

Click here to read the Immunization Policy.

* I hereby grant permission to Temple Emanuel to use photographs and/or video of my family members taken at Temple Emanuel activities onsite and offsite in publications, online, and in other communications related to Temple Emanuel.

Please Select OneYesNo

Payment

* Deposit/Registration Fee ($90) - Everyone must pay this fee to reserve a space for your child(ren) at Preschool.

Deposit/Registration Fee ($90) - Everyone must pay this fee to reserve a space for your child(ren) at Preschool.

Non-member Security Fee ($150 per family) - This fee must be paid by the first day of Preschool (8/20/2025). Members will have paid this fee through the membership renewal process.

Check this box if you wish to request tuition assistance.

Tuition assistance is not guaranteed and cannot be used for Lunch Bunch fees.
Temple Emanuel is committed to insuring that Preschool programming is accessible to everyone regardless of funds. All correspondence regarding tuition assistance is confidential.

Total Payment Due:

Payment

PLEASE NOTE! As of May 2025, all families must have an electronic payment method on file (either a credit card or bank draft information) with the temple office. You may still choose to pay with a check, but please note that if your check payment has not been received by the 15th of the month, or the next business day if the 15th falls on a weekend, your electronic payment method will be charged, including any related transaction fees. Your signature below acknowledges this payment requirement and gives your permission to charge your credit card or bank account if payment is not otherwise received by the 15th of the month.

Sat, September 13 2025 20 Elul 5785

Temple Emanuel | 201 Oakwood Drive | Winston-Salem NC 27103

Privacy Settings | Privacy Policy | Member Terms