Family Information
Email is our primary means of communication. Please provide a reliable email address.
Email is our primary means of communication. Please provide a reliable email address.
Include Apartment/Unit # if applicable.
You must be registered at SJV for at least 6 months before being eligible for parishioner tuition rate.
An approximate date should be fine as long as the year and month are correct.
Enrollment Information
YCP will be in session on Tuesdays and Thursdays from 9:00 am until 2:00 pm during the school year. Ages are 1 through 4 years of age on or before September 1, 2018.
Tuition and Fees
Registration/Supply is $200.00 for the first child, $190.00 for the second child; $180.00 for the third child. This fee is non-refundable and must be received for the registration to be complete. Tuition is $260.00 (Parishioners) or $320.00 (Non Parishioners). Please make all checks payable to: St. John Vianney YCP (Young Children’s Program).
By typing my name, I certify that I have read the above information. I understand that once my registration is accepted, the registration and registration/supply fee is non-refundable. I also understand that the medical forms must be in before my child will be admitted to class.
And I hereby verify that I am this child/these children's legal guardian.
First Child Information
If registering more than one, please begin with the oldest child.
(Optional)
List all languages separated by commas, beginning with the language child speaks/understands most of the time.
YCP is an English speaking program, so in order to better serve the needs of all children, we require those ages 2 and older to understand and speak the following list of English words: Come, Stop, Wait, Stay here, Sit, Bathroom, Yes, No, I am hurt, I am sad, Nap time, Lay down, Will you help me. By typing my name/initials, I confirm that I understand the importance of the above request and that if this safety element is not met, my child will be asked to leave the program.
Please select "Yes" if your child IS NOT living with both parents.
Photography and/or Video Release
As parent/guardian, I understand that promotional pictures and/or video (individual and group) will be taken during the year. I give permission for my son’s/daughter’s image/picture to be used for promotional materials (newsletter, web page, calendars, power point, etc.) in highlighting the program's activities.
By choosing "I Agree", I hereby consent and agree to the Photography and/or Video Release.
Medical Conditions Information
Please complete the following questions to help us better serve your child. (YCP Staff will take reasonable care to see that the following information will be held in confidence.)
Select all that apply.
Indicate any known allergies to foods, dyes, latex, medications, etc. Or if they use an Epi Pen.
Immunization records are required in order to complete your child's registration and need to be uploaded and submitted with this form or turned in to a YCP employee in the Library Den during YCP hours.
Is there any condition that we should be aware of in order to better serve your child?
Consent & Liability Waiver
If my child becomes ill or is injured, I authorize St. John Vianney Catholic Church and its agents to obtain emergency medical treatment and I hereby release said church and its agents from liability for action taken pursuant to this release. Having been informed of the organization of the Young Children’s Program of St. John Vianney Catholic Church to provide child care and teaching for boys and girls, we, the parents of the above named child, do hereby give our approval to his/her participation in the Young Children’s Program during the current year. Knowing that St. John Vianney Catholic Church has general liability coverage, but that no accident policy is being carried for the Young Children’s Program, we do assume all risks and hazards incidental to the conduct of its activities; and we do further hereby release, absolve, and indemnify and hold harmless the St. John Vianney Catholic Church, the organizers, sponsors and workers of the Young Children’s Program, and/or all of them. In case of injury of my son/daughter, I hereby waive all claims against St. John Vianney Catholic Church, the organizers and sponsors of the Young Children’s Program or any of the workers or supervisors appointed by them.
By typing my name, I hereby consent and agree to the Consent and Liability Waiver.
Second Child Information
(Optional)
List all languages separated by commas, beginning with the language child speaks/understands most of the time.
YCP is an English speaking program, so in order to better serve the needs of all children, we require those ages 2 and older to understand and speak the following list of English words: Come, Stop, Wait, Stay here, Sit, Bathroom, Yes, No, I am hurt, I am sad, Nap time, Lay down, Will you help me. By typing my name/initials, I confirm that I understand the importance of the above request and that if this safety element is not met, my child will be asked to leave the program.
Please select "Yes" if your child IS NOT living with both parents.
Photography and/or Video Release
As parent/guardian, I understand that promotional pictures and/or video (individual and group) will be taken during the year. I give permission for my son’s/daughter’s image/picture to be used for promotional materials (newsletter, web page, calendars, power point, etc.) in highlighting the program's activities.
By choosing "I Agree", I hereby consent and agree to the Photography and/or Video Release.
Medical Conditions Information
Please complete the following questions to help us better serve your child. (YCP Staff will take reasonable care to see that the following information will be held in confidence.)
Select all that apply.
Indicate any known allergies to foods, dyes, latex, medications, etc. Or if they use an Epi Pen.
Immunization records are required in order to complete your child's registration and need to be uploaded and submitted with this form or turned in to a YCP employee in the Library Den during YCP hours.
Is there any condition that we should be aware of in order to better serve your child?
Consent & Liability Waiver
If my child becomes ill or is injured, I authorize St. John Vianney Catholic Church and its agents to obtain emergency medical treatment and I hereby release said church and its agents from liability for action taken pursuant to this release. Having been informed of the organization of the Young Children’s Program of St. John Vianney Catholic Church to provide child care and teaching for boys and girls, we, the parents of the above named child, do hereby give our approval to his/her participation in the Young Children’s Program during the current year. Knowing that St. John Vianney Catholic Church has general liability coverage, but that no accident policy is being carried for the Young Children’s Program, we do assume all risks and hazards incidental to the conduct of its activities; and we do further hereby release, absolve, and indemnify and hold harmless the St. John Vianney Catholic Church, the organizers, sponsors and workers of the Young Children’s Program, and/or all of them. In case of injury of my son/daughter, I hereby waive all claims against St. John Vianney Catholic Church, the organizers and sponsors of the Young Children’s Program or any of the workers or supervisors appointed by them.
By typing my name, I hereby consent and agree to the Consent and Liability Waiver.
Third Child Information
(Optional)
List all languages separated by commas, beginning with the language child speaks/understands most of the time.
YCP is an English speaking program, so in order to better serve the needs of all children, we require those ages 2 and older to understand and speak the following list of English words: Come, Stop, Wait, Stay here, Sit, Bathroom, Yes, No, I am hurt, I am sad, Nap time, Lay down, Will you help me. By typing my name/initials, I confirm that I understand the importance of the above request and that if this safety element is not met, my child will be asked to leave the program.
Please select "Yes" if your child IS NOT living with both parents.
Photography and/or Video Release
As parent/guardian, I understand that promotional pictures and/or video (individual and group) will be taken during the year. I give permission for my son’s/daughter’s image/picture to be used for promotional materials (newsletter, web page, calendars, power point, etc.) in highlighting the program's activities.
By choosing "I Agree", I hereby consent and agree to the Photography and/or Video Release.
Medical Conditions Information
Please complete the following questions to help us better serve your child. (YCP Staff will take reasonable care to see that the following information will be held in confidence.)
Select all that apply.
Indicate any known allergies to foods, dyes, latex, medications, etc. Or if they use an Epi Pen.
Immunization records are required in order to complete your child's registration and need to be uploaded and submitted with this form or turned in to a YCP employee in the Library Den during YCP hours.
Is there any condition that we should be aware of in order to better serve your child?
Consent & Liability Waiver
If my child becomes ill or is injured, I authorize St. John Vianney Catholic Church and its agents to obtain emergency medical treatment and I hereby release said church and its agents from liability for action taken pursuant to this release. Having been informed of the organization of the Young Children’s Program of St. John Vianney Catholic Church to provide child care and teaching for boys and girls, we, the parents of the above named child, do hereby give our approval to his/her participation in the Young Children’s Program during the current year. Knowing that St. John Vianney Catholic Church has general liability coverage, but that no accident policy is being carried for the Young Children’s Program, we do assume all risks and hazards incidental to the conduct of its activities; and we do further hereby release, absolve, and indemnify and hold harmless the St. John Vianney Catholic Church, the organizers, sponsors and workers of the Young Children’s Program, and/or all of them. In case of injury of my son/daughter, I hereby waive all claims against St. John Vianney Catholic Church, the organizers and sponsors of the Young Children’s Program or any of the workers or supervisors appointed by them.
By typing my name, I hereby consent and agree to the Consent and Liability Waiver.
