Information - Princeton City ...

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Information - Princeton City ...
Information
   Packet
  Preschool
 2021 - 2022

Welcome Center & Office of Registrations
  3900 Cottingham Drive. Cincinnati, Ohio. 45241

   Hours of Operation: Monday - Friday 8AM – 3PM

For Further Assistance: 513.864.1111 & 513.864.1113

            www.princetonschools.net
Information - Princeton City ...
Princeton City School District is pleased to offer Preschool classes in most of the district’s
                                   elementary school buildings!

  Student’s MUST BE THREE (3) by September 30, 2021 and toilet trained in order to
                               attend preschool.
           Classes are four (4) days per week in both morning and afternoon sessions.
            **Due to space requirements, class size in Preschool classroom is limited**

Princeton’s Preschool program is a fee program of $298 a month and is supported by Princeton
applying for and receiving state and federal funding sources. The Ohio Department of Education has
placed emphasis on providing a preschool experience to students turning four (4) years of age prior to
September 30, 2021. Princeton is committed to providing a preschool experience for as many students
as possible.
                   2021-2022 School Year Preschool Registration
                          Please Read All Information Carefully!
   Failure to follow these steps could result in delay of registration and/or
                                   entrance.
                              New Student Registration Process
Step 1: Complete Final Forms Playbook (instructions attached)
        NEW FAMILIES TO THE DISTRICT: Please visit our website at
        Princetonschools.net, the Welcome Center tab, and then Final Forms to begin
        the online registration process. Click on “New Account” to begin filling out your
        information. (Please be sure to choose the correct school year 2021/2022).
        CURRENT FAMILIES IN THE DISTRICT: Log in your Final Forms account to
        add a student. (Please be sure to choose the correct school year 2021/2022).
Step 2: To enroll for HALF (1/2) DAY preschool you must do the following:
               Complete the Early Childhood Education Eligibility Screen - attached
               Complete the two (2) Preschool Fee/Financial Forms – attached
               Provide two (2) current Pay Stubs or Proof of Income
Step 3: Upload all the Required Documents in Final Forms or email them to
        Registration@vikingmail.org (if emailing please use only your child’s first initial,
        last name and PS 21-22 as the subject). Make sure all documents are legible.

Upon completing your forms and uploading your documentation (or emailing it to the
address listed above) in Final Forms, you will receive a confirmation of receipt email.
THIS DOES NOT CONFIRM REGISTRATION.
Once your registration has been confirmed by the Welcome Center, you will receive a
second confirmation email along with more information and important upcoming dates!!
This email can take several days to receive due to the influx of registration during this
period.

                                That's it! Welcome!
Required Documents
          The following items are required for each student you are registering.
         Registration will not be accepted until all required documents are provided.

      Child’s Birth Certificate or Passport
      Parental Proof of Identity (driver’s license/state ID or passport/Green Card)
      Immunization Record (must be presented at the time of registration)
      Proof of Address/Residency - Three (3) items from list below:
          o You will need ONE of the following:
               Signed lease/rental agreement
               Mortgage statement
               Settlement statement
               Property Tax bill
               Deed
          o You will need TWO of the following:
               Payroll check stub (dated within past 60 days)
               Utility bill (dated within past 60 days)
               Vehicle registration
               Hamilton County Job and Family Service letter (dated within past 60 days)
               Recent income tax return (dated within past year)
               Voter registration document
               Insurance policy (dated within past year)
               Medical bill (dated within past 60 days)
               Certificate of registration from the Board of Elections
               US Postal change of address document

       All suspicions of non-residency will be thoroughly investigated and additional documentation of
       residency will be required.
Kindergarten/Preschool Only
      Medical Assessment Form – Dated within one (1) year
      Dental Assessment Form – Dated within One (1) year
      Financial Agreement and Fee Subsidy Form - For Preschool and All-Day Kindergarten only
                                             (Two Current Paystubs or Proof of Income Required)
      Financial Agreement Form – For Half-Day (1/2) Kindergarten only
      Early Childhood Education Screening Form - For Preschool only
Special Situations
      Custody Decree - (if applicable) Complete, current legal documentation must be presented at
       the time of registration. Notify registrar of any future revisions.
      Guardianship - (if applicable) Complete, current legal court documents must be presented at the
       time of registration.
      Special Education Paperwork - (if applicable) The current ETR/MFE and IEP for students with
       disabilities, or the current Section 504 Accommodation Plan, or Gifted Identification information
       must be presented at the time of registration, if applicable. An official request will be sent to the
       previous school for these documents as appropriate; however, having the documents upfront
       facilitates a smoother transition.

                                   Central Registration & Welcome Center
                                   Office: (513) 864-1111 & (513) 864-1113
FinalForms
Parent registration
How do I sign up?

1. Go to: https://princeton-oh.finalforms.com/

2. Locate the parent icon and click NEW ACCOUNT below.

3. Type your YOUR NAME, DATE OF BIRTH, and EMAIL. Next, click REGISTER.

    NOTE: You will receive an email within 2 minutes prompting you to confirm and complete your registration. If
    you do not receive an email, then check your spam folder. If you still can not locate the FinalForms email,
    then email support@finalforms.com informing our team of the issue.

4. Check your email for an ACCOUNT CONFIRMATION EMAIL from the FinalForms Mailman.
   Once received and opened, click CONFIRM YOUR ACCOUNT in the email text.

5. Create your new FinalForms password. Next, click CONFIRM ACCOUNT.

6. Click REGISTER STUDENT for your first child.

FinalForms
Registering a student
   What information will I need?
              Basic medical history and health information. Insurance company and policy number.
     Doctor, dentist, and medical specialist contact information. Hospital preference and contact
     information.

How do I register my first student?

                IMPORTANT: If you followed the steps on the previous page, you may Jump to Step number 3.

   1. Go to: https://princeton-oh.finalforms.com/

   2. Click LOGIN under the Parent Icon.

   3. Locate and click the ADD STUDENT button.

   4. Type in the LEGAL NAME and other required information. Then, click CREATE STUDENT.

   5. If your student plans to participate in a sport, activity, or club, then click the checkbox for
      each. Then, click UPDATE after making your selection. Selections may be changed until the
      registration deadline.

   6. Complete each form and sign your full name (i.e. ‘Jonathan Smith’) in the parent signature field
      on each page. After signing each, click SUBMIT FORM and move on to the next form.

   7. When all forms are complete, you will see a ‘Forms Finished’ message.

                IMPORTANT: If required by your district, an email will automatically be sent to the email address
       that you provided for your student, which will prompt your student to sign required forms.

How do I register additional students?
   Click MY STUDENTS. Then, repeat steps number 3 through number 7 for each additional student.

How do I update information?
   Login at any time and click UPDATE FORMS to update information for any student.
Student
                                                                                                                          Medical Assessment Form

Student Name:            ____           __________                                      ________________              Exam Date: ____________________
                                                       Gender: Male or Female                    General Exam:
*Pre-school and Kindergarten students must have a current (within 1 year) physician’s exam on file prior to admission & renewed every year during the named grades*
                                                 Evaluation                   Normal        Abnormal                  Evaluation                 Normal        Abnormal
DOB: ________________                  Skin                                                                Abdomen & Groin
                                       Posture/Gait                                                        Genitalia & Urinary
Age: _________________
                                       Speech/Communication                                                Bones/Joints
                                       Head                                                                Neurological
Weight: ______________
                                       Eyes                                                                Gross & Fine Motor
Height: ______________                 Ears                                                                Muscles
                                       Nose                                                                Cognitive
Lead: ________________                 Mouth/Teeth etc.                                                    Self Help
                                       Heart & Circulatory                                                 Social Skills
B.P: _________________                 Chest & Lungs                                                       Glands Thyroid/Lymph
Hematocrit:      ____________          Weight                                                              Height

Vision Screening Results:             LEFT 20/__________             RIGHT 20/__________                 Hearing Screening Results: P / F
Chronic Condition(s): ___________________________________________ Allergies: _________________________________________

                                           Immunizations as Required for School Entry by the Ohio Department of Health
      Type:                                                         Dates: Month/Day/Year
DTaP, DPT or DT
     DT/ Td
      Polio
      MMR
   Hepatitis B
    Varicella
       Hib
 (prior to age 5)
 Tuberculin Test
      Tdap
     MCV4
      Other
*This child has been examined and is in suitable condition for participation in group care. The child has had the age appropriate immunizations required by
           Section 3313.671 of the Ohio Revised Code for admission to school or is to be exempted from immunizations for the following reason(s)

Comments: (medications, plan of action, limitations, etc.) _______________________________________________________
______________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________

                     Examiner’s Signature: ________________________________________________
                     Examiner’s Printed Name: _____________________________________________
                     Address: __________________________________________________________
                     ___________________________________________________________
                     ___________________________________________________________
                     Telephone & Fax: ____________________________________________
   Ohio Department of Health Immunization Program 1-800-282-0546                                  Hamilton County – Immunization Program 513-946-7882

  *Please return this copy to school
     or to the Welcome Center*
Student
                                                                                                                         Dental Assessment Form

Student’s Full Name: _________________________________________________ Exam Date:________________

  Gender: Male or Female                                    DOB: ____________________________                                 Age: _________________

*Pre-school and Kindergarten students must have a current (within 1 year) physician’s exam on file prior to admission & renewed every year during the named grades*

The following services have been performed:
 Examination by Dentist            Orthodontic Assessment                                                  Oral Screening
 Dental Sealants                   Radiographs                                                             Fluoride Application
 Oral Prophylaxis (cleaning)       Diagnosis                                                               Rx for fluoride supplements

The following oral hygiene instruction was provided:
 Brushing teeth                      Diet counseling related to dental health
 Flossing                            Home/school use of fluoride mouth rinse

The following statements are applicable:
    No apparent care needed at this time.
    All necessary preventative services have been performed. (Fluoride treatment, prophylaxis)
    No restorative services are required at this time.
    Further treatment is indicated. (See comments)
    Further appointments have been arranged. (ex. Orthodontic, restorative)

Comments: _______________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________

Examiner’s Signature:                       __________________________________________________________________

Examiner’s Printed Name:                    __________________________________________________________________

Dental Office Address:                     __________________________________________________________________

                                                      ________________________________________________________________________________________

                                                      ________________________________________________________________________________________

Telephone: _________________________________                                                     Fax: _________________________________

                                  *Please return this copy to your child’s school or the Welcome Center*
Parent/Guardian Financial Agreement

                                                                                         For School Use Only:
                                                                             Student ID#: ____________________________
Please complete this form and the application, and then submit
                                                                              Enrollment Date: ________________________
them to Central Registration and the Welcome Center.
                                                                              Elementary School: ______________________
Every effort will be made to honor the preferences of the parents.
                                                                             ( ) PS-AM       ( ) PS-PM      ( ) KG-All Day
However, the principal reserves the right to assign students to
classes based on the needs of the district and the school.

        **A completed Fee Subsidy Form will determine the eligibility for fee assistance **
   I fully acknowledge that the full price of the Pre-School Program is $298.00 per month.
   I fully acknowledge that the full price of the All Day Kindergarten Program is $386.00 per month.
   I fully acknowledge that there is no refund for fees paid in advance for any reason.
   I agree to pre-pay my child’s first fee before their first day of attendance into a school building.
   I agree to pay the fee in 9 equal installments thereafter, with no deductions for absences, holidays, vacations,
    withdrawals, or calamity days. I also acknowledge that the monthly fees are due and to be pre-paid on or before the
    20th of every month of the student’s enrollment. (For Example: the fee being paid by August 20th is for the month of
    September)
   I agree that if my child is enrolled into Pre-Kindergarten or All Day Kindergarten and the fees are not paid on time, this
    will result in a withdrawal of my child from the above named programs.
   I agree to submit any program changes for my child in writing and in person or via the U.S. Postal Service (No Faxes).
    I also acknowledge that the changes will become effective the first day of the following fee cycle.
   I agree to pay a $20.00 fee for a returned check and will submit payments thereafter with a money order, cashier’s
    check, or in cash.
   I understand and acknowledge that legal action may be taken against me to collect all unpaid obligations accrued with
    the Princeton City School District.
   I understand and acknowledge that my child will not be able to enroll in any future Fee Programs within the Princeton
    City School District if past due balances or fees are owed.

      Child’s Full Name: ___________________________________________________ DOB: ______________________

      Address: _____________________________________________________________________________________

      Parent/Guardian Name: ______________________________________________ Date: _____________________

      Parent/Guardian Signature: ____________________________________________

      Home # _______________________ Mobile # _________________________ Work # _______________________

      Parent/Guardian Name: _____________________________________________ Date: ______________________

      Parent/Guardian Signature: __________________________________________

      Home # _______________________ Mobile # _________________________ Work # _______________________

                                Parent/Guardian Early Childhood Education Program Preference:

                                                  ( ) PS-AM           ( ) PS-PM

                                         ( ) KG-AM          ( ) KG-PM     ( ) KG-All Day

                                                                                                                 01/30/19
Fee Subsidy Application

                                                                                            For School Use Only:
Early Childhood Education Application for Fee Subsidy must be                   Student ID#: ____________________________
accompanied with the proof of income to all household members                    Enrollment Date: ________________________
and it should be presented in person upon the student’s                          Elementary School: ______________________
enrollment into the Princeton City School District.                             ( ) PS-AM       ( ) PS-PM ( ) KG-All Day

   Student Name: _____________________________________________________________________________________
   Date of Birth: ____________________________________________________________ Please Check One: [ ] MALE [ ] FEMALE
   Place of Birth: ________________________________________________________________________________________________
   Home Address: __________________________________________________________________Contact #_____________________
( ) I voluntarily decline to complete this application form. Parent/Guardian Initials: ____ Date: _____
          Please list everyone residing in the household and include 2 paystubs for income verification purposes:

                                                                                                          Gross Pay: (before taxes)
            Full Name:                 Relationship to Student:           Place of Employment:           Weekly/Bi-weekly/Monthly
                                                                                                               (indicate one please)

Additional Monthly Income:

Food Stamp Case # _____________________________________ Welfare $___________________ Child Support $_________________
Alimony $________________ Pension $___________________ Retirement $________________ Social Security $________________
SSI $________________ SSDI $___________________ Any Other Monthly Incomes $________________________________________

*I certify that all of the above information is true and correct, and that all income or Food Stamp/OWF numbers are accurate.
*I understand that this information is being given for the receipt of state and federal funds; that school officials may verify the
information on the application; and that any deliberate misinterpretation of the above information may subject me to prosecution under
applicable state and federal laws.

Signature: ___________________________________________________________ Date: _________________________________
Printed Name: _______________________________________________________ SS# XXX-XX-_____________________________
Address: ____________________________________________________________ Cincinnati, Ohio. Zip Code: ________________
Home # ______________________________ Mobile # ____________________________ Work #___________________________

                       *This information is confidential and only to be used for fee subsidy eligibility purposes.
                      Please call the district office if your monthly income changes (513) 864-1000. Thank You.

            ………………….……………………………………………..Do Not Write Below………………………………………………………………………
                                                Administrative Use Only:
                        Total Household Size: _____________ Monthly Income: $_____________

                                                    Eligibility Determination:
                           Approved Reduced Level _______________ = Price $ _______________ monthly
             Denial: High Income _______________ Incomplete Application _______________ Other ________________

                Signature of Verifying Official: _______________________________________ Date: _______________

                                                                                                                                   01/30/19
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