NYC Preschool Application (UES & Tribeca) For Playgarden Online inquiries, see HERE. *4 Day & 5 Day AM spots are now full at the Upper East Side location. PM spots still available.3 Day, 4 Day, & 5 Day options are still available at Tribeca. CHILD INFORMATION Birthday: * MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day12345678910111213141516171819202122232425262728293031 Year20232022202120202019201820172016 Sex: * MaleFemale Desired Location*Upper East SideTribeca Desired Program Time*3 Day AM (Tribeca only)4 Day AM5 Day AM4 Day PM (UES only)Pre-K (Must turn 4 before 11/1) Desired Date of Entry*January 2023September 2023January 2024 Have you ever been a Playgarden Class, Playground or Camp member? * YesNo PARENT/GUARDIAN information Emergency Contact CAREGIVERS / Additional authorized Pick-up Medical information Does your child have any dietary restrictions or requirements? * YesNo Does your child suffer from any known allergies? * YesNo Does your child have any serious conditions in her/his medical history, for example asthma, diabetes, epilepsy, surgery? * YesNo Does your child have any special needs? Is there anything else we should know about your child? PERSONAL INFORMATION Does the applicant have siblings? * YesNo Is your child supervised by adults other than parents? * YesNo Does your child regularly socialize with other children? * YesNo What types of activities do you do together as a family? What are your child’s favorite foods and regular meal times? What time does your child go to bed at night and wake up in the morning? What time does your child take a nap? Is your child potty-trained? * "Yes, completely""We're working on it""Not yet" Has your child ever been dropped off before? * YesNo Is there anything else you would like us to know about your child or your family? BINDING AGREEMENT I understand Playgarden Prep will take all necessary precautions to ensure the safety of my child and that the school cannot be responsible for any injury my child may incur while in attendance. * I agree I give permission for the staff of Playgarden Prep to administer first aid and/or CPR to my child. * I agree I give permission to the staff of Playgarden Prep to request medical assistance from the emergency section of the nearest hospital, if my child sustains an injury while in attendance at School, and I am unavailable or if the designated emergency contact person cannot be reached. * I agree I agree to all provisions in the Playgarden Enrollment Agreement * I agree Date: * MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day12345678910111213141516171819202122232425262728293031 Year2023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930