Application For Pre-school Program

The Laurel Hill School Application for 2, 3, and 4 Year Old Preschool Programs

Please fill in all information. Home, work and cell phone numbers and emergency contact information are essential; please review your application for omissions. Please provide a complete “Preferred Email Address” to receive LHS correspondence; list only one address in this field. Fields marked with a ” * ” need to be completed to submit your application. Use the “Clear Application” button to erase all entries.

Application is
For School Year
First Name*
Applicant Middle Name
Applicant Last Name*
Applicant Date of Birth*
Applicant Age*
Sex **
- Male
- Female
First Language
- English
- Other
Applicant First Language if other specify
Applicant Second Language
Applicant Street Address*
Applicant Town*
Applicant State*
Applicant Zip Code*
Applicant Home Phone*
Applicant School District*
Applicant School District if other specify
Applicant Country of Birth*
Applicant Country of Citizenship*
Applicant If Not A US Citizen Number Of Years In USA
Application For 2, 3, 4 Year Olds
App For 2 3 4 Year Olds Program Applying For*
App For 2 3 4 Year Olds Session Selected*
Extended Hours Needed **
- Yes
- No
App For 2 3 4 Year Olds Extended Hours AM
App For 2 3 4 Year Olds Extended Hours PM
School History
Current School/Daycare Center
Current Program
Parent / Guardian 1
Parent / Guardian 1 First Name*
Parent / Guardian 1 Last Name*
Parent / Guardian 1 Relationship*
Parent / Guardian 1 Street Address*
Parent / Guardian 1 Town*
Parent / Guardian 1 State*
Parent / Guardian 1 Zip Code*
Parent / Guardian 1 Home Phone*
Parent / Guardian 1 Business Phone*
Parent / Guardian 1 Cell Phone*
Mothers Home Phone*
Mothers Business Phone*
Mothers Cell Phone*
Fathers Home Phone*
Fathers Business Phone*
Fathers Cell Phone*
Parent / Guardian 1 Email*
Parent / Guardian 1 Occupation
Parent / Guardian 1 Employer
Parent / Guardian 1 Business Address
Parent / Guardian 2
Parent / Guardian 2 First Name
Parent / Guardian 2 Last Name
Parent / Guardian 2 Relationship
Parent / Guardian 2 Street Address
Parent / Guardian 2 Town
Parent / Guardian 2 State
Parent / Guardian 2 Zip Code
Parent / Guardian 2 Home Phone
Parent / Guardian 2 Business Phone
Parent / Guardian 2 Cell Phone
Mothers Home Phone
Mothers Business Phone
Mothers Cell Phone
Fathers Home Phone
Fathers Business Phone
Fathers Cell Phone
Parent / Guardian 2 Email
Parent / Guardian 2 Occupation
Parent / Guardian 2 Employer
Parent / Guardian 2 Business Address
Parents' Status
Parents' Marital Status
Parents' Marital Status if other specify
LHS must be provided with court-issued custody papers that clearly describe any restricted or limited custody arrangements. Any person granted custody in such papers may pick up the child during the times that person has custody, and may designate other persons who are authorized to pick up the child at such times, unless court papers state otherwise.
Parents Status Applicant Resides With
Parents Status Applicant Resides With if other specify
Parents Status Preferred Email Address*
Emergency Contact & Physician
Emergency Contact First Name*
Emergency Contact Last Name*
Emergency Contacts Street Address*
Emergency Contacts Town*
Emergency Contacts Home Phone*
Emergency Contacts Business Phone
Emergency Contacts Cell Phone*
Emergency Contacts Applicants Physician*
Emergency Contacts Physicians Phone*
Student Profile
Student Profile Applicants Special Interest and Abilities
Student Profile Has Been Retained or Advanced Any Grade
Student Profile Physical Disabilities Academic and Emotional Problems
Student Profile Special Testing or Tutoring
Student Profile Additional Comments
Does your child have any allergies?*
- Yes
- No
*
Terms, Policies and Conditions*
- I agree to all Terms, Conditions and Policies of The Laurel Hill School

Application For Pre-school Program

The Laurel Hill School Application for 2, 3, and 4 Year Old Preschool Programs

Application For 2, 3, 4 Year Olds

School History

Parent / Guardian 1

Parent / Guardian 2

Parents' Status

Emergency Contact & Physician

Student Profile

Welcome Back To School

LHS is a recognized New York State private school, located in Suffolk County, Long Island.

Parent Bravos

Here is a small sample of some of the beautiful comments from our Parents

From a 6th Grade Parent:

From a 3YR Old Parent: