Kindergarten Application Step 1 of 9 11% Child's InformationChild's Name* First Middle Last Name used at home Birthdate* MM slash DD slash YYYY Female Male Parent/Guardian InformationName* First Last Relationship to Applicant*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* OccupationEmployerWork Phone Additional Parent/Guardian InformationPlease complete if child has more than one parent or guardian.Name First Last Relationship to ApplicantAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail OccupationEmployerWork Phone Child lives with:*Parents are:* married separated divorced other Other persons living in the home with the applicantInclude siblings and extended family members. (Click plus icon to add additional lines.)NameAgeGenderRelationship Has your child attended preschool? Yes No Name of Current/Previous PreschoolSchool PhoneSchool or playground experienceBriefly describe your child’s school experience and the types of activities your child most enjoys at school.Briefly describe your child’s play situation(activities, independent play, siblings, neighborhood or visiting friends, special classes, etc.) How long, on average, does your child have screen time on weekdays?(television, computer, tablets, etc)How long, on average, does your child have screen time on weekends?(television, computer, tablets, etc)What are your child’s favorite programs or apps?Briefly describe the type of discipline most frequently used with your child.If other than parents, indicate the primary caregiver for your child during the daytime.If other than parents, indicate the primary caregiver for your child during evenings. What family activities does your child enjoy?Are there any particular summer activities your child enjoys?Does your child still take naps? Yes No If yes, at what time and for how long?How often is your child read aloud to? How would you describe your child?Tell us something about your child’s characteristics, traits, personality, and level of maturity so we may have a clear picture of how you view him or her.What is it about your child that will make Waimea Country School a good environment for your child’s growth and development?Are there any circumstances in your child’s early development that we should be aware of? Yes No If yes, please explain.What other information would be helpful to us in evaluating your child’s candidacy for admission to Waimea Country School? How did you hear about Waimea Country School?Check all that apply. Word of mouth in the community Saw a banner up at the school/drove by the campus/in town Found the WCS website with an internet search Social Media (Facebook, Instagram, Twitter) Saw a print ad (newspaper, program brochure, flyer) Recommended by a current WCS parent Other Please share the current WCS parent who referred you so we can thank them. First Last If "Other", please share:I hereby apply for admission to Waimea Country School for my child. I affirm that all the information included in this application is accurate to the best of my knowledge.Date MM slash DD slash YYYY SignatureSubmission of this form indicates serious parental interest but does not guarantee a child’s placement in the school. Application files must be complete before enrollment is considered. In addition to this application and supporting documents, an in-person assessment is conducted to ensure that the child and the school are a good fit.
