2023-2024 Preschool Registration Form

In order to register for preschool, you must have a 2023/2024 Silver Springs Community Association membership. If you do not have a membership, you will receieve an error message. To purchase a membership, click on "Manage Membership" at the top of the screen.

If you do not have a current membership, you will only be able to access our waitlist.

After you have completed your registration, you will receieve an email confirmation which will contain additional documents that you must complete and return to the SSCA.

For 2023/2024, all of our PUF funded spots in our 4 year old program are currently full.

* Membership Type

Wait List 2023-2024 Preschool Registration 3AM Class $100 non refundable registration fee 3AM classes meet on Tuesday and Thursday mornings
2023-2024 Preschool Registration 3PM Class $100 non refundable registration fee 3PM classes meet on Tuesday and Thursday afternoons
Wait List 2023-2024 Preschool Registration 3PM Class $100 non refundable registration fee 3PM classes meet on Tuesday and Thursday afternoons
Wait List 2023-2024 Preschool Registration 4AM Class $100 non refundable registration fee 4AM classes meet on Monday/Wednesday and Friday mornings
Wait List 2023-2024 Preschool Registration 4PM Class $100 non refundable registration fee 4PM classes meet on Monday/Wednesday and Friday afternoons
Wait List 2023-2024 Preschool Registration 4 FULL DAY Class $100 non refundable registration fee 4 FULL DAY classes meet on Monday/Wednesday and Friday

* Child's last name

* Child's first name

* Address

* Phone number

* Gender

* Birthdate

* Immunizations( up to date)?

* Allergies

* Other Health/Medical

* Parent/Guardian 1 Name

* Parent/Guardian 1 Address

* Postal Code

* Parent/Guardian 1 Phone

* Parent/Guardian 1 Email

Parent/Guardian 2 Name

Parent/Guardian 2 Address

Parent/Guardian 2 Phone

Parent/Guardian 2 Email

* Emergency Contact 1 Name

* Emergency Contact 1 Address

* Emergency Contact 1 Cell Phone

* Emergency Contact 1 Relationship to Child

* Emergency Contact 2 Name

* Emergency Contact 2 Address

* Emergency Contact 2 Cell Phone

* Emergency Contact 2 Relationship to Child

* Child's last name

* Child's first name

* Address

* Phone number

* Gender

* Birthdate

* Immunizations( up to date)?

* Allergies

* Other Health/Medical

* Parent/Guardian 1 Name

* Parent/Guardian 1 Address

* Postal Code

* Parent/Guardian 1 Phone

* Parent/Guardian 1 Email

* Have you ever accessed speech or behavioral services for your child?

* Do you have any development concerns (example: speech)?

* Are adults outside your immediate family able to understand your child when they speak?

* Does your child have more difficulty than peers of the same age completing self-care tasks? (brushing teeth, eating, dressing)

* Does your child have more difficulty than peers of the same age completing fine motor tasks? (picking up small items, using scissors, holding a marker, putting on and taking off their shoes)

* Is your child's voice too high or too low? too loud or too soft? Do they frequently get hoarse or lose their voice? Does their voice sound harsh, breathy, rough or nasally?

* Does your child talk in phrases and sentences?

* Does your child have more difficulty than peers of the same age completing gross motor tasks? (balance, strength) Is their gait awkward or clumsy?

* Is your child's speech mostly clear or "slushy"?

* Does your child understand most of what you say? And do they respond appropriately to questions? Example: What is your favorite color? Do they answer with a color or something unrelated. (dogs)

* Does your child have more difficulty than peers of the same age to self-regulate? (manage emotions, use self-control to wait for short periods of time, do they need to move all the time? does it take them longer to recover from frustration or disappointme

Parent/Guardian 2 Name

Parent/Guardian 2 Address

Parent/Guardian 2 Phone

Parent/Guardian 2 Email

* Emergency Contact 1 Name *CANNOT BE PARENT/GUARDIAN and MUST LIVE WITHIN CITY LIMITS*

* Emergency Contact 1 Address

* Emergency Contact 1 Cell Phone

* Emergency Contact 1 Relationship to Child

* Emergency Contact 2 Name *CANNOT BE PARENT/GUARDIAN and MUST LIVE WITHIN CITY LIMITS*

* Emergency Contact 2 Address

* Emergency Contact 2 Cell Phone

* Emergency Contact 2 Relationship to Child

* Child's last name

* Child's first name

* Address

* Phone number

* Gender

* Birthdate

* Immunizations( up to date)?

* Allergies

* Other Health/Medical

* Parent/Guardian 1 Name

* Parent/Guardian 1 Address

* Postal Code

* Parent/Guardian 1 Phone

* Parent/Guardian 1 Email

Parent/Guardian 2 Name

Parent/Guardian 2 Address

Parent/Guardian 2 Phone

Parent/Guardian 2 Email

* Emergency Contact 1 Name

* Emergency Contact 1 Address

* Emergency Contact 1 Cell Phone

* Emergency Contact 1 Relationship to Child

* Emergency Contact 2 Name

* Emergency Contact 2 Address

* Emergency Contact 2 Cell Phone

* Emergency Contact 2 Relationship to Child

* Child's last name

* Child's first name

* Address

* Phone number

* Gender

* Birthdate

* Immunizations( up to date)?

* Allergies

* Other Health/Medical

* Parent/Guardian 1 Name

* Parent/Guardian 1 Address

* Postal Code

* Parent/Guardian 1 Phone

* Parent/Guardian 1 Email

Parent/Guardian 2 Name

Parent/Guardian 2 Address

Parent/Guardian 2 Phone

Parent/Guardian 2 Email

* Emergency Contact 1 Name

* Emergency Contact 1 Address

* Emergency Contact 1 Cell Phone

* Emergency Contact 1 Relationship to Child

* Emergency Contact 2 Name

* Emergency Contact 2 Address

* Emergency Contact 2 Cell Phone

* Emergency Contact 2 Relationship to Child

* Child's last name

* Child's first name

* Address

* Phone number

* Gender

* Birthdate

* Immunizations( up to date)?

* Allergies

* Other Health/Medical

* Parent/Guardian 1 Name

* Parent/Guardian 1 Address

* Postal Code

* Parent/Guardian 1 Phone

* Parent/Guardian 1 Email

Parent/Guardian 2 Name

Parent/Guardian 2 Address

Parent/Guardian 2 Phone

Parent/Guardian 2 Email

* Emergency Contact 1 Name

* Emergency Contact 1 Address

* Emergency Contact 1 Cell Phone

* Emergency Contact 1 Relationship to Child

* Emergency Contact 2 Name

* Emergency Contact 2 Address

* Emergency Contact 2 Cell Phone

* Emergency Contact 2 Relationship to Child

* Do you have any development concerns (example: speech)?

* Have you ever accessed speech or behavioral services for your child?

* Child's last name

* Child's first name

* Address

* Phone number

* Gender

* Birthdate

* Immunizations( up to date)?

* Allergies

* Other Health/Medical

* Parent/Guardian 1 Name

* Parent/Guardian 1 Address

* Postal Code

* Parent/Guardian 1 Phone

* Parent/Guardian 1 Email

Parent/Guardian 2 Name

Parent/Guardian 2 Address

Parent/Guardian 2 Phone

Parent/Guardian 2 Email

* Emergency Contact 1 Name

* Emergency Contact 1 Address

* Emergency Contact 1 Cell Phone

* Emergency Contact 1 Relationship to Child

* Emergency Contact 2 Name

* Emergency Contact 2 Address

* Emergency Contact 2 Cell Phone

* Emergency Contact 2 Relationship to Child

Payment System

Credit Card Payment via Stripe Credit Card Payments

Phone Number

* Your E-Mail Address

a confirmation email will be sent to you at this address

Address Information

* Street

* City

* Country

* State

* ZIP Code