to registration forms - Church Street School for Music and

Dear Parents and Caregivers,
Welcome to Church Street School for Music & Art’s Toddler Program!
OUR APPROACH

Dalcroze toddler Music & Movement classes are designed to give your child the
opportunity to enjoy and learn about music by becoming involved with the whole body.

We incorporate the use of rhythm instruments, songs, fingerplay, and body movement
such as running, walking, galloping, tiptoe and clapping.

The toddler Visual Arts program at CSSMA is based on the philosophy of process before
product.

Our art classes allow children to explore a wide range of art media presented in a nonrepresentational way. The object of these classes is to provide developmentally
appropriate art experiences, help children build communication and motor skills, and
most importantly, to have children feel good about what they have created.
THINGS TO KNOW

For art classes, smocks are provided although you may bring your own if you wish.
Please remember that sometimes paint and glue will still get on clothing; dress your child
accordingly.

For music classes, please dress your child in comfortable clothing so that movement will
be easy.

We request that you do not bring food or bottles into the classrooms. If your child must
have a drink, please sit in the lobby or hallway.

Please remove shoes before entering the music room (children and adults).

Only collapsible strollers are permitted in the lobby and must be stored on the shelves.
We are not responsible for items left in/on strollers.

We request that you do not carry on phone conversations during your child’s class and
that you be sure to turn off your cell phone.
Thanks for your attention to the important matters above! If you are not the person who will be
bringing your child to class, please share this with his/her caregiver.
Please fill out the enclosed forms, sign and return them to the
Front office by the first day of class.
Have a great semester and thank you for attending Church Street School for Music and Art!
Sincerely,
Lisa Ecklund-Flores, Executive Director
CHURCH STREET SCHOOL FOR MUSIC AND ART 74 WARREN ST NEW YORK NY 10007 PHONE 212 571 7290 FAX
212 571 7292
ENROLLMENT POLICIES
INVOICES/ PAYMENT




ALL OUTSTANDING BALANCES AND PAYMENT PLANS WILL BE CHARGED
AUTOMATICALLY TO THE CREDIT CARD ON FILE ON THE FIRST DAY OF THE NEW
SEMESTER- FEB 8.
If you prefer to pay with another method, the alternative payment must be received before the first
day of the semester, Feb 8.
Families are welcome to sign up for an installment payment plan for a fee of $35.
Your invoice includes your registration details- class name, day and time.
TRIAL CLASSES, DISMISSAL & LATE PICKUP FEES
 Siblings/ friends who wish to join for a single class must arrange permission with the front office
24 hours in advance and are required to pay a single class fee of $38.
 Students must be picked up promptly after their class or lesson ends and must be signed out
from their class by a parent, guardian or authorized caregiver.
 Those who arrive late for pickup will automatically be charged a $15/hr late fee for afterschool
care.
MAKE UP CLASSES
 One make-up class is granted per semester for student absences. Make-up classes must be
arranged with the front desk 24 hours in advance.
IMPORTANT DATES
 Spring semester runs February 8th- June 25th.
 CSSMA follows the NYC Public School calendar. Holidays and closures are listed below.
 In the case of inclement weather CSSMA will follow closure guidelines dictated by the NYC
school board/ Mayor’s Office. No make-up lessons or classes will be given in the case of natural
disasters, extreme or inclement weather.
SPRING CLOSURE CALENDAR
Spring Semester Begins
President’s Week (closed)
Good Friday (closed)
Spring Recess (closed)
Memorial Day (closed)
Spring Semester ends
Summer Programs Begin
Feb. 8
Feb. 15-20
Mar. 25-26
Apr. 25-30
May 30
June 25
June 27
CHURCH STREET SCHOOL FOR MUSIC AND ART 74 WARREN ST NEW YORK NY 10007 PHONE 212 571 7290 FAX
212 571 7292
Registration / Medical Info & Release Form
Student Info
First Name
Last Name
/
Birthday
Month
/
/
Day
/
Gender
Male
Female
Year
Cell Phone #
Email
Parent 1 Info
Hon.
First Name
Last Name
Address
City, State, Zip
Home Phone #
Cell Phone #
Work Phone #
Email
Parent 2 Info
Hon.
First Name
Last Name
Address
City, State, Zip
Home Phone #
Cell Phone #
Work Phone #
Email
Emergency Info
In the event of an emergency, if parents can not be reached, please contact:
Name 1
Name 2
Relationship
Relationship
1st Phone #
1st Phone #
2nd Phone #
2nd Phone #
How did you hear about Church Street School?:
For Office Use Only:
SSPro
Registration / Medical Info & Release Form
Medical Info & Release
To ensure the health and safety of our students, we ask that you complete a Medical Info & Release
form for each child that is currently enrolled. Please be aware that we have several children with
severe allergies at the school. Nuts and seeds are highly allergenic. To protect these children, please
note that Church Street School has a NO NUT POLICY. This means that individual snacks, group
snacks, and any other food item brought into the school should not contain nuts or nut oils, or
seeds or seed oils. Packaged foods should be checked to ensure that they were not produced in
a factory that processes nuts.
Please indicate the presence or history of:
Heart Disease
Diabetes
Asthma
Seizures
Other
Allergies
Type of Allergy
Procedure in case of allergic reaction (Include any medicines that should be administered.)
1.
2.
3.
If .your child requires an Epi-Pen or medicine, please be sure to leave a supply with the front desk.
Does your child have any special needs that would require an aide or other assistance in class?
Yes
No
If Yes, please describe:
Please provide us with the name and contact info for your child's pediatrician.
Name
Telephone Number
In the event that I am not available, I authorize Church Street School for Music and Art to obtain
emergency medical care for my child.
Signature
Date
Acknowledgment
I, the undersigned parent or guardian, acknowledge that I have read the Policies & Procedures
form, and that I accept and agree to the terms and conditions listed therein, which govern the
enrollment of my child(ren) in Church Street School for Music and Art.
Signature
Date
74 Warren Street, New York, NY 10007 - 212-571-7290 - Phone / 212-571-7292 - Fax / info@churchstreetschool.org