One Hope Preschool Interest Form
Please fill out this form and click submit.
Child's name
*
Child's Birth Date
*
Child's Gender
*
Please select one option.
Female
Male
Child's Address
*
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PA
PE
PR
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QC
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SC
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SK
TN
TX
UT
VA
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VT
WA
WI
WV
WY
YT
Days of the week child will attend (hours are 9-2)
*
Please select all that apply.
Monday
Wednesday
Friday
Child lives with:
*
Please select all that apply.
Mom
Dad
Both
Other
Parent/ Guardian 1
*
Relationship
*
Address
*
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Guardian's Phone number
*
Guardian's email
*
Place of Work
*
Parent/Guardian 2
*
Relationship
Address
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Phone
email adress
Place of Work
Monthly tuition at One Hope Preschool is $200. Will you be applying for a scholarship?
*
Please select one option.
Yes, full
Yes, partial
no
Has your child had a Sooner Start evaluation? Were any recommendations or referrals made?
*
The One Hope Tulsa preschool exists to build resilience and respond to trauma at a crucial stage of brain development. How do you hope to see your child grow?
*
Please select all that apply.
Self-regulation, learning how to become calm
Healthy attachment, knowing how to make appropriate relationships
Academics, Pre-kindergarten math and reading skills
Physical, learning coordination and skills in caring for themselves
Social, making friends and following directions
Other
Do you have any concerns about your child attending One Hope Preschool?
*
Please list any of the following: current medications, medication allergies, food allergies, or chronic health concerns
*
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