Riverdale Temple Nursery School Application

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NURSERY SCHOOL
APPLICATION

Welcome to Riverdale Temple Nursery School! Riverdale Temple Nursery School is a warm and nurturing environment due to our dedicated and caring teachers and our amazing families. Thank you so much for your interest in our school.

About Your Child

* Child's First Name

* Child's Last Name

* Date of Birth

* Gender

* Has your Child had previous Nursery School experience?

Please list your Child's previous Nursery School below:

Registration Information

* What age group are you interested in registering for?

Please select any 3's Program options you are interested in for your child.

3's Early Drop Off Option - 8:00am to 8:40am3's Extended Day Option - 2:50pm to 5:00pm

Please select any Pre-K Program options you are interested in for your child.

Pre-K Early Drop Off Option - 8:00am to 8:45amPre-K Extended Day Option - 3:00pm to 5:00pm

About Your Family

* Are you a Riverdale Temple Member Family?

* Is there more than one Parent/Guardian to list below?

Primary Parent/Guardian Information

* First Name

* Last Name

* Mobile Phone Number

* Email

Business Information

Occupation

Work Phone Number

Do you have any special talents to help our school?

Secondary Parent/Guardian Information

* First Name

* Last Name

* Mobile Phone Number

* Email

Business Information

Occupation

Work Phone Number

Do you have any special talents to help our school?

Home Information

* Address (w/apt #, if applicable)

* City

* State

* Zip Code

Home Phone Number

Sibling Information

* Does your Child have siblings?

Please list the names & ages of your Child's siblings below:

* Does your Child have siblings that attended RTNS?

Please list the names of the siblings & the years they attended RTNS below:

Additional Information About Your Child

Please tell us how you heard about our program below:

How would you describe your Child's personality (i.e.—outgoing, curious, cautious, energetic, shy, imaginative)?

What are some of your Child's favorite toys and activities?

What comforts or soothes your Child when upset or tired?

What could you tell us about your Child that will help us to make this a happy and fulfilling school experience?

What special talents/special needs/learning challenges does your Child have?

* Has your Child received early intervention therapy or development assessments?

What were the results of the evaluation, including any medication prescribed? (This information is used for class placement purposes, and does not affect your Child's application status.)

* Does your Child have allergies?

Please list your Child's allergies below:

Registration Fees and Parent Signature

Parent Signature

In order for us to process this application, the total Registration Fee below for your 2's class selection is due today:

* Parent/Guardian Digital Signature

* Date

Wed, November 5 2025 14 Cheshvan 5786