Loading...
5.2. PCSR 02-23-2005 . . . Item # 5.2. MEMORANDUM TO: Planning Commission FROM: Scott Harlicker, Senior Plannei~ DATE: February 23, 2005 SUBJECT: Case No. CU 05-0 I 1st Step Preschool requests a Conditional Use Permit to operate a Preschool Request The applicant requests a Conditional Use Permit to operate a preschool. GO-Day Rule To comply with the 60 day rule, without an extension, this item needs Council action by March 30, 2005 Location 555 Railroad Drive Zoning/Land Use Cl (Central Commercial)jOT (Old Town) Attachments . Location Map . Site Plan . Floor Plan . Applicant's Narrative Standards for Issuance of a Conditional Use Permit The issuance of a Conditional Use Permit can be ordered only if the use at the proposed location: Memo to the Planning Commission/CU 05-01 February 23, 2005 Page 2 . 1. Will not endanger, if!Jure or detrimentallY qffect the use and ef!Jqyment of other properry in the immediate vicinity or the public health, stifety, morals, comfort, convenience or general welfare of the neighborhood or the ciry. 2. Will be consistent with the comprehensive plan. 3. Will not impede the normal and orderlY development and improvement of surrounding vacant properry. 4. Will be seroed adequatelY b and will not adverselY qffect essential public facilities and seroices including streets, police and fire protection, drainage, refuse disposal, water and sewer !)1st ems, parks and schools; and will not, in particular, create trcifJic congestion or interference with trcifJic on acfjacent and neighboringpublic thoroughfares. 5. Will not involve uses, activities, processes, materials, equipment and conditions of operation that will be detrimental to atry persons or properry because of excessive trcifJic, noise, smoke, fumes, glare, odors, dust or vibrations. 6. Will not result in the destruction, loss or damage of a natural, scenic or historic feature of mqjor importance. 7. Will fullY complY with all other requirements of this Code, including atry applicable requirements and standards for the issuance of a license or permit to establish and operate the proposed use in the city. If denial of such a permit should occur, it shall accompany recommendations or determinations by findings or a report stating how the proposed use does not comply with the standards set forth in section 30-654. Overview . The applicant would like operate a middle school at 555 Railroad Drive. The location of the proposed facility will be within an existing building located on the site. They are utilizing three rooms in the building, two class rooms and an office. The portion of the building was formally used by a Montessori school. The building is shared by the Bishop George W. Speltz Middle School, a credit union and a glass business. The applicant is presendy located at 19277 Vernon Street, near Meadowvale School Analysis Floor Plan The applicant is proposing to occupy three rooms located in the southeast comer of the front of the building. The space includes two classrooms and an office. Operation Attached is the narrative of operational procedures submitted by the applicant. Classes will be held Monday-Friday 9:30 AM to 11:30 AM and 12:30 PM to 3:00 PM. There is a fenced playground area located on the west side of the parking lot. The fenced area was installed as part of the Montessori school. . Site Impacts No alterations to the site are proposed. The applicant will utilize the existing playground and parking lot. No internal changes will be needed to accommodate the preschool. Memo to the Planning Commission/CU 05-01 February 23, 2005 Page 2 . Recommendation Staff recommends that the Planning Commission recommended approval of the request to operate a preschool at 555 Railroad Drive with the following conditions: 1. The requirements of the Chief Building Official shall be met. 2. The applicant shall receive a license from the State of Minnesota prior to commencing operation. 3. Signage shall comply with the sign ordinance. . . _ ~ I::::J r ~II:. I l) V 11 ~ I'd V 1 I\, \ \ '\ \ \ \: - ~ JAif Yt I Till 711 zjj ~/ TRAILS LEGEND \ 7 - i'\ rnii~r j~ 2. . .J - '-' \kU EXISTING SIDEWALK · · · · · · · · _7 TH "5 T. 7 S . ~ FUTURE SIDEWALK 000000000000000000 ~ : --c- ~ ,./J. = ~ EXISTING PAVED TRAIL - - - - - \ _ 0 E T H c: T ~ FUTlJRE PAVED TRAIL 000000000000000 ~ .: ~ I ~~~I~rAjW~ ~~:~ :~~~ED SHOUL~~~"''''''''''' \ lii=-e6~ ST. sl"IC<<ST ~Wrt::t' "'" v""~\. \ -- _.......~ 1J.~t ~~ PLAZ ... ~ 5 /2 l' IA' ~ O~ /~~"--- "" T-=- . - ~ I,~ I 5 H 1iUJ~. Q~~~~~~?- zrvlJ ADD. -TT) ~ lilWy v~ ~L . . _ " > fLYI j ~ tlv ? V '?- 0u <1 U ::tnH -5IL IQ;;, S ~T tr <Yu <Y~ ~ Vi) > 'LJ /'0 .. h?- c ~O J\. u ",,' <::I/A <::1<:;- · ~,~ 2J. ~i~~D ~:;3:rD\r\~ 11\\N y "'~\E ~. :0>u o~J <Y/f/- <74 u \ _). i \ ) Y \~ ~ - 0 0>- 0...0 .,~ .. I 'j)U 41H T EET<I~ ~~.t->- ~ 7 ~ './, -II - /<j> \ L L CCJ 'J ~~ ~:~l~Tl~ t[Uj~ -- .::. . /f/- ~OO:\\\<?<?A!1:t- ~1i_ --11 ~- r ?- SITE C? ~ ~I ---- 7 w 'II ~ '-1,- ~)17 r E T:S \ I!- -1. /V ~ ?J.~ / III ::Y lL.i.-i {i T I D r:~::"~-------- '""PIA 01,,1 - 1:'1 T111Y I NRlE lr,<: ER ~, ~ -- r, Jt "~~ tlDD · [JII rqwN 0" I" tl/;Vlif! /~ ~j~ ~ U-' Jt;!,L~ " ': T _ :" _ ~'~I f;IOt ;$' .: ~ hi" lTrmW'J:!~i"T~'a-] "'.~ --' ~ Ii,. · ~ · ~ ~~~ ;;;;;J. ~ I-... ---,.a 'j/ .4) , ":::J w ~. .;:' .. " I f\ 0 1:: S fF E :;: I "" ~h~ll~ h,R I '\ -t- 1, r " ~ ~ -\RK 1m ~ r 11 "if '-< \J \f- \. ~~l~ NO.4 (f) z <( > w J\ r v- El ~ River ~ Location Map \B\ ~\. <1f> N . I Case Number: CU 05-0 I I ST STEP PRESCHOOL . 0.-' wO 1-0 U):c I-U U)U) ~w I-t~ LL.0. i II i i"C I .! -..1 I -- en C) S~I I~ Oe~~~ () ....::J CI) CI) i : I :i 5i ~ .2 ~~! "C ~ E (1)...J --~; c.a'tO::O~~ mm CeO I , "C Cl. m 0 ~I CI) CI) E -;; .!~JI en C _ __ ftL~" C - > ....-.....:J', B :I:cen j ::i ,.....-4 o o ,.C CJ rJ:J <1.) ~ ~ ~ ~ <1.) S S cO ~~ o b1) ,.....-4 0 <1.) ~ >~ <1.) Q ~ (\) ~ ~ ~ :::;: ~ ~~ l( . ~ '-J io-.. ~ :tl'~ ~ ~ .~ ~ ...... ...... ~~~ o!~ o~ Ol~ ol~ Ci~ c(~ c(~ o~ c(~ o~ o~ o(~ ol~ o~ )f~ Oi;S -3:0 (J3 o ('t) c" OZ('t)~ oi~ ~ -It) N O~ () .., It) C't) . -t'f) en en. c I or~ (1)CZ~ m,... ~o ,... ~:I:~ of}s o.c:E~ Cl. ~ - t\a o.! ~ ol~ CI) ~ Q) ~. .!>CI)~ o(~ en...... _~ ~ -~ ..........o::~ i,- of~ ~N'::': 0..... -- en - m o(~ LL.,-W Q) )I~ ~ CI) o en ol~ E m +i (1)~m oi~ .::.: Cl. en =_::J ')!~ - :2 _2 t) oi~ ::J.... m om.... o!~ ~ E 5 Ol~ ::J 0 () 0""" 0\3 ~_E : ~ Ol~ or~ o~o~o~o~o~o~o~o~o~o~o~o~c~o~ ~ .g ~ +- ..s:: ~ VI U 0'1 ::l' VI tI E ~ ~ VI e.. > 'EE ~ ~ 0 ~.~ ~ ~ t C 0 :t= ~ tI e-.t: ~otl+- .... +- U :;! .2 C - · 0 ~O'l '<. l ~ tI I ~1:g~ ~ ~ ~ ~ a ~ ~ J::.~ 0'1 C 'i ...2 o ~ ~ ..s:: +- .E ~ ~ E i tI ~ i= Ie.. L.. A' i ~ "i:;i ~.;;! Ii 1: 5.~ ... 8..L..U 'I ~ .- g :l I ~ C L.. I .!-~ .~ LL ~..s:: ._ .2u:t: Ii:: 3 .~ ." 0 1j .....>tI .-0 C '0 g VI '<~ ~= = ~ tI L.. "0 ~ "0 >- I ~ f ,~ L.. e.. ~ :: 0 ~ C .~ ~ 0 S -bE: 'i .E E: ~~~ ~ C C ~ eVl"O VI ~ +: :~ L..+- ~ u ~'< ~ +- ~'c ....=> ...... +- +- ~ L.. <..1)'< L.. ::l' ~VI 0 ~=o ~c o ..s:: 0 0 +- u O'l~ VI ~L..c"O~ L..::l':t=~N tI 0 .- C >-UCVI o L.. X ..2 .,g ~o~e..e.. u~~~E VI C 0 L.. ~ ~ 0 ~ tI o:~~~~ e.."O S' u L.. ~c-CO'l +- ::l' ~ .~ e \I).e:2~e.. ti"O ~ e.. L.. L..5'<~c5 .U::OVl"O +- VI L.. C L ...otl...tI_~ "-;:..!!..s::Ci)Vlo ~~tlVI>-~O o=~:t=..s:: O'l...c L.. .- u !s3~~~~ ~o~.eg5. "0 +- .~ ~ ::l' U::~] ..s::tI..s:: a+-ti:;: 'i"O ~ _::2 L..C L.. 'i .2 tI tI ~-5 VI VI L.. L.. 'E .~ ~ ~::l'tI"Oc ..s:o~c~ t->-~::l'L.. "OEo..e C 0 L.. C tI U L.. 0 ::l' ~ ~ U o ...c L.. >-OO~ ~+- 0-5 .~ >- -5 tI O'l:t: VI ~ o C ~ .--- +- ::l' L.. 1 ~+-Q..+- Vl6e..~ ::l' e.. ~ o e..+- 6 ...s::o\l)Q.. C ~ e.. o C tI ~ ...c u~ 'Vi g ::l' C :E\I) "0 C tI ..s:: ~ +- fl ~..2 o L.. I O'l+- - C g ~ o E +- e.. 0...2 E ~ ~ ~ "0 "0 c_ tI tI _ U tI .- ,_ VI U >- o..s:: \l)Q.. Q) u ~ .~ E E ~ 0"0 E 8 VI '< _ N 0'1 C L.. 'c ~ C -g'~ ..!! ~ tI...c u ~ ~~ .~ +- C tI 0"0 E~ '< u L.. . ::l' ~o .- >- 5...s:: VI +- "0 'i ..s:: C ~ 'E cEo tI 0 E ~..s::..s:: ~ 0 u ..s:: 0'1 2 +-=~ .E :: 0 . ....... ~ ~ E .- +- VI~ +- L.. ::l' 0 o~ "0 C tI ~ "0 e.. ::l' o L.. <..I) "0 C C - ~ VI U L..C ~ ,~ +- U 1ii VI ~ ~ €t ~ ~ vi .~ ~ L.. VI +-~ ~ L.. .- e.....2 .~ ~ ~81j..2 c e.. VI ~ ~ ~ g'.~ ...c::l'+- E ~ 2 ::l' C L.. c- U \'Y) ~ 'i ..s:: VI "0 L.. C tI tI ..s:: ~ +- +- tI .2 VI ..s:: L.. E +- e.."O ..!! Qj 0 C ...c ~ L.. tI 0 ~ e.. 0'1 L.. €tce.. 1;~~~ ; 6 a 0 "0 VI+-+- ~"O~6 ~O~VI ;>..s::"Oo 1ii 5 +- " E _ C .- 0'1 tI .2 .:::::: ...c +- ~ .E L.. tI A' ~+-~u'" !.) tI > .- VI .!!! ~ C 5 .t Qj:oEtI +-~Eb L.. ~ o..s:: OL..U+- II ..s:: 0'1 g C L.. ~ ..s:: > +- tI ]~:i 0'1 ~ ~ .E"O ~ c = .t: L....s:: ~ tI U e.. ..!! L.. X >- ::l' ~ o 0- ...., >- tI C E C ~ tI .2 C L.. +- ~ 0'1 tI L.. 0 u "0 L.. ::l' = e..] ..s::- u 0 C ~~:;: > U L.. .~ ~ ~ ~ L.. VI ...c e.."O ~ L.. C ~g~ +- ..!! 10 0 '0 "ON+- C ~ ~ tI > ...c .;t ~ ti VI ::l' \'Y) 0 E VI +- C ~"O ~ 0'1 ~ L.. tlVI::2 ~ C o ~..s:: C u U ~- L.. ~ C "0 6 .~ ..s:: ~ VI u ~ ~ _ VI '< Q) ~ I :0 e.. III &.~ ~ .!! < Qj ~ ~ ~ '" ~.6-5 I ~"O c..s:: o u O'lC C ~ .t: :: ....... 2 .t: +- ...c ~ ~ ::l' g ~ ~ ~ L.. ~ E..s ..s:: tI e.. _ 5t ::l' 'i e ..!! e.....c "OL....2 ~ ::l' .- ~ 0 g u 0 tI "O+-VI C .E .- c "0 E L..- ~ tI 8 ~~ -"0 e.. ~ c ~ U 0'1 L.. & .E 8 E L.. o ~ ~..s:: .C +- .2 C +- .- f"O ti..s:: ._ u S'L.. L.. g "0 >- ~- 1ii e e..c E ~ o 0 u+- ,<"0 I~ C ~ o ~ 'M C .~ .!!! "0 ~ <..e "0 C c "0 ~ C '0 L.. +- . .!!! ~ ~ ~ C o +- tI L.. +- . VI C '- 0 0'1._ ~+- L.. tI 0;:: o VI o .~ .;t L.. ~~ ..!! 0 ...c ~ ..g E c+- ::l' ~ ~..s:: ~ +- I +- = S ~ I~ C ::l' _<"0 ....... Q) ::l' "0 E E E ~ tI C tI U L.. L.. L.. VI O'lO'lO'lc o 0 0 0 5. 5. 5. +: >- >- >-':; c tI.$! +- "O"O"'tI \'Y)N_~ L.. L.. L.. > .e .e.e 0'1 ..s::..s::..s::~ +-+-+-...c S S S = E E E ~ L..L..L..~ 8. 8. 8. 'E oootl ooo~ NIriO-5 :::O\-DtI ~~~!t!. L.. 2 >- o o ..s:: u VI 10 o o N .;t o o N ~ ..s:: +- L.. o ~ c o +- ~ .E o..s:: cr. e..o+-~ c ::l' ..s::u 'i ...c 'Vi ~ +-~tlc ~ ~ VI .E VI VI 1; ~ ;> ...c b ~ ::l' ~ ~ U 0'1 ~ ~ ~ ~ J5 .~ ~ c i'~ E"O ::l' ~ L :E tI'- U ~ ti E E .:: ~ ~ .E -& s tI .= ?- _ u ..s:: 0'1 0 u "0 __o+-u.~::l' ~ tI \I) "0 >-':; ...c L.. L.. C~E~tI...ch ~~ o..s::EL.. ... "0 +- +- ::l' tI >-"0 \I) 'i ~ ~ c C ,^ U ...c ~ C :;! N 0 VI ..s:: "0 .:: tI 0 .:: 0 'c +- ~ +- ~ ::l' EO+- u ::l' C L..- cO'ltr::l'..s:: coco E ~ tI 2 ~ U N E VI U ..,... 'Vi L..:r: \I) u ,.... 1-4 ~..s::""O ~~ 1"O:t;t 5..:t:~cL..O C tI..s: tI tI +- ~ tI 0 "0 ~t-"O ~ C1:j fij a:r: .~o~~...cvj +-~ ~ ~1ii+:+--!! E~ -- tI-..2 L..~ ~ ~ ..g .; "0 ~::l' 8.. ~ ...2 ocoog'~ ~o +-C\'Y)UL..O.\I)~ I ~ .- E ~ f~ 0'1 o L.. e.. . vi >- tI "0 ~ o C VI "0 C tI VI >- tI :2 o ..s:: ~ ~ ~ ~ ~ .~ ~ tt ~ \J ~. . .~ ~~ SS --:-0:-0 ~ ' ~ c:) .tt: tt: ' . ~ t.. I I ~~oa-: ~~~~~' :::o::~~ ~~~ ).,J ).,J ~ ~ ~ C\o')~~l5l5:-O ~ ~ ~ ~ I~ "fj"fj:::i:::i...... . ~ ~ ~ ~ I ~.::s::.::s:: S ~ I I 15 S6'S6'S~ ]]]]]i5 ~~.~J2J2~ ~ +- :~ +- U '< ..!! U ~ VI E ::l' .- 0'l:E +- C >-.- ~ VI L... !::; 0'1 C tI '::J:L..!:j.E \1)\1).3 \I) . . . FIRST STEP PRESCHOOL I would like to request a conditional use permit to house a preschool at 555 Railroad Drive. Our preschool would utilize two rooms and office space as outlined on the enclosed site and building drawing. We operate Monday through Friday, following the public school calendar. My preschool licensure authorizes me to operate nine sessions per week, housing 20 children per classroom, for a maximum capacity of 40 children. I have owned and operated First Step Preschool in Elk River since 1986. Presently we are located at 19277 Vemon Street in Elk River. Due to ownership changes, I need to find new space. Enclosed is a copy of my license, site and building plan, brochure and application. Paulette A. Hanlon . . ~ t- V) Q 4i:. t() . T 1~~>1:~~ ! r1~ II~~]'! ,~ i .,...~ I ~~ f L", '.~..." ~: {~4 ~ f (' eye Iuhe.. ~~ '0' , / r (;-b ~'3.. . 111/ .1' _. l ...; ...,9 .' gJWALK'lJA'I '..~.~ . i I I t i..,.'.<"", r i l;~~~i'.'- 1 .I1",,'r..;.1 I I~it ~'. Il~t~ I li~.~....J. I "'-:,,,;.... . I ~)tt~.: 1 i.:tii:I-::~: - l'i:~S :.~<- t ~..:.-~~,.: 1 . s ~~\::' I ., I 1. ~. ',. ~I'~~; . j l.~~.~~ _..~;~. I II~ ::: g'~;. -t-:"'ber.. i I~~~: t. l \;- i I I !r.;ti' .' r.~1 4., .~ ! n\oPOSEJJ I L flyo\.f1 I I i I i I VloOOE;.rJ f ~ ~c:~ i i I ~ , i f f i I [ I . . I I i ! . i I I i I i , i I . .. . ; i ! j I '::0' >i I U'f:..!;-r l.{i'.:tnc U-r'~ U ,i -," .... "If ~f I . j . f ... ~.// I ./ · t- . I ~ ) J ti, T' I... ' ;.. .. I ;;r;I.t'3tf,f: f -'. ..,r6-,... .[",,- A e'" I> i c-..', 'f' ,".... -)- i. / ~ ;:~' ~I" ~'" I ~ f f H;~l~ .' - . y \ t~t9\LLlll' ~Ll ~. v- LY \1"'''W4~K . ._~ .- -.- I 3L IE: I!.' ~"~_~ ...._,__---1 Pl/iYGRbUND Bt\JlfH;./G- - 55 S RAil P~';AD L~H/E ~_. I N __1- .s I \oJ k ,...~ '-..j C; ~. <::- :::! '" c.e- , / i ! _,q E :;::: 0 ::5~ - -- ,- - I - I . _- e s:: 0 .. f E..s:: ~& t+-; .-... - o ~ 0 CI)~O O{J')..s:::= J~ ~ 0 c:::=Cf.lCf.l O -=: e J:.I.4~ _ E _ 0 r::: f ~J: j .~ "'t:S ~ - d CI) CI) 0 $::; Cf.l Ci5.8 0 O.....o8N ~rI'.lCf.l~::t:l: 8-=: e ~ ~J:.I.4~- U ~ frO S Cf.l~oo o{J')..s:::= 0 O;~o~- oCf.lCf.l~::t:l: ~.=: e ~ ~J:.I.4~O en Q en en g .- en =' ,D l-o Q ..c: - o o .... "'t:) Q ~ Q ~ Q- - 0 "'='08 :9..c=ij3 ;:g~o .____.J I I I I I I I I I I I I I I I I I I I I I I I I I I __-I . en Q en en Q s:: .- en =' ,D l-o .s o o - "'=' <I) ~ Q ~ ~ Q 0- 00 ~o ,.g Q 0 e!lCl.l o <I) <1)- c::>"'t:) "'=' 0.-- ,.g;:g en iii ~ <I) 0.- 00 ~g Q..c: bOO l-oCl.l o Q r~ - .....,:g 0.-- ..8~ en as . v f .... di :+ - - ..... I I ci t- - q M .....0 0V"l ",0\ "'00 ~- "'OV"l ~g ti~ VM .s~ 00\ Cl) :: ~ E g ~ 1= 0= Po .goo ~ '" V Q ~::i . t~ G de u 8 ~ u v V '- ~ a i) 0 ~ d "'O~ V;E"'O U 0 ~ ~ oS < u 5 ~ :9.t)N -- :E=:=i) u-;--- <:.;>-5i5.. ]~::;k::;k ..... ...~. < <:.( O<2u B~~~ UJ - .... .- "0 8~ .8'" ~ 'E a E ~ ~~~_~5 ... v <<l 0 ::2; Q. "'0 .... .. 0 e CD os: 0 0 -5 0 u 0 ~'n ~ 4:: ~ ~~g,P:5 :; ~~~~8 ~::2;::2;~~ tl.tl.o..tl.tl. 00000 '?'?'?'?'? ('tl C"I"l ('f"\ ~ ("4') ::;k::;k::;k::;k::;k tl.tl.tl.tl.tl. 00000 ('f'l ('tl ('tl ('t) ~ NNNNN - - ~~~~~ 000000000 <'\":l:":l:":l:":l: '" '" '" '" Cl) "0 ::s ~~t:P: ! lJ:ot~~. .~ ...... '.;{' (f.~;}~~ G) L /1"'i7A~;::. -\0..... '" ;~:i5; . ~~l:$': CJa::f .. \, ,'~i,-f"~1 :QOIJ C :',~""'" '1:{~t., :...... a";;:J.t/lj;!:.J~~:.;~~:J/; E )";):x}.~j: '''V~2Ii..#-,/ i "";'r~~~.{;V ~ o ... s:: v :5<'1 e o~ 1:: O)Z (") <<lc"Otb 0..'- <<I Il) v~o.... OCDa:1l) <<l .2 CD Il) ...-'=Z 0- CD~ fl)o~ ~51ii-S s::-....I <<I .... !!! v (L ::EB~c6 - - ::;k::;k << 00 00 - - (;Ij = fIj a.. - ~'O u:= =--= o u u a.. .... = a.. 0 o ~ ~.... ~ = a.. 0 O,.e E-4 ~ . E ... CD l- ii U CD Q, (I) 00. == ~ .... U ~ .... = o u ~ ~ a.. ~ u ~o ~..... :io~~ III "g J:: V"l III 0 (/) ~ vos::;z; ii~e~~ ::J Po V ... CD ~ > ~ ~~f::i:iZ o .~~~ Q ~-~ ~ .. r-- ~O\ CJ)~ =\0 .- 0\ =~ ~ ~ UlO .- \0 ~~ E e u.. " .. UJ c: '" <> :.:; ~ "0 CD ::J <n .!!! . . o .s g 0 ;5~a .8zV'l ~ooZ ~.s~ r- ft P.-v t ~.....> CIl 0 .... +>('t"j~ .r:: ~ ~ ~.....~ ....... o o .J:: o fIJ e p.. ~ CIl +> (I) ... .... ~ . . u u U I -v I ..... C"l 00 o o 00 ~ Q C li 1ii <: c C ~ .. :J IS. '5 'E .... E ~ c Q c l!! c i5 <: ~ "t: !~ c c c: 0- ~ i ..., :lie . . . FIRST STEP PRESCHOOL, INC. 19277 Vemon St. Elk River, Mn. 55330 763-241-0328 Paulette Hanlon 19130 147th St. N.W. Elk River, Mn. 55330 763-441-3597 MAILING ADDRESS: ABC ROOM 123 ROOM Session I Mon.-Wed.-Fri. AM. Session I Mon.- AM. (3 year oIds) 9:05 - 11:35 9: 15 - 11:15 Session II Mon -Wed.-Fri. P.M. Session II Mon.-Wed.-Fri. P.M. 12:20 - 2:50 12:30 - 3:00 Session III Tues.-Thurs. AM Session III Tues.-Thurs. AM. 9:05 - 11 :35 9:15 -11:45 Session IV Tues.-Thurs. P.M. Session IV Tues.-Thurs. P.M. 12:20 - 2:50 12:30 - 3:00 Session V Wed.-Fri. AM. 9:15 - 11:45 REGISTRATION FORM Registration Fee: $40.00 (non-refundable) Tuition: 2005 $122.00 per month (three day) $105.00 per month (two day) $ 70.00 per month (3 year oIds) GENERAL Date of Pre-conference Session & Room Child's Full Name Nickname FIRST MIDDLE LAST Age Birthdate Telephone Home Address City State_Zip_ Parents Marital Status: _Single Married _Divorced Cell Number Father's Name Business Telephone Father's Place of Employment Mother's Name Business Telephone Mother's Place of Employment Names and Ages of Brothers and Sisters ,. . . . MEDICAL Please list any known allergies or health concerns your child may have. PARENTAL PERMISSION Please list name and telephone of person who is AUTHORIZED to pick up your child. 1. Telephone 2. Telephone 3. Telephone Please list anyone who is NOT AUTHORIZED to pick up your child. Please state how FIRST STEP may reach you while your child is attending preschool: Please list name, address, and telephone number of TWO persons to be contacted if parent cannot be reached: 1. NAME 2. ADDRESS TELEPHONE PERMISSION AUTHORIZATIONS I give permission to the school for the following: To secure medical help in the event of an emergency situation when parents cannot be reached or there will be a delay in arrival. To administer Syrup of Ipecac under the direction of the Regional Poison Control Center, in the event of an accidental poisoning. Signature Date TUITION AGREEMENT I agree to the following terms and conditions: I am responsible for and agree to pay a registration fee of $40.00 and understand that this registration fee is non.refundable. I am responsible for and agree to pay the monthly tuition rate for my child's program. I understand that full tuition is due on the 15th before the month. Signature Date