Early Learning Village 2026-2027 Enrollment - Nashville Christian School

Your child's age group is based on your child's age as of August 15th, 2026. For age group clarification, please contact Jenifer Bell (bellj@nashvillechristian.org).

Child's Full Name: *

Preferred Name: *

Child's Sex: *

Male Female

Date of Birth: *

Allergy Alerts:

Current Classroom Teacher(s) and Age Group: *

2026 - 2027 Registration:

Infant (full-time) - $1,560/month Infant (M/W/F) - $1,110/month Infant (T/Th) - $860/month Toddler (full-time) - $1,460/month Toddler (M/W/F) - $1,110/month Toddler (T/Th) - $860/month Twos (full-time) - $1,460/month Twos (M/W/F) - $1,035/month Twos (T/Th) - $760/month

Supply Fee (Required)

Annual Supply Fee - $275

I would like my child enrolled in the extended care program from 5 PM - 6 PM with the fees as follows: Full Time $65/month, MWF $45/month, or T/TH $35/month.

Extended Care Fee * (1 required)

Yes, I would like to enroll my child in the extended care program from 5pm - 6pm. No, I do not want to enroll my child in the extended care program and will pick up my child by 5pm.

Mother's (or legal guardian's) Name:

Cell Phone:

Work Phone:

Home Address:

City/State/Zip:

Employed by:

Scheduled Hours:

Work Address:

City/State/Zip:

Email:

Father's (or legal guardian's) Name:

Cell Phone:

Work Phone:

Home Address:

City/State/Zip:

Employed by:

Scheduled Hours:

Work Address:

City/State/Zip:

Email:

Are there any specific custody issues? *

Yes No

If yes, please explain:

Sibling Name:

Sibling Age:

Sibling #2 Name:

Sibling #2 Age:

Emergency Contact Name: *

Emergency Contact Phone: *

Emergency Contact Relationship: *

Pediatrician's Name: *

Pediatrician's Phone Number: *

Child's Dentist's Name: *

Child's Dentist's Phone Number: *

Name of Additional Person Authorized to Pick Up:

Phone:

Relationship:

Name of Additional Person Authorized to Pick Up:

Phone:

Relationship

I give permission for my child’s picture to be used in NCS sponsored publications and social media. * (1 required)

Yes No

Electronic Signature

I understand and agree that my electronic signature below and its related fields are treated by Nashville Christian School like a physical handwritten signature on a paper form.

• I give permission to Nashville Christian School, Inc. to use whatever emergency measures deemed necessary for the care and protection of my child while under their supervision.

• In case of a medical emergency, I understand my child will be transported to an appropriate medical facility by the local emergency unit for treatment if the local emergency resource deems it necessary.

• I understand that in some medical situations, the staff will need to contact the local emergency resource before the parent, the child’s physician, and/or other adult acting on the parent’s behalf.

• I have been offered/conducted a pre-enrollment tour of the facility.

• I have been provided an electronic copy of the Parent Handbook and can request a paper copy from the administration, and I agree to the terms within.

• I can access a copy of the Tennessee Department of Education Summary of childcare approval requirements by request or access them online at the following: https://www.tn.gov/content/dam/tn/stateboardofeducation/documents/pendingrules/0520-12-01%20Standards%20for%20School%20Administered%20Child%20Care%20Programs%2010-19-18.pdf

• I understand my child will receive a curriculum involving age-appropriate personal safety issues as required by the Tennessee Department of Education.

Electronic Signature (please type your full name below): *