Young Children’s Center for the Arts Registration YCCFA Registration & Stripe Payment Form Facility Address: YCCA: 929 S. Water Street Philadelphia, Pa. 19147 (215-336-3324) YCCAon2: 1714-20 S. 2nd Street Philadelphia, Pa 19148 (267-928-4808) Application for Preschool 2024 - 2025 A $25.00 application fee must accompany the completed application. *The application will not be submitted unless you pay the fee. We will alert you in January 2024 if we have an available spot for the 2024-2025 school year or if your child has been placed on our waiting list. If we have availability and can accommodate your needs we will request a $500 non-refundable “deposit” to reserve your child’s placement (this “deposit” is applied to your total tuition bill)About the ChildFill out some information about the child you are registering.Child’s full nameFirst NameLast NameAddressAddress Line 1Address Line 2CityStateZip CodeChild's Birth DateHealth StatusPreviousNextLocation and SchedulePlease make some choices related to where and when you would like the child to attend.Please select one or both locations 1714 S. 2nd Street 929 S Water St No PreferenceIf you selected both locations, please let us know if you prefer one over the other (your child will still go on both waiting lists if you check off both locations).Scheduled Days Monday Tuesday Wednesday Thursday Friday FlexibleLength of days (check all that apply) Full days (8:30-3:30 p.m) Morning Extended (Drop off before 8:30) Afternoon Extended (Pick up after 3:30pm) Afternoon Program Only (only available at YCCA- not YCCAon2) (3:15-5:30) PreviousNextAbout the ParentsFill out some information about the parents of the child.First NameLast NameFirst NameLast NameRelationshipRelationshipMarital status Single Married Separated Divorced Living togetherIs Parent #1 address is same as child? YesParent #1 AddressAddress Line 1Address Line 2CityStateZip CodeIs Parent #2 address is same as child? YesParent #2 AddressAddress Line 1Address Line 2CityStateZip CodeParent #1 Phone/MobileParent #2 Phone/MobileParent #1 EmailParent #2 EmailOccupation of Parent #1Occupation of Parent #2Best way to contact you (for non-emergencies) PreviousNextAdditonal InfoNames and ages of siblings, if applicableHow did you hear about our center? Young Children’s Center for the Arts (“YCCA”) is a non-profit 501c3 organization that is dependent upon additional support to provide exceptional childcare and programming in the community. We require each YCCA family to volunteer throughout the school year at least once. Volunteer opportunities will be announced throughout the school year by email for your convenience. PreviousNextReferencesKindly list 2 people we can call for character referencesFirst NameLast NameFirst NameLast NameReference #1 Phone/MobileReference #2 Phone/MobileActivities & BehaviorI am interested in having my child attend the preschool program at YCCA because I want him/her to….Do you listen to music with your child? Yes NoDo you paint with your child? Yes NoHas your child ever finger painted? Yes NoHas your child ever played with play-dough or clay? Yes NoHow often do you read with your child? List several favorite booksHave you ever had to discipline your child for inappropriate behavior? If so, what strategies have you used? Is your child articulate? Yes NoIf not, have you taken him/her for a speech evaluation? Yes NoAge he/she crawled Age he/she walkedShare a favorite day’s experience with your child Is there anything else you would like to share with us about your child?What activities (in or out of school) does your child enjoy most? What helps to boost his/her self confidence? What situations cause your child to experience anxiety or stress? Which activities does he/she tend to avoid? Which of your child’s emerging skills and traits are you most excited and pleased about? What do you see as particular strengths? To ensure an appropriate educational and social preschool experience, YCCA reserves the right to request evaluations and/or documentation of past evaluations for children exhibiting “at risk” social, emotional, behavioral and/or educational development.Has your child ever received services through Childlink (Birth to 3) or Elwyn Seeds (3-5)? Are you concerned about any aspect of your child’s development? If so, please indicate the areas of development (i.e speech, physical, cognitive social) that are of concern to you.Is your child currently enrolled in another program? If so, why are you looking to switch programs?Young Children’s Center For The Arts provides its community with an inclusion program that warmly embraces each and every young child, regardless of race, religion, ethnicity, and development.PreviousNextApproval & PaymentParent nameThis signifies parental approval.First NameLast NameDatePaymentYou may pay using credit cardRegistration FeePrice: $25.00Pay with Card (Stripe)Additional Comments Previous Submit Form