Bella Vita
Reggio-Inspired Preschool
302 Almendra Avenue Los Gatos, CA 95030
408-234-9909
Preschool Application, 2008-2009
Instructions:
1) In order to have your child /children placed on our waiting list, please email your completed application as soon as possible to Lisa Zambetti at: lisazambetti@hotmail.com AND
2) Mail a hard copy of your signed application with a non-refundable $50.00 (per family) application fee to:
302 Almendra Ave. Los Gatos, CA 95030. Checks payable to Juliana Scalise.
Child____________l_______________________Age____________D.O.B._____________ M___F___
Parent or Guardian/Relation__________________________________________________________
Parent or Guardian/Relation__________________________________________________________
Address_____________________________________________________________________________
Phone #'s/Emails (for all caregivers)___________________________________________________
_____________________________________________________________________________________
Does your child use diapers or the toilet?______________________________________________
Class Schedule Options:
Group (A) Mon and Wed Mornings 9:00am to 12:00pm
Group (B) Tue and Thurs Mornings 9:00am to 12:00pm
Group (C) Mon and Wed Afternoons 12:30pm to 4:00pm
Group (D) Tue and Thurs Afternoons 12:30pm to 4:00pm
Group (E) Fri and Sat Mornings 9am-12:00pm
1) In which class group or groups would like to enroll? ___________________________________
2) In the event the class group(s) you selected above are full, in which alternative group(s) would you like to enroll?
_______________________________________________________________________________________
3) Which group(s) absolutely will NOT work for you? _____________________________________
4) Please fill out the following Family Information and Signature page:
Family Information
How did you first hear of Bella Vita and what draws you to enroll your child here?
Tell us a little something about your child's temperament and personality.
Does your child have any siblings? Please share with us the name(s)/age(s) of his/her siblings.
Has your child taken any other classes before? Where? How did it go?
How comfortable is your child with being apart from you?
Bella Vita parents may drop their children off at school or may choose to stay in the classroom. Given this open door policy, how do you see yourself participating in your child's class? How often, if at all, do you envision attending? Are there any special activities or skills you would like to participate in or contribute?
Note anything else you would like us to know about your child or family.
Signature Section
Please reserve a spot for my child for the Sept 08-June 09 school year. I am enclosing a check for $50 (payable to Juliana Scalise) as a non-refundable application fee. I understand that enrollment in Bella Vita is for a full school year. While Bella Vita will attempt to meet my requested schedule or alternative schedule, I understand that admission is not guaranteed.
Signature_______________________________________________________________________________
(For hard copy, please sign and mail with check. For email copy, just type name.)
Bella Vita 302 Almendra Ave. Los Gatos, CA 95030 408 234 9909