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Christ the Divine Teacher Catholic Academy
CDTCA Preschool
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Ways to Support Our Preschool
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Online Preschool Registration
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Home
Connect
Contact Us
About Us
Join Our Parish
Parish Staff
Directions
Forms & Downloads
Our Churches
Madonna Church
Saint Edward Church
Saint Francis Church
Saint John Cantius Church
Saint Joseph Church
Saint Mary Church
Saint Scholastica Church
Communication
Our Sunday Bulletin
Parish Calendar
Funerals
Flocknote
News
New Parish FAQs
Links
Worship
Liturgy
Mass & Confession Times
Mass Videos
Sacraments
Infant Baptism
First Eucharist & First Reconciliation
Confirmation
RCIA
Holy Orders
Marriage
Reconciliation
Anointing of the Sick
Funerals
Inactive Catholics
Grow
Family Faith Formation
Sacramental Preparation
Youth Ministry
Adult Faith Formation
Ways to Help
Safe Environment
Share
Giving
Participate
Community Outreach
Safe Environment
Learn
Christ the Divine Teacher Catholic Academy
CDTCA Preschool
Saint Joseph Preschool
2023-2024 Online Registration form
St. Joseph Preschool
Learn
Christ the Divine Teacher Catholic Academy
CDTCA Preschool
Saint Joseph Preschool
Ways to Support Our Preschool
Registration/Class Information
Delays/Closings
Online Tuition Payment
Activities & Events
Online Preschool Registration
The maximum number of form submissions has been reached. This form is currently not available.
# of Students being Registered
REQUIRED
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Child 1
First Name
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Last Name
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Middle Name
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Name you would like your child to learn to copy & trace
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Date of Birth
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Gender
REQUIRED
Male
Female
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Class
REQUIRED
Little Dippers (Mon. & Wed. 9am-10:30am) MUST BE 2 yrs. by Sept. 1- $135
Big Dippers (Tues. Wed. & Thurs. 9:15am-11:45am) MUST BE 3 yrs. by Sept. 1- $160
Shooting Stars (Mon.-Thurs. 9am-11:30am) MUST BE 4 yrs. by Sept. 1- $185
Please fill out this field.
Allergies (food, medication, environment...) If not applicable put NONE or N/A
REQUIRED
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Medical Conditions/Educational Needs (Examples include but are not limited to chronic illnesses, glasses, asthma, etc.)
REQUIRED
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Has your child received early intervention services(AIU, DART, other) and if so, do they have a current IFSP or IEP in place?
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Child 2
First Name
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Last Name
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Middle Name
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Name you would like your child to learn to copy & trace
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Please enter valid data.
Date of Birth
REQUIRED
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Please enter a date.
Gender
REQUIRED
Male
Female
Please fill out this field.
Class
REQUIRED
Little Dippers (Mon. & Wed. 9am-10:30am) MUST BE 2 yrs. by Sept. 1- $135
Big Dippers (Tues. Wed. & Thurs. 9:15am-11:45am) MUST BE 3 yrs. by Sept. 1- $160
Shooting Stars (Mon.-Thurs. 9am-11:30am) MUST BE 4 yrs. by Sept. 1- $185
Please fill out this field.
Allergies (food, medication, environment...) If not applicable put NONE or N/A
REQUIRED
Please fill out this field.
Please enter valid data.
Medical Conditions/Educational Needs (Examples include but are not limited to chronic illnesses, glasses, asthma, etc.)
REQUIRED
Please fill out this field.
Please enter valid data.
Has your child received early intervention services(AIU, DART, other) and if so, do they have a current IFSP or IEP in place?
Please enter valid data.
Child 3
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
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Please enter valid data.
Middle Name
Please enter valid data.
Name you would like your child to learn to copy & trace
REQUIRED
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Please enter valid data.
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
Gender
REQUIRED
Male
Female
Please fill out this field.
Class
REQUIRED
Little Dippers (Mon. & Wed. 9am-10:30am) MUST BE 2 yrs. by Sept. 1- $135
Big Dippers (Tues. Wed. & Thurs. 9:15am-11:45am) MUST BE 3 yrs. by Sept. 1- $160
Shooting Stars (Mon.-Thurs. 9am-11:30am) MUST BE 4 yrs. by Sept. 1- $185
Please fill out this field.
Allergies (food, medication, environment...) If not applicable put NONE or N/A
REQUIRED
Please fill out this field.
Please enter valid data.
Medical Conditions/Educational Needs (Examples include but are not limited to chronic illnesses, glasses, asthma, etc.)
REQUIRED
Please fill out this field.
Please enter valid data.
Has your child received early intervention services(AIU, DART, other) and if so, do they have a current IFSP or IEP in place?
Please enter valid data.
Child 4
First Name
REQUIRED
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Please enter valid data.
Last Name
REQUIRED
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Please enter valid data.
Middle Name
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Name you would like your child to learn to copy & trace
REQUIRED
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Please enter valid data.
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
Gender
REQUIRED
Male
Female
Please fill out this field.
Class
REQUIRED
Little Dippers (Mon. & Wed. 9am-10:30am) MUST BE 2 yrs. by Sept. 1- $135
Big Dippers (Tues. Wed. & Thurs. 9:15am-11:45am) MUST BE 3 yrs. by Sept. 1- $160
Shooting Stars (Mon.-Thurs. 9am-11:30am) MUST BE 4 yrs. by Sept. 1- $185
Please fill out this field.
Allergies (food, medication, environment...) If not applicable put NONE or N/A
REQUIRED
Please fill out this field.
Please enter valid data.
Medical Conditions/Educational Needs (Examples include but are not limited to chronic illnesses, glasses, asthma, etc.)
REQUIRED
Please fill out this field.
Please enter valid data.
Has your child received early intervention services(AIU, DART, other) and if so, do they have a current IFSP or IEP in place?
Please enter valid data.
Parent/Guardian 1
First Name
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Last Name
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Street Address of Parent/Guardian 1
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City
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State
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Zip
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Occupation & Employer Parent 1
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Parent 1 Cell Phone
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Maximum 20 characters
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Parent 1 Work Phone
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Parent 1 Home Phone
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Parent 1 E-mail Address
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Parent/Guardian 2
First Name
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Last Name
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City
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CA
CO
CT
DC
DE
FL
GA
GU
HI
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ID
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KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
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OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
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Zip
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Other Authorized Adults
For your child's safety, please list below the adults authorized to provide transportation for your child or to contact in an emergency other than you (the parents/legal guardians):
REQUIRED
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Authorized Adult 1
Fist Name
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Last Name
REQUIRED
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Cell Phone Number
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Authorized Adult 2
Fist Name
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Last Name
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Cell Phone Number
REQUIRED
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Authorized Adult 3
Fist Name
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Last Name
REQUIRED
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Cell Phone Number
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Authorized Adult 4
Fist Name
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Last Name
REQUIRED
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Cell Phone Number
REQUIRED
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Authorized Adult 5
Fist Name
REQUIRED
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Last Name
REQUIRED
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Cell Phone Number
REQUIRED
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Authorized Adult 6
Fist Name
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Last Name
REQUIRED
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Cell Phone Number
REQUIRED
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Emergency and Medical Authorizations
In the event of an injury, I give my persmission for necessary medical treatment to be given to my child. I agree that in case of injury to my child, I will appply my own hospitalization and/or accident insurance toward the payment of expenses incurred and will not look to St. Joseph Preschool, Christ the King Parish, the Roman Catholic Diocecese of Pittsburgh, or their representatives for the payment of any medical costs or injusry related costs.
I Agree
Please select this field.
I give my permission to contact emergency personnel (911) in the event of an emergency inovlving my child. If the situation is not an emerency, it is understood that St. Joseph Preschool will first contact the parents/guardians or other authorized adults listed above in this form.
I Agree
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Physician Name
REQUIRED
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Physician Phone
REQUIRED
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Physician Address
REQUIRED
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Dentist Name
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Dentist Phone
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Dentist Address
REQUIRED
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Confirmation and Agreements
By checking the box below you agree that you are the parent/guardian/legal representative of the above named child(ren).
You hereby agree that you are submitting a complete and accurate registration form for you child(ren) and agree to submit the
non-refundable $50 PER CHILD
registration fee. Cash or Check must be received to complete registration. Please make
checks payable to Christ the King Parish
. Payments can be
dropped of at St. Joseph Preschool or mailed
to 342 Dorseyville Road, Pittsburgh, PA, 15215.
Tuition is due by the 1st of each month and can be paid online or by cash/check
.
I Agree
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First Name
REQUIRED
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Last Name
REQUIRED
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Email
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