St. Luke Lutheran Church &
Early Childhood Center
Dix Hills, NY 11746
(631) 499-8656
Rev. Dr. Roy W. Minnix, Pastor

St. Luke Lutheran Church & Early Childhood Center

 
ST. LUKE PRESCHOOL
2018-2019 PARENT FORM CHECKLIST

THE BELOW FORMS NEED TO BE RETURNED TO THE SCHOOL OFFICE
NO LATER THAN AUGUST 15TH.
ALL HARD COPIES OF FORMS CAN BE OBTAINED IN THE PRESCHOOL OFFICE.

You may have already received forms when visiting the school in a packet or when they were emailed to you.

ALL FORMS ARE LINKED HERE AS WELL

________      EMERGENCY & CONFIDENTIAL FORMS    (ALL STUDENTS)

________      IMMUNIZATION & MEDICAL STATEMENT  (NEW STUDENTS ONLY) -
                            PLEASE NOTE: As long as your child has had a physical within the last 12 months, the  doctor can fill out  the medical statement -another physical is not necessary for the form to be filled out. No student can attend school without the Immunization and Medical Statement on file in the school office.

________      FOOD ALLERGY ACTION PLAN  (FOR STUDENTS WITH ALLERGIES)

                          (For those who wish to have their tuition taken directly from a bank account)
Never worry about your payment arriving on time or forgetting how much your payment is.
Fill out the linked form and send it in you"re all set. You pick the day of withdrawal (between the 1st and the 15th)

________     BEFORE/AFTER CARE FORM
                         (Pamphlet/form For those planning on using our Before and/or After Care extended hrs.)


If you have any questions, please call the school office at 631-462-5216.
Thank you for making sure that these forms are in by August 15th!

Child Information Form & Emergency Contact Form 


Please use the link below to fill out the necessary forms we must on have on file for each enrolled child at St. Luke.
The website is safe and secure, and your forms are sent directly to us at St. Luke Preschool & Early Childhood Center.

The link:

Child Information - Emergency Contact Form


Thank you.

Immunization/Medical Statement

We must have immunization records for your child to attend St. Luke Early Childhood Center. That includes attending Summer program.

Please download the medical form by clicking the link below. Fill it out and mail in or bring to the preschool office
Medical Immunization Form

Automatic Debit Program for Tuition

Having your tuition automatically debited saves you time, trouble and worry. Never be late with your payments. We withdraw tuition payments from authorized accounts on the 1st of the month (you may choose another day up to the 15th.) You can begin using the auto debit program any time and you can stop any time and resume paying us in person. (sufficient notice must be given when stopping auto debit) Debiting ceases when the last payment of your tuition is cleared.

Download and Print the Authorization Form
Simply fill it out, attach a voided check and drop off in the preschool office or mail it in to
St Luke Preschool
20 Candlewood Path
Dix Hills, NY 11746