Return to Nursery Schools and Day Care Centers Database

Please type or print. This information will be used for the Nursery School/Day Care Center database on the Library's Web site. The Library reserves the right to accept or reject information based on its established policies.

NAME OF SCHOOL:
ADDRESS:
PHONE:_______________FAX:______________
WEB ADDRESS:_________________ EMAIL ADDRESS:___________________
DIRECTOR:___________________________________________

DIRECTOR'S CREDENTIALS:

IS THE ORGANIZATION LICENSED BY THE STATE OF CONNECTICUT?

1. DAYS AND HOURS:

3 MO. TO 1 YEAR:
TWO YEAR OLDS:
THREE YEARS OLDS:
FOUR YEARS OLDS:
OTHER:

2. REQUIREMENTS (INTERVIEWS, TOILET TRAINING, OTHERS?)

3. REGISTRATION DEADLINE

4. FEES (PER SCHOOL YEAR OR MONTH):

PAYMENT SCHEDULE:

5. PUPIL/TEACHER RATIO:

6. PARENT TEACHER CONFERENCES:

7. PARENT PARTICIPATION PROGRAMS:

8. MAY PARENTS VISIT?               ACCOMPANIED BY CHILD?

9.. ACTIVITIES/EQUIPMENT (PLEASE CHECK THOSE THAT APPLY.)

I agree to have the information provided on this form posted on the internet. I understand that the library is not responsible for any changes in the information made by persons who download or transfer the information to their own computers. The library takes no legal responsibility for the accuracy of the information nor for any loss or damage resulting from the use of any such information. An authorized signature is required to post this listing.

AUTHORIZED SIGNATURE:______________________________________________DATE:_______

NAME/TITLE/PHONE:________________________________________________________________

Please return this form to: Barbara Hawkins, Children's Library, Fairfield Public Library, 1080 Old Post Road, Fairfield, Ct. 06824