Author: WEE School

Registration Form

Weekly Schedule
Mon: 9am-12:30pm
Tue: 9am-12:30pm
Wed: 9am-12:30pm
Thurs: 9am-12:30pm

Cornerstone Baptist Church
WEE School
5736 Inman Road
Greensboro, NC 27410
Phone #: 336-665-1921
Director: Sarah Chaplin
wee.school@cbc-gso.org

Cornerstone Baptist WEE School

Child’s Information
First Name			Last Name
Name Child Goes By			Date of Birth		Gender
Home Address
City		State	Zip Code	Home Phone #
Parent’s Information
Mother’s Name				Phone #
Father’s Name				Phone #
Does this child live with both parents? If not, please note custodial agreements on a separate paper and note any special instructions for the WEE School staff.
Family’s Church Affiliation (ONLY for student records)			How did you hear about WEE School?
Mother’s Email			Father’s Email

Please Check Your Child’s Requested Class Placement

One Year Olds	Two Year Olds	Three Year Olds	Four Year Olds/Pre-K
Two Day / W/Th $225/month	Two Day / M/T $225/month	Three Day / T-Th $285/month	Four Day / M-Th $325/month
Four Day / M-Th $325/month	Four Day / M-Th $325/month	Four Day / M-Th $325/month

Please register your child for the appropriate class based on your child’s age as of August 31, 2025. If you have any questions, please feel free to contact Sarah Chaplin at 336-665-1921. A Registration Fee of $100 and a Supply Fee of $100 must accompany this form. The Registration Fee is non-refundable.

SCHOOL USE ONLY:
Date of Enrollment
Check #
Check Amount
Registration
Tuition
Supply Fees
Class Placement
Days of Attendance

Emergency/Medical Release Form

Cornerstone Baptist Church
WEE School
5736 Inman Road
Greensboro, NC 27410
Phone #: 336-665-1921
Director: Sarah Chaplin
wee.school@cbc-gso.org

Cornerstone Baptist WEE School

Child’s Name
Emergency Contacts / (Please provide 2 local individuals who can assume responsibility for your child in the event that parents cannot be reached)
Name			Relation	Phone #
Name			Relation	Phone #
Parents’ Places of Employment
Mother’s Place of Employment				Work Phone #
Father’s Place of Employment				Work Phone #
Child’s Medical Information
Physician’s Name				Phone #
Address
I authorize the WEE School staff at Cornerstone Southern Baptist Church to request medical attention for my child in the case of an emergency where neither parent is available. / Parent’s Signature Date
Does your child have any allergies or medical conditions that we should be aware of? (Please Describe)

A current immunization record must be provided for the school records.

A packed lunch should be sent to school with your child each day.

Consent and
Release Form

Cornerstone Baptist Church
WEE School
5736 Inman Road
Greensboro, NC 27410
Phone #: 336-665-1921
Director: Sarah Chaplin
wee.school@cbc-gso.org

Cornerstone Baptist WEE School

Child’s Name
Address and Phone Number Release
I give permission to allow WEE School to distribute my child’s name and my phone number to the room parent for his/her class to coordinate activities and special events for the class. I understand that this may not be used for any other purpose and will not be distributed outside the WEE School family and staff. / I DO CONSENT I DO NOT CONSENT / Signature Date
Media Release
We love to see your preschooler in action! Occasionally, we take photos and video. We like to use images and video in our monthly newsletters, on our website and for the WEE School Facebook page and Instagram. Please sign below granting permission to use your child’s photograph. / Yes, you may take my child’s photograph. No, you may not take my child’s photograph. / Signature Date
Release for Pick-Up
In addition to the child’s parents and emergency contacts, please list the names of the adults who are given permission to pick up your child.
Name
Name
Name
Name
Name
Name