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1. Basic Student Information

Child’s Full Name
Date of Birth
Parent/Guardian 1 Name
Parent/Guardian 2 Name
Parent/Guardian 1 Address

2. Authorized Pick-Up Contacts

For your child’s safety, only the individuals listed below will be allowed to pick up your child from The Canopy School. Please notify us in writing of any changes.
Contact 1 Address
Contact 2 Address

3. Tuition Agreement

The Canopy School operates on a monthly tuition model with four sliding scale tiers:

  • $2,500/month
  • $2,000/month
  • $1,500/month
  • $1,000/month

Upload your taxes from last year to qualify for reduced tuition.

Click or drag files to this area to upload. You can upload up to 2 files.
OPTIONAL - Upload in PDF format. 5 MB Maximum.

Tuition is due on the first of each month.

Payments not received by the 5th will incur a $25 late fee.

We follow a year-round schedule, with seasonal breaks every 6–8 weeks.
Preschool hours are 8:30am–3:00pm, Monday through Friday.

I understand:
I understand:
I understand:
I understand:

4. Emergency Information

Emergency Contact 1 Name
Emergency Contact 2 Name
What is the relationship the the child?
In the case of emergencies or field trips, I authorize The Canopy School staff to make decisions in the best interest of my child, including evacuation if necessary.

5. Medical Authorization

If nothing to list, please write in "N/A" or "None"
In the event of an emergency, I authorize The Canopy School team to seek and obtain medical care for my child if I cannot be reached.

6. Dietary Preferences or Restrictions

If nothing to list, please write in "N/A" or "None"

7. Emotional Safety & Discipline Philosophy

At The Canopy School, discipline means to teach. We guide children toward self-awareness, regulation, and repair when conflict arises.

We do not use time-outs, shame, or isolation. Instead, we co-regulate, reflect, and help children express their needs safely.

Our practices include:

  • Imago-style reflective dialogue
  • Safe expression of big emotions
  • Co-created classroom agreements
  • Gentle redirection & emotional coaching
  • Repair circles when harm occurs
Emotional Safety & Discipline Philosophy

8. Photo & Media Release

Photo & Media Release
Please check one.

9. Acknowledgment of Enrollment Packet

I verify that I have read and completed all required forms:

  1. Basic Student Information
  2. Authorized Pick-Up Contacts
  3. Tuition Agreement
  4. Emergency Information
  5. Medical Authorization
  6. Dietary Preferences or Restrictions
  7. Emotional Safety & Discipline Philosophy
  8. Photo & Media Release
Acknowledgment of Enrollment Packet

The Canopy School: Pre-Enrollment Payment Authorization

Preschool Program | 2026–2027 School Year

To reserve your child’s place in The Canopy School for the upcoming school year, a $1,000 non-refundable pre-enrollment fee is required. This payment secures your child’s spot and will be applied to their final month of tuition.

Child’s Full Name
Payment Method
Pre-Enrollment Payment Authorization
Pre-Enrollment Payment Authorization
Pre-Enrollment Payment Authorization
Pre-Enrollment Payment Authorization