Rooster Valley Farm School New Student Application Form 2024-2025 General Information Your Child's First Name * Your Child's Last Name * Nickname Gender * Male Female Your Child's Birthday (mm/dd/yyyy) * Your Child's Age on Sept 1, 2024 * Is this applicant a relative of a current or past RVFS student? * Yes No Of Whom? Previous School Attended by Child? How Often? Requested Schedule My child is applying for * Preschool Pre-K Requested schedule - First Choice * MWF Mornings T/TH Mornings M-F Mornings MWF Afternoons T/TH Afternoons M-F Afternoon MWF Full Day T/TH Full Day M-F Full Day Requested schedule - Second Choice * MWF Mornings T/TH Mornings M-F Mornings MWF Afternoons T/TH Afternoons M-F Afternoon MWF Full Day T/TH Full Day M-F Full Day If your first two choices of schedule are not available do you have flexibility in your child's placement? * Yes No Explain any limitations your family may have in regards to child's RVFS schedule First Parent Information Parent Name * Mom Dad Other Primary Email * Primary Phone Number * Mailing Address * City * State * Alaska Alabama Arkansas Arizona California Colorado Connecticut District Of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Zip * Employer Position Second Parent Information Parent Name Mom Dad Other Primary Email Primary Phone Number Mailing Address City State Alaska Alabama Arkansas Arizona California Colorado Connecticut District Of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Zip Employer Position Family Information Student lives with * Mother Father Both Other Other Children in Family and their ages The following information will help us get to know you and your child better: Is your child potty trained (required when starting at RVFS)? * Yes No Does your child need to be reminded to use the toilet? * Yes No Is your child afraid of any animals? (If yes this is not the right school for your child) Do you have any pets in your home? Please describe How does your child react when getting dirty or messy? Does your child nap? How often and long? (we do NOT offer a naptime at RVFS) Describe your parenting style * Because of farm animals, real tools, and many transitions at RVFS, we have age-appropriate yet high expectations of our students. RVFS students should have strong impulse control, adjust to parent separation within a reasonable amount of time, and be able to engage and cooperate with teacher instructions Do you believe your child has these abilities? * Yes No Where do you see your child in his/her social/emotional/educational development? Goals you have for your child in this area? * Does your child have any hobbies, sports actvities, special interests or talents? * What kinds of responsibilities does your child have at home? What are your expectations of him/her? * Does your child have any special needs? * Yes No Not Sure If yes or not sure please explain Has your child been tested or evaluated before? * Yes No If yes please explain accept I certify that all the above information on this student's application form is true and correct to the best of my knowledge. I am turning in a $150 application fee with this application that is non-refundable. After acceptance, a non-refundable deposit and materials fee will be due by March 1, 2024 which will secure my child's position at Rooster Valley Farm School for the 2024-2025 school year. *