This high quality Kindergarten readiness program runs September  through May.

Students are accepted any time throughout the school year.

Classes:

3 and 4 year olds (must be potty trained)
Tuesday, Wednesday, Thursday 9 – 11:30am

4 and 5  year olds
Monday Tuesday, Wednesday, Thursdays 12:30pm – 3:00pm

Location: Second City Church | 251 Verbeke St | Harrisburg
Contact: Andy Phillips, Executive Director, 717-968-1893

Please fill out the application for enrollment below or download our PDF form:

Once we received your completed application we’ll contact you to schedule a “school tour” with our teacher, Ms. Liz.  Parent school tours are an opportunity for you to learn more about New City School.  We will explain the distinctives of our school, outline our desired partnership with your family and answer any questions you may have.

Student Information

Application for (required)
3 & 4yr old AM Program4 & 5yr old PM Program

Student Name (required)

Age (required)

Date of Birth (required)

Gender (required)
FemaleMale

Home Address (required)

City (required)

State (required)

Zip (required)

Does your child have allergies?
YesNo

Please explain

Does your child have any medical or other conditions that we should be aware of?

Is your child taking any medications?
YesNo

Please indicate what type(s)

Primary Language spoken in the home

Parent/Guardian Information

Primary Parent/Guardian Name (required)

Home Address same as student
YesNo

Home Address (required if different from student)

City (required if different from student)

State (required if different from student)

Zip (required if different from student)

Home Phone (required)

Cell Phone

Email

Place of Employment/Attending School

Usual days/hours worked/attending class

2nd Parent/Guardian Name

Home Address same as student
YesNo

Home Address (required if different from student)

City (required if different from student)

State (required if different from student)

Zip (required if different from student)

Home Phone

Cell Phone

Email

Place of Employment/Attending School

Usual days/hours worked/attending class

Emergency Contact

(Other than parent/guardian)

Name

Relationship to Student

Home Address

Home Phone

Cell Phone

Financial Information

(Our program relies on grants and donations largely determined by the average household income of our students. Additional financial information may be requested. All information is kept confidential.)

Number of Adults living in home

Number of Children living in home

Total Annual Household Income

Verification

My name below is verification that the above information is an accurate statement of our current household income.

Sign here: (required)

Today's date (required)

Parent Photographic Release

I give permission for photos of my child to be used in New City School publications.
I agree