Student Application 2019-2020

Student Information
Child's Full Name *
Child's Full Name
Birth Date *
Birth Date
Child should be 2 years old by Sept. 30, 2019
Priority is given to families living in East End of Richmond
Home Telephone Number
Home Telephone Number
Cell Phone Number *
Cell Phone Number
Parent/Guardian Information
We are required to keep copies of all custody documents on file. Please bring copies to the school upon registration. Otherwise we will release the child to either parent.
1. Parent/Guardian Name *
1. Parent/Guardian Name
Work Phone Number
Work Phone Number
2. Parent/Guardian Name (if applicable)
2. Parent/Guardian Name (if applicable)
Work Phone Number
Work Phone Number
Sibling Information
Please include sibling name, age and if he/she was a former student
Tell us about your child
Please include church and community gatherings.
If yes, please complete scholarship application as well.
Bus transportation is available as needed.
Potty training is not required for the youngest class, but is for the older two classes.
All information is completely confidential and optional
Class Choices
All classes meet from 9 am – 12 pm. See bottom of the page for tuition costs.
Tiny Tots
2 to 3 years old (must be 2 by Sep. 30, 2019)
Tiny Tillers
3 to 4 years old (must be 3 by September 30, 2019)
Tiny Tumblers
Pre-K • 4 to 5 years old (should be eligible for Kindergarten in Fall 2020)
Extended Day Program (Meets 12 p.m. to 3 p.m.)
Please indicate below whether you are interested in utilizing the Extended Day program. Please see Extended Day Program Details (under About tab) for more information on this program. Please check which days you would utilize the program:
How do you wish to pay tuition? *
See bottom of the page for tuition costs and payment options.
Parent Involvement at Tiny Tykes
Parent participation is mandatory in the Tiny Tykes program to facilitate community building among students and parents. All parents are required to attend our annual parent meeting (beginning of year), attend 2 parent/teacher conferences throughout the year, participate in 1-2 home visits throughout the year, and to provide snacks for their child’s class on a rotation basis. In addition to these requirements, parents are asked to choose at least 1 activity each in 3 different areas to participate in. A detailed list of parent participation activities can be found on pages 4-5 of our Parent Handbook (see below). All parents are asked to make a one year commitment to the program by signing a registration confirmation form upon acceptance into the program. Parents may also be asked to participate in an interview with their child before acceptance into the program is final.
Agreement to Enroll
I wish to enroll my child in CHAT’s Tiny Tykes Preschool Program and agree to the parent involvement guidelines (see above). I have enclosed the $10.00 application fee and agree to pay a $50 deposit upon acceptance, which will be applied toward my total tuition. Please make checks payable to CHAT – Tiny Tykes. The application will not be processed nor a place in the class reserved until the fee is received.* *For students who qualify for a full scholarship, the fees may be split into 9 monthly payments to be paid throughout the 2019-2020 school year, instead of paying fees up front.
Date *

More Information on Tuition
All tuition is payable in equal monthly installments, every three months or in full.

PLEASE NOTE:  Tuition prices do not include scholarships.  Any applicants can apply for a scholarship to attend the preschool.  Applications are available online or at Tiny Tykes Preschool. Please return the scholarship application when you apply.

A $50 deposit is required upon acceptance to the program in order to secure your child’s spot. This is non-refundable, but will be applied toward your total tuition.  This fee is required of all parents, regardless of financial assistance eligibility. A $10 Application Fee must accompany a new application in order to have it processed.  

For siblings attending TT at the same time, a 10% discount will be applied to the younger sibling’s tuition.

Invoices will be sent the first of the month for the upcoming month. Payments are due the 15th of the month and are considered overdue after the last day of the month. Children may not be permitted to return to school until overdue payments are made.

2 Day (T/TH)  $1,650 per year/$552 every three months/$184 per month over nine months

3 Day (M,W, F)  $2,200 per year/ $735 every three months/ $245 per month over nine months

5 Day (M-F with T/Th lessons repeated) $3,100 per year/ $1,035 every three months/ $345 per month over nine months

Extended Program (available M-F) $18 per DAY registered



If you would like to fill out the application by hand, please print the form above and submit to Tiny Tykes' Office at Bethlehem Baptist Church (1920 Fairmount Ave., Richmond, VA 23223) or at the CHAT Office (3015 N St. Richmond, VA 23223).