info@clakids.org

3100 Galloway Road
Bensalem, PA 19020

T: (215) 752-2823
info@clakids.org

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Admission Process

"*" indicates required fields

Step 1 of 2

50%

General Information

Parent Name*

Phone Number*

Email Address*

Student Name*

Birthdate*

MM slash DD slash YYYY

Days per week*

5 days

3 days M,W,F

2 days T, TH - toddlers and preschool only

Desired schedule*

Mornings only 9-12

Half day 9-3:30

Full day 7-5

Is your schedule flexible based on the school availability?*

Yes

No

How did you hear about us*

Does your family attend Christian Life Church?*

Yes

No

Does your child attend a children’s ministry?*

Yes

No

Do you have any concerns about your child starting school?*

Has your child previously or is currently attending another school?*

Yes

No

Do you receive subsidized/federal aid for tuition?*

CCW

CCAMPIS

NA

Student Questionnaire

Does your child have an IEP*

Yes

No

Does your child receive any outside services?*

N/A

Early Intervention

Intermediate Unit

Other

How would you describe your child?*

Is your child able to speak*

Not Yet

Some Words

Full sentences

Please specify

Is your child fully potty trained*

Not yet

Working on it

Yes

Does your child have any medical condition/physical disabilities/ diagnosis a school would need to be made aware of?*

No

Yes

Is your child able to follow spoken directions?*

No

Yes

Is your child able to follow basic safety rules?*

No

Yes

Is your child able to express wants and needs?*

No

Yes

Is your child able to independently feed themself?*

No

Yes

Does your child take a nap?*

No

Yes

Does your child play cooperatively with others?

Is there anything else you would like us to know?

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.

General Information:

Parent Name *

Phone Number *

Email Address *

Student Name *

Birthdate *

Days per week *5 days3 days M,W,F2 days T, TH- toddlers and preschool only

Desired schedule *Mornings only 9-12Half day 9-3:30Full day 7-5

Is your schedule flexible based on the school availability? *YesNo

How did you hear about us? *

Does your family attend Christian Life Church? *YesNo

Does your child attend a children’s ministry? *YesNo

Do you have any concerns about your child starting school? *

Has your child previously or is currently attending another school? *YesNo

If yes, where did they attend/why are you choosing to leave?

Do you receive subsidized/federal aid for tuition? *CCWCCAMPISNA

Student Questionnaire:

Does your child have an IEP? *YesNo

Does your child receive any outside services? *N/AEarly InterventionIntermediate UnitOther

If other, please specify

How would you describe your child? *

Is your child able to speak: *Not yetSome WordsFull sentences

Please specify

Is your child fully potty trained *Not yetWorking on itYes

Does your child have any medical condition/physical disabilities/ diagnosis a school would need to be made aware of? *NoYes

If yes, pleasse specify

Is your child able to follow spoken directions? *NoYes

If no please include more information

Is your child able to follow basic safety rules? *NoYes

If no please include more information

Is your child able to express wants and needs? *NoYes

If no please include more information

Is your child able to independently feed themself? *NoYes

If no please include more information

Does your child take a nap? *NoYes

Does your child play cooperatively with others? *

Is there anything else you would like us to know? *

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About CLA

Christian Life Academy of Early Learning is a top-rated preschool located in Bensalem, PA.

For many years now CLA has been bringing a distinctive preschool experience to children from age one to Pre-K5.

Academy’s unique approach to early education and creative programs have brought fantastic results and many awards and recognitions.

Recent Posts

Lessons From the Christmas Tree

December 6, 2022

Growing Grateful Kids

November 6, 2022

September 6, 2022

April 7, 2022

The Gifts We Can Give

December 8, 2021

Contacts

info@clakids.org

3100 Galloway Rd, Bensalem, PA 19020

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