|
Preschool Registration
|
Choice |
DAYS |
Monthly
Installments |
Full Tuition |
|
|
|
|
|
|
|
2 Day (T/TH)
(9-11:30) |
$170/mo |
$1,700
|
|
|
3 Day (M/W/F)
(9-11:30) or (12:30-3:00) |
$200/mo |
$2,000
|
|
|
5 Day (M/T/W/TH/F)
(9-11:30) |
$355/mo |
$3,550
|
|
|
* Extended days
for M/W/F only |
|
|
|
|
1 Extended
Day (9:00-3:00) |
$280/mo |
$2,800 |
|
|
2 Extended
Days (9:00-3:00) |
$365/mo |
$3,650 |
|
|
3 Extended
Days (9:00-3:00) |
$395/mo |
$3,950
|
CHILD’S NAME
____________________________Today’s Date: _______________________________
DATE OF BIRTH__________________ SEX____E-MAIL
_____________________________________
ADDRESS____________________________________________________________________________
FATHER’S
NAME______________________MOTHER’S
NAME_______________________________
HOME ADDRESS_______________________ HOME
ADDRESS_______________________________
_____________________________________________________________________________________
HOME PHONE_________________________ HOME
PHONE__________________________________
CELL PHONE __________________________CELL PHONE
__________________________________
WHERE TO
REACH PARENTS:
FATHER’S OCCUPATION______________MOTHER’S
OCCUPATION_________________________
PLACE OF BUSINESS__________________PLACE OF
BUSINESS_____________________________
BUSINESS ADDRESS__________________BUSINESS ADDRESS
_____________________________
_____________________________________________________________________________________
BUSINESS PHONE_____________________BUSINESS
PHONE_______________________________
PERSONS AUTHORIZED TO PICK UP CHILD IN CASE OF EMERGENCY
NAME:____________________________NAME:_____________________________________________
RELATIONSHIP____________________RELATIONSHIP_____________________________________
ADDRESS_________________________ADDRESS___________________________________________
______________________________________________________________________________________
PHONE___________________________PHONE______________________________________________
MEDICAL INFORMATION:
CHILD’S
DOCTOR:________________________________PHONE_______________________________
ADDRESS______________________________________________________________________________
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