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Preschool Enrollment Agreement 2022-2023

Enrollment Agreement 2022 - 2023

Child's Name:

Answer Required

Child's Birthdate (mn/dy/year)

Answer Required

Guardian One:

Answer Required

Guardian Two:

Answer Required

Preschool Hours: 8:00am - 3:00pm

Registration Fee (non-refundable) $400

Program Times, Days Fees:

Please select desired tuition plan below

Full Day program: 8:00 am - 3 pm Half Day program: 8:00 am - 12:00 pm

Full Day Program

Answer Required

5 Days/Month (M-f) - $1225.00

3 Days/Month (MWF) - $950.00

2 Days/Month (T/TH) - $525.00

Half Day Program

Answer Required

5 Half Days/month (M-F) - $905.00

3 Half Days/month (MWF) - $735.00

2 Half Days/month (T/TH) - $315.00

Extended Care: 7:30 - 8:00 am and 3:00 - 5:00 pm

Extended Care

Answer Required

5 days/month - $380.00

3 days/month - $280.00

2 days/month - $180.00

I certify that I have read and agree with the terms and conditions of this Enrollment Agreement.

I agree to the monthly payment indicated above for the tuition for the agreed upon days and hours.

I will submit my Registration Fee of $400 and understand that this fee is non-refundable within 5 days of this application.

Signature of Parents/Guardians (by typing your name/s here this will act as your signature.

Answer Required

Contact Information

First Name

Answer Required

Middle Name

Answer Required

Last Name

Answer Required

Email 1

Answer Required

Email 2

Answer Required

Mobile Phone

Number Required

Home Phone

Number Required

Work Phone

Number Required

Address

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

________________________________________________________________________________________________________________________

OFFICE USE ONLY

Payment Reveived: Yes ___ No____ Date Received: ___________ Amount: $________________

Preschool Director's Signature: ________________________________ Date: ____________________