Preschool Package Registration Form

Parent(s) Name(s)*

Email Address*

Student's Name*

Student's Gender*

MaleFemale

Student's Birthday*

Contact Number*

Do you recieve Text at this number?*

YesNo

Address*

City*

Zip Code*

Please Select your Preferred Session*

5 Days ($230/month)4 Days ($190/month)

Please Select your Preferred Time*

Morning (8:30-11:30 A.M.)Afternoon (12:30-3:30 P.M.)

There is an annual $75 registration/supply fee,

per family, due with the Application.

This can be paid in person,

or with the PayPal button on the right sidebar.

First Month's Tuition is also due at the time of registration.

**Tuition is due on or before the first school day

of each month.

If payment is not received by the 10th day

of each month,

an additional fee of $10 will be assessed

We occasionally take pictures

of the kids in action with the materials

or doing other activities for our website and/or blog.

We hope to use these to keep parents

up to date on the happenings at school.

Please click yes if you WILL give permission to have photographs of your child taken*

YesNoOnly for my personal update/emails etc.

How did you find us?*

If you were referred by a friend please let us know who, so we can thank them!