Registration
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Ages 6 weeks to 3yrs Registration (Beginner's) Ages 3 - 5 years old Registration (Pre-School)
(the following is a sample registration form) Ages 6 weeks up to 3 years 2006 – 2007 Registration Form Rates effective 8/21/06 click here for a printable version of the Beginner Registration Form to fill out and speed your registration process. You will still need to bring completed form with payment to finalize registration.
Child’s Name ____________________________________ Sex _____________ Birth date (or due date) ___________ Address ______________________________ Parent’s Name _________________________ Phone # ____________________ Start Date ______________________Registration
Fee CK # _________ Cash _________
Part time rates are available as space warrants in the Beginner Department. Full time hours (Weekly rate) may be used anytime from 6 a.m. to 6 p.m. Monday through Friday.
Tuition Fees are as follows: Weekly Daily
Caterpillar Room Infant Care (6 weeks through 14 months) $132.00 $33 Cocoon Room Toddler Care (15 – 23 months) $127.00 $32 Butterfly Room Young 2’s (not potty trained) $122.00 $31 Dragonflies Room Older 2’s to Young 3/s (toilet trained) $122.00 $31
My child will be enrolled at the rate of $_______________ per week (or day). Part time placement is only available as space warrants. I understand I may be given a two week notice to change to full time or find other placement for my child if part time becomes unavailable due to increased enrollment. The tuition includes care, crib for infants, cot for older children, USDA approved meals & snacks, formula (Similac with iron or equivalent), milk and juice for the time they are in our program. Tuition is due on the Monday of each week and is past due on Tuesday at noon at which time a five dollar ($5) late fee per child is charged on the account. Children will not be accepted into the program if fees are two weeks past due, (one week for repeat offenders). I agree that I will comply with the financial information as outlined here and in the parent handbook. I agree to be responsible for the above fees and understand this is legal and binding and that I will be held liable for additional charges such as court cost and attorney fees should they become necessary in efforts to collect fees due. Parent or Responsible Guardian Signature ________________________________ Date___________
2006 – 2007 Registration Form Rates Effective 8/21/06 click here for a printable version of the Pre-School Registration Form to fill out and speed your registration process. You will still need to bring completed form with payment to finalize registration.
Child’s Name _________________________________ Birth Date______________________ Parent’s Name_________________________________ Phone number___________________ Address ______________________________________ Start Date ______________________
Registration Fee (Non- Refundable): Individual Child $30.00 Family $40.00
Please indicate below which schedule fits your needs and mark the days your child will attend. 10% discount applies to the oldest sibling(s) when multiple children are enrolled.
_____ $106.00 full time weekly rate (Monday through Friday / all day)
_____ $27.00 per day (minimum enrollment of 2 days per week.) Full day (6:00 a.m. – 6:00 p.m.) Must pick specific days. ____Monday ____Tuesday ____Wednesday ____Thursday ____Friday
_____ $12.00 (per session) Morning Preschool Only (8:30 a.m. – 11:30 a.m.) (Aug. – May) This Preschool Session is offered on a basis of: (Please mark your choice.) #1______ Monday, Tuesday, Wednesday, Thursday & Friday ($55 per week) #2 ______ Monday, Wednesday & Friday ($36 per week) #3 ______ Tuesday & Thursday ($24 per week)
_____ $17.00 per day / 5 hours or less per day (with a minimum of 2 days) (Aug. – May) ____Monday ____Tuesday ____Wednesday ____Thursday ____Friday
My child will attend as indicated above. The weekly fee is $___________________ and is due on Monday (or Tuesday if your child is a Tuesday/Thursday child). All fees are past due and subject to a $5 late fee if not paid by noon on Tuesday. Children will not be accepted into the program if fees become two weeks past due, (one week for repeat offenders). I agree that I will comply with the financial information as outlined here and in the parent handbook. I agree to be responsible for the above fees and other fees, such as field trip fees as costs incur. I understand that this agreement is legal and binding and that I will be held liable for the account, court costs, attorney fees etc. if collection efforts are used to collect fees due. Parent or Responsible Guardian Signature _____________________________ Date _____________
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for questions or problems with this site please contact randy@rxshop.net
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