Pre-Registration

Pre-Registration Form
New Student: Returning Student:
Date:	Potty Trained:
Child's Name:
Birthdate:	Age on 09/01/18:
Address:
City:	State: Zip:
Email:
Mother's Name:	Home Phone:
Business Phone:	Cell Phone:
Father's Name:	Home Phone:
Business Phone:	Cell Phone:
Full Time (6:45am-6:00pm) Class Choice (Infant - Bridge)
Monday - Friday:
Monday, Wednesday & Friday:
Tuesday & Thursday:
Part Time (9:30am-2:30pm) Class Choice (Infant - Bridge)
Monday - Friday:
Monday, Wednesday & Friday:
Tuesday & Thursday:

Family Discount - 10% for second and subsequent children enrolled (applied to the lesser amount). Discount for paying full-year tuition on or by September 1, 2018 - 5%
Registration Fee is required to reserve a space
Tuesday/Thursday option not available for PreK and Bridge Classes. Financial assistance available, please see Director for application.