Kindergarten Enrollment

My Child

Child's Name

Birthdate

List Siblings and Ages:

Parent's Names

Parent's Address

Payment Options
  1. (1) Payment of $3,308.00(9) Payments of $368.00(12) Payments of $276.00
Mother's Contact Information

This will be used for school communications only and will not be shared.

Cell Phone

Work Phone

Email

Father's Contact Information

This will be used for school communications only and will not be shared.

Cell Phone

Work Phone

Email

Emergency Contact 1

Must be relationship other than parent.

Name

Relationship to Child

Phone

Emergency Contact 2

Must be relationship other than parent.

Name

Relationship to Child

Phone

Medical Information

Physician's Name

Phone

List Any Allergies:

List Any Special Needs:

List Any Regular Medicines:

Parent's Consent
  1. Emergency Medical CareAdministration of prescription medicine with a written doctor’s note and exact dose.Administration of non-prescription medication with a written note and exact dose.Field TripsTransportation by school bus for field trips
  2. YesNo
  3. Publicity, permission to use your child’s name and/or photograph when in school activities in local newspapers, our website, or our Facebook page.

* Required

Tuition/Refund/Withdrawal/Late Pick Up Policies
Our school year is from September through mid May. Tuition is based on one full year but for your convenience, may be paid in 9 equal payments. The monthly payment is the same each month regardless of the number of school days that month. Tuition is due on the 15th of each month beginning August 15th and ending April 15th.

There is a $25.00 Late Fee for payments made more than 10 days late without prior arrangements.

No Refund

There is no refund for sick days, snow days, holidays or vacation days. Your tuitions reserves your child’s space in the class. A Refund will only be issued if a child is moving from the area or a serious illness. A two week written notice is required if withdrawing from school.

There is a Late Fee of $1.00 Per Minute for pick up after scheduled dismissal times. We realize emergencies arise and the late fee will be waived in those instances. Late fees will be billed to those consistently late at pick up times.

There is a 10% Discount for additional siblings attending at the same time.