Kindergarten Enrollment

    My Child

    Child's Name

    Birthdate

    List Siblings and Ages:

    Parent's Names

    Parent's Address

    Payment Options

    Full Day
    (1) Payment - $5,005.00(9) Payments - $556.00(10) Payments - $500.00(12) Payments - $417.00

    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. Bus Instructions: If your child is riding the bus, are there any special instructions for care such as “my child gets motion sickness, please seat them at the front of the bus.”

    3. Publicity Permission YesNo

      4. 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.