Application for Admission (Please print form and mail per instructions below)
Child Information
First Name
Last Name
Address
City
Birthdate
Phone
Parent Information
Father's Info
Father's Name
Occupation
Employer
Address
Business Phone
E-mail
Mother's Info
Mother's Name
Occupation
Employer
Address
Business Phone
E-mail
Previous Pre-School
School Name
from: to:
Desired Entry Date
Please select the semester, class, days and payment method:
Semester
A.M. Class
P.M. Class
Monthly Fee
Fall 2008 Spring 2009
8:30 a.m.-11:30 a.m.
Monday-Friday
12:00 p.m.-3:00 p.m.
Monday - Friday
2-Day A.M. or P.M. Class $485.00
3-Day A.M. or P.M. Class $585.00
5-Day A.M. or P.M. Class $685.00
Would you like to be notified of our summer program?
Yes No
Upon receipt, your child's name will be placed on the waiting list and we will contact you
when there is an opening. In signing this application, I acknowledge that I have agreed to
pay the appropriate fees according to the schedule presented:
