Registration Form 2020-2021 Preschool Registration Child's Information First Name * Last Name * Answers to * Sex * Male Female Date of Birth * Family Information Address * Address Address Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Parent Information Mother's Name * Mother's Cell Phone * Mother's Work Phone Father's Name * Father's Cell Phone * Father's Work Phone Family E-mail * Class Selection ONES (This class is for children ages 12-23 Months) 2 Day Ones (Tuesdays & Thursdays Only) *A minimum of 5 Children required to offer this class* Tuition - $200 a Month Registration Fee - $200 TWOS (Children must be two by Sept. 1st) 2 Day Twos (Tues/Wed & Thurs.) 3 Day Twos (Tues, Wed, & Thurs.) 2 Day Twos: Tuition - $200 a Month Registration Fee - $200 3 Day Twos: Tuition - $220 a Month Registration Fee - $220 THREES (Children must be three by Sept. 1st & be completly potty trained) 3 Day Threes (Tues/Wed/Thurs.) 4 Day Threes (Tues/Wed/Thurs/Fri.) 5 Day Threes (Mon.-Fri.) *A minimum of 8 Children required to offer this class* 3 Day Threes: Tuition - $220 a Month Registration Fee - $220 4 Day Threes: Tuition - $240 a Month Registration Fee - $240 5 Day Threes: Tuition - $260 a Month Registration Fee - $260 FOURS (Children must be Four by Sept. 1st) 3 Day Fours (Tues/Wed/Thurs.) 4 Day Fours (Tues/Wed/Thurs/Fri.) 5 Day Fours (Mon.-Fri.) *A minimum of 8Children required to offer this class* 3 Day Fours: Tuition - $220 a Month Registration Fee - $220 4 Day Fours: Tuition - $240 a Month Registration Fee - $240 5 Day Fours: Tuition - $260 a Month Registration Fee - $260 Aditional Information • Registration Fee is due when registering your child. • Your child’s first tuition payment is due on the first day of school. All tuition payments are due on the 1st of the month. • PLEASE MAKE CHECKS PAYABLE TO ST. JAMES PRESCHOOL. • Classes begin August 17th and end May 13th. Our Hours of operation are 9am-1pm • Your child’s placement is determined by their age as of September 1st. 2020. • Three & Four-year old’s must be completely potty trained and comfortable with bathroom habits. I UNDERSTAND THAT THE REGISTRATION FEE IS NON-REFUNDABLE AND WILL NOT BE RETURNED SHOULD I DECIDE TO WITHDRAW MY CHILD FROM THE PRESCHOOL PROGRAM. Parent Signature * Date * Submit If you are human, leave this field blank.