Preschool Registration Form 2021-2022 Preschool Registration School Year Please select * 2023-2024 Child’s Information First Name * Last Name * Nickname: * Sex * Male Female Date of Birth * How did you hear about us? * Preschool Family Parish Member Web search Drive-by Banner Other Please tell us how you heard about us… * 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 MMO (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* 2023-24 Tuition – $210 a Month2023-24 Registration Fee – $210 TWOS (Children must be two by Sept. 1st) 2 Day Twos (Tues/Thurs.) 3 Day Twos (Tues, Wed, & Thurs.) 2 Day Twos: 2023-24 Tuition – $210 a Month2023-24 Registration Fee – $210 a Month 3 Day Twos: 2023-24 Tuition – $230 a Month2023-24 Registration Fee – $230 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: 2023-24 Tuition – $230 a Month2023-24 Registration Fee – $230 4 Day Threes: 2023-24 Tuition – $250 a Month2023-24 Registration Fee – $250 5 Day Threes: 2023-24 Tuition – $270 a Month2023-24 Registration Fee – $270 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 8 Children required to offer this class* 3 Day Fours: 2023-24 Tuition – $230 a Month2023-24 Registration Fee – $230 4 Day Fours: 2023-24 Tuition – $250 a Month2023-24 Registration Fee – $250 5 Day Fours: 2023-24 Tuition – $270 a Month2023-24 Registration Fee – $270 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 for the 2023-24 School Year Begin August 14th and end May 9, 2024. Our Hours of operation are 9am-1pm (9am-2pm for the 5 Year Old Class) • Your child’s placement is determined by their age as of September 1st for the current school year. They must be the age listed for the class they are entering by September 1st of the current school year. • Three, Four, and Five-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 * If you are human, leave this field blank. Next
