CFUMC Playschool Registration
Form
September
2020 - May 2021
HOURS:
8:30 a.m. - 12:30 p.m.
DAYS: Monday, Tuesday, Wednesday, Thursday
& Friday
AGES: 6
months to children under 2 by Sept. 1st (must turn 2 after Sept 1st)
*
YOUNG TODDLER SPOTS CAN ONLY BE HELD UNTIL DECEMBER
IMPORTANT
DATES:
Playschool
Open House – Parents Only – Thursday, August 27th, 2020
Playschool
First Day of School – Tuesday, September 1st, 2020
TUITION ANNUAL
REGISTRATION FEE (non-refundable)
1 day / week = $95.00 / month $80.00
2 days / week
= $175.00 / month $120.00
*FIRST
TUITION PAYMENT IS DUE IN SEPTEMBER BY THE 10TH
ANNUAL SUPPLY FEE
= $75.00 (non-refundable) MUST
BE PAID BY SCHOOL START DATE
Make check
payable to: CFUMC Playschool
PERSONAL INFORMATION
Child’s Name:
_____________________________________
Child’s DOB:_____/_____/_____
Parent /Guardian’s
Name: ____________________________ Cell Phone: (__________)______
Parent /Guardian’s
Name: _____________________________ Cell Phone: (__________)______
Address: _______________________________
City: ________________ Zip:_______________
Home Phone:
(_______)__________________________________________________________
Parent’s
Email: __________________________
Parent’s Email: _________________________
Emergency
Contact: Name ___________________________
Phone: (________)____________
DAY(s)
PREFERENCE
1st
choice (circle): MON TUES WED THURS
FRI
2nd Choice
(circle): MON TUES WED THURS FRI
#
of Days requested: __________ TODAY’S
DATE: ____/_____/____
I understand that Playschool is not a licensed program.
_______________________________ ________________________________ __________
PARENT’S NAME PARENT’S SIGNATURE DATE
TO BE COMPLETED BY STAFF: START DATE: _____/_____/_____
REGISTRATION FEE $_________
DATE PAID: ___/___/____ CK#:_________ MEDICAL FORM: ________
1st MONTH TUITION: $_________
DATE PAID: ___/___/____ CK#:_________
IMMUNIZATION FORM: ________
SUPPLY FEE: $_________ DATE PAID: ___/___/____ CK#:_________ PICK UP / DROP OFF FORM: ________