Young Twos Program 18 mos by September
Days requested: M______ T______ W______ Th_____F________
_____2 days - $240 /mo _____ 3 days - $275. /mo ______ 4 days - $320./ mo ______ 5 days - $360./ mo.
Old Twos Program 2 ½ by September
Days requested: M______ T______ W______ Th_____F________
_____2 days - $230 /mo _____ 3 days - $270. /mo ______ 4 days - $310./ mo ______ 5 days - $350./ mo.
Three Year Old Program
Days requested: M______ T______ W______ Th_____F________
_____2 days - $215. /mo _____ 3 days - $255. /mo ______ 4 days - $295./ mo ______ 5 days - $335./ mo.
Four Year Old Program
_____ 3 days - $225. per /mo______ 4 days - $265. per/ mo ______ 5 days - $305. per/ mo.
Five Year Old Program
Days requested: M______ T______ W______ Th_____F________
_____ 3 days - $215. per /mo______ 4 days - $255. per/ mo ______ 5 days - $295. per/ mo.
** Please note** Tuition is an annual rate broken down into 9 monthly payments plus a deposit for convenience. The rate does not change during months with holidays, etc. The annual rate may be paid in one lump sum.
CHILD’S NAME _________________________________________BIRTH DATE _____________________
PARENTS’ NAMES _____________________________________________________________________________________
ADDRESS ______________________________________________________________________________________
PHONE(S) ______________________________ E-Mail_________________________________________
Please list some of your child’s favorite activities ______________________________________________________________________________________
What would you like to see your child gain from attending our program: _____________________________________________________________________________________
Please remit this application and $50 ($75 per family if more than one child is applying) non-refundable registration fee to:
