CHRISTIAN NURSERY SCHOOL

                                                APPLICATION FOR REGISTRATION

                                                                    2012-2013

 

Name of Child:_________________________________________________________________

 

Address:______________________________________________________________________

 

City:________________________________            Zip Code:___________________________

 

Telephone:                                                                  Date of Birth: ____________________        

 

Name of Parents/Guardians:_______________________________________________________

 

Nickname: (if any)                                                                                                                             

 

How did you learn about this program:_______________________________________________

 

                                                                   PROGRAMS

Please check the appropriate box:

 

PRE-NURSERY SCHOOL: 2½-3 year old- must be 2½ by September 1, 2012

 

     ¨    Monday and Friday                    9:30-11:00               $77 monthly tuition or $770 yearly

 

     ¨    Monday and Friday                   11:15-12:45              $77 monthly tuition or $770 yearly

 

THREE YEAR OLD PROGRAMS: must be 3 by December 1, 2012

 

     ¨    Tuesday and Thursday                   9:00-11:30             $107 monthly tuition or $1070 yearly  

 

     ¨    Tuesday and Thursday                  12:00-2:30              $107 monthly tuition or $1070 yearly

    

     ¨    Tuesday-Wednesday-Thursday     9:00-11:30              $137 monthly tuition or $1370 yearly

  

     ¨    Tuesday-Wednesday-Thursday     12:00-2:30              $137 monthly tuition or $1370 yearly

 

     ¨    Monday-Wednesday-Friday          9:00-11:30             $137 monthly tuition or $1370 yearly 

 

FOUR YEAR OLD PROGRAMS: must be 4 by December 1, 2012

 

      ¨    Tuesday-Wednesday-Thursday                9:00-11:30  $137 monthly tuition or $1370 yearly

           

      ¨    Tuesday-Wednesday-Thursday                12:30-3:00  $137 monthly tuition or $1370 yearly     

 

        ¨    Monday-Tuesday-Wednesday-Thursday    9:00-11:30 $167 monthly tuition or $1670 yearly

 

        ¨    Monday-Tuesday-Wednesday-Thursday  12:30-3:00   $167 monthly tuition or $1670 yearly

 

        ¨    Friday (additional day to add on to schedule)  9:00-11:30 $197 monthly tuition or $1970 yearly (5 days)..

                                                                                                            $167 monthly tuition or $1670 yearly (4 days)

 

There is a non-refundable Registration fee of $55 for each child attending the Christian Nursery

School.   Your child will not be registered until this fee is paid.  Registration is on

a first come first serve basis. 

September tuition is due by May 1^st or at the time of registration , and June’s
tuition is due by August 1^st. These are non- refundable security payments that a child will be
filling a seat all year. If all of the above payments are not fulfilled by their specified date,
your child’s enrollment in the school will not be guaranteed. Please remember all children
must be potty trained for the 3 and 4 year old classes by the first day of school, no pull ups or
diapers.

 

I understand and agree to all of the above statement.

 

Signed: ____________________________________ Date:___________________

 

The Christian Nursery School of Christ Lutheran Church admits students of any race, color, national

and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made

available to students at the school. It does not discriminate on the basis of race, color, national and

ethnic origin in administration of its educational policies, admissions policies, scholarship and loan

programs, and athletic and other school-administered programs.

_____________________________________________________________________________

 

For Office Use Only

 

 

 

Date                                                 Time                                                Registration Fee_____           

 

                                                                                                                 June Tuition____________________