2018-2019 APPLICATION

CRICKETS & GRASSHOPPERS

FOR CHILDREN APPROXIMATELY 20 – 29 MONTHS OLD

THE SCHOOL-ONLY CRICKETS AND GRASSHOPPERS PROGRAMS ARE SCHOOL-YEAR PROGRAMS BEGINNING MONDAY, SEPTEMBER 10, 2018 AND ENDING THURSDAY, JUNE 13, 2019.

YOU MAY CHOOSE ONE (1) to FIVE (5) DAYS OF ENROLLMENT; PROGRAM HOURS ARE 9:00 A.M. TO 12:00 P.M.

Tuition is based on the day(s) of the week your child attends.

IF YOUR CHILD ATTENDS ON A TUESDAY, WEDNESDAY OR THURSDAY, THE ANNUAL TUITION IS $2,027 PER DAY.

IF YOUR CHILD ATTENDS ON A MONDAY OR A FRIDAY, THE ANNUAL TUITION IS $1,974 PER DAY.

PLEASE CIRCLE CHOICE OF DAYS M T W TH F

MMO will determine placement based on several factors, including but not limited to age, development, and proportion of full-time to part-time students.

Upon your child’s acceptance into the MMO CRICKETS OR GRASSHOPPERS PROGRAM, a contract will be issued. Your child’s space will ONLY be secured upon submission of the contract and NON-REFUNDABLE DEPOSIT OF $500.00. Note: Deposit will be applied to the annual tuition. Remaining tuition will be billed in ten (10) equal monthly installments from September to June.

CHILD'S NAME

PARENTS/GUARDIANS ______

STREET ADDRESS ______

TOWN & ZIP ______

HOME PHONE CELL PHONE ______

CHILD’S BIRTHDATE GENDER M F

FAMILY E-MAIL ______

(OVER)

2018-19 MMO Programs Grasshoppers School Application (New Family)

SIBLINGS (names and ages) ______

PREVIOUS GROUP EXPERIENCES (i.e. day care, playgroup, preschool, Y classes)

ARE YOU A MEMBER OF FIRST CONGREGATIONAL CHURCH? ______

HOW DID YOU HEAR ABOUT MMO PROGRAMS? ______

______

In order for your application to be considered, you must:

·  Return this form filled out in its entirety

·  Submit an $85 NON-REFUNDABLE processing fee.

MMO Programs reserves the right to place children in appropriate class groupings, with regard to age and gender balance.

Students are required to be fully immunized to attend MMO, unless a medical contraindication exists. As a center affiliated with a religious institution, MMO is not required to allow religious or philosophical exemptions.

Waitlisted applications will remain valid through June 13, 2019.

Date: ______

Signature of person filing application

*** Return completed application along with the $85.00 application fee to:

MMO PROGRAMS

40 South Fullerton Avenue

Montclair, NJ 07042

Phone: (973) 744-6521

Fax: (973) 744-8134

Email:

For Office Use Only

Date and time application and fee received ______