Winter Park Baptist Preschool & Pre-K
Enrollment Application
Child’s Name: ______
FirstMILastNickname
Child’s Birth date: ______(including year) Male Female
Home address: ______Street Number and Name
______
CityStateZipcode
Father’s Name:______Home Phone______
Father’s Employer______Business Phone______
Father’s address (if different from above)______
______Father’s Cell:______
Email:______
Mother’s Name:______Home Phone______
Mother’s Employer______Business Phone ______
Mother’s address (if different from above)______
______Mother’s Cell: ______
Email:______
Names and ages of any siblings:______
______
Family’s Church affiliation: Winter Park Baptist Preschool affiliation:
Winter ParkBaptistChurch member Current Preschool family
Other (please specify) ______ Former Preschool family
No present church affiliation New Preschool family
Has your child had previous group experience?______If so, where?______
How did you hear about our preschool? ______
For Office Use Only: Class Assignment: ______Child’s age by 8/31: ______
2 day 3 day 5 day
Enrollment Forms on file:
Application Emergency Care/Medical Information
Physical Authorizations/Travel release
Immunizations Allergy Action Plan (if required)
Over
Class Enrollment Preference 2015-2016
Please mark your first choice of classes with # 1 and your second choice with # 2 as well as any teacher requests. We will try to honor your preferences to the best of our ability. Changes may need to be made due to staffing and enrollment.
Children must reach the correct age for each classroom byAugust 31 each fall to apply for enrollment in that class. (i.e., Two years old by 08/31/2015 to apply for the Two’s level classes.) This ensures that we are in line with state regulations for public school.
Child’s Name: ______Teacher Request: ______
(optional and not guaranteed)
Registration/Deposit Fee: all ages - $80.00
Toddlers, Two, and Three Year Olds
Tuition: 2 days/wk = $155 per month 3 days/wk = $190 per month
_____ Toddlers M, W, F______Twos T, TH
_____ Toddlers T, TH_____ Threes M, W, F
_____ Twos M, W, F _____ Threes T, TH
*Depending on availability, children in this age group may enroll for 5 days a week at the rate of $265 per month*
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Pre-K Classes
Tuition: 3 days/wk = $190 per month5 days/wk = $240 per month
_____ Pre-K 3 days - M, W, F _____ Pre-K 5 days – M-F
Each application must include a registration fee of $80.00, which is non-refundable unless the school does not have sufficient enrollment to hold a class.
A minimum two-week notice in writing is required for withdrawal. If a child unexpectedly withdraws, there is no refund or pro-rated fee for that month’s tuition.
*Siblings will receive a $10 discount on monthly tuition*