Firm Foundation Preschool Registration Form 2015-2016 School Year (revised 2/5/16) (410)505-1006 Name of Child _______________________Date of Birth __________Age____ Gender____ Parent’s Name_____________________________ Are you member of SOFCC: Yes/No Address ______________________________________________________________ Telephone (Hm) _______________ (Wk) _______________(E-mail)________________ 2 year old students may be partially potty trained. All other students must be completely potty trained. All Students must have birthdays on or before September 1st Fee schedule: Fall payments are due on the 1st Monday of each month beginning in the month of August (If Monday is a holiday, payment will be due on Tuesday). PLEASE CHOOSE YOUR PROGRAM BELOW 2 year olds Monday through Friday 9:00 a.m. – 3:30 p.m. $650.00 monthly Monday through Friday 9:00 a.m. – 12:00 p.m. $525.00 monthly Monday, Wednesday, Friday 9:00 a.m. – 12:00 p.m. $500.00 monthly 3 year olds Monday thru Friday 9:00 a.m. – 3:30 p.m. $600.00 monthly Monday thru Friday 9:00 a.m. – 12:00 p.m. $475.00 monthly Monday, Wednesday, Friday 9:00 a.m. – 12:00 p.m. $450.00 monthly. 4 year olds Monday thru Friday 9:00 a.m. – 3:30 p.m. $550.00 monthly Monday thru Friday 9:00 a.m. – 12:00 p.m. $450.00 monthly Monday, Wednesday, Friday 9:00 a.m. – 12:00 p.m. $400.00 monthly. Hours of Operation: 9:00 a.m. to 3:30 p.m. Monday through Friday Please Check Below: _____Before-Care: 7:00 a.m.- 9:00 a.m. ($75.00 per month- includes breakfast if student arrives by 7:30a.m.) _____After-Care: 3:30 p.m.- 6:00 p.m. ($75.00 per month- includes afternoon snack) _____Before and After Care: $150.00 per month _____ I do not desire before or aftercare You must enroll at time of registration for lunch, before and/or aftercare programs. You can not register for lunch before and/or after care programs any other time during the year, nor can you drop out of the program. Lunch: additional $80.00 per month Students may bring lunch, however we have a lunch option as part of our program. Fees vary depending upon payment plan and will not be prorated or reimbursed for any reason including but not limited to student not participate, early withdrawal or dismissal. If lunch is chosen you must be committed to it for the entire school year. **Students are required to purchase a gym uniform to wear during gym class. It must be purchased at the time of registration.** A non-refundable registration fee (which includes books) is due with this application. Registration fees are to be paid by money order or cashier’s checks only. Fees are non-refundable, non- transferable or any such like and will hold your child’s place until August when the first tuition payment is due. However, if your tuition payment is not received by the 1st Monday in August, your child’s space will be forfeited and he/she will be removed from the enrollment list without notification. Registration Fees: Sibling discount of $25.00 per additional child. $150.00 2 years (may be partially potty trained) $210.00 3 years – 4 years (must be completely potty trained) Refer a student and receive $50 off once the referred parent makes first tuition payment. The parent that was referred must submit your name at the time of registration. How did you hear about our program? Circle all that apply Returning Student Word of Mouth Publication Ad Would you like to donate to allow a child who is less fortunate to attend the program? Yes registration) amount $______________ Other__________ (Specify) No (Please add that amount to your I understand that by checking any of the above boxes that I am entering into a legal binding contract that can not be altered during the duration of my child’s attendance during this school year. Please contact Firm Foundation at (410)505-1006, if you have any further questions. Parent’s Signature ______________________ Date __________________________