WorldKids PreSchool Application Registration Form
CHILD / REGISTRANT INFORMATION
Child’s Name:
Birth Date:
/
/
Mailing Address:
City:
ST:
Race (Optional, for statistical purposes only):
Sex: M / F
II. PARENT INFORMATION
With whom does the child live? Name:
ZIP:
Relation to child:
PARENT I INFORMATION
Name:
Birth Date:
First
Last
City:
Home Phone:
Employer:
Work Hours:
/
/
Middle
CONTACT INFORMATION
ST:
Email:
WORK INFORMATION
Work Phone:
ZIP:
PARENT II INFORMATION
Name:
Birth Date:
First
Last
City:
Home Phone:
Employer:
Work Hours:
/
/
Middle
CONTACT INFORMATION
ST:
Email:
WORK INFORMATION
Work Phone:
ZIP:
III. PROGRAM REGISTRATION REQUEST & FEE INFORMATION FORM
Child Name:
Date of Request:
/
/
First
Last
Middle
WORLDKIDS WEST SEATTLE - FULL DAY PROGRAM ENROLLMENT (Select Requested Days)
Monday
Tuesday
Wednesday
Thursday
Friday
FEE INFORMATION (Preschooler & Toddlers Ages 3 months to 6 years)
ATTENDANCE
5 days/week
4 days/week
3 days/week
2 days/week
$720 Bimonthly /
$575 Bimonthly /
$430 Bimonthly /
$289 Bimonthly /
$1,440 Monthly
$1,149 Monthly
$860 Monthly
$579 Monthly
© 2015 WorldKids School. All rights reserved.
Parent / Guardian Initials: ___________ Date: ___________
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WORLDKIDS WEST SEATTLE - HALF DAY PROGRAM ENROLLMENT (Select Requested Days)
Monday
Tuesday
Wednesday
Thursday
Friday
FEE INFORMATION (Preschooler & Toddlers Ages 3 months to 6 years)
ATTENDANCE
5 days/week
4 days/week
3 days/week
2 days/week
$382 Bimonthly /
$305 Bimonthly /
$251 Bimonthly /
$167 Bimonthly /
$782 Monthly
$610 Monthly
$501 Monthly
$334 Monthly
WORLDKIDS EDMONDS - FULL DAY PROGRAM ENROLLMENT (Select Requested Days)
Monday
Tuesday
Wednesday
Thursday
Friday
FEE INFORMATION (Preschooler & Toddlers Ages 3 months to 6 years)
ATTENDANCE
5 days/week
4 days/week
3 days/week
2 days/week
$656 Bimonthly /
$535 Bimonthly /
$349 Bimonthly /
$262 Bimonthly /
$1,311 Monthly
$1049 Monthly
$787 Monthly
$524 Monthly
4. Are your day choices flexible?
Yes
No
5. What WorldKids Pre-School are you interested in?
WorldKids Seattle Full-Day Pre-School - 3720 SW California AVE SW, Seattle WA 98116
WorldKids Seattle Half-Day Pre-School - 2801 SW Thistle Street, Seattle WA 98116
WorldKids Seattle Full-Day Pre-School - 22009 76th AVE W, Edmonds WA 98026
6. Why do you want to enroll in WorldKids School?
7. Why are you interested in multilingual Montessori program for your child?
8. Has the child/registrant been enrolled with the Europa Kids International Preschool in the past?
Yes /
No
Notes:
© 2015 WorldKids School. All rights reserved.
Parent / Guardian Initials: ___________ Date: ___________
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IV. CREDIT CARD AUTHORIZATION & PARENT SIGNATURE
Notices:
●
●
WorldKids bills twice per month (1st &15th of every month).
●
Please notice that a one month deposit is required when this application is submitted for consideration. Any child not accepted to the
program will have this fee refunded. This amount will be charged to the credit card that you provide below:
●
The mentioned above deposit will be applied towards the last four weeks of tuition.
Tuition for all children accepted to the WorldKids is processed electronically through Tuition Express. Enrollment in this fast, easy and
secure way to pay your childcare expenses is required.
I authorize WorldKids-School to withdraw a one month deposit fee from this charge/credit card if my child is accepted into
WorldKids School:
CREDIT CARD INFORMATION
Full Name as it appears on card:
Card Holders Address:
City:
Type of Credit Card: Visa MasterCard
Card Number:
Exp Date (Month/Year)
/
Parent Signature:
Date:
© 2015 WorldKids School. All rights reserved.
ST:
Zip:
3-Digit Security Code:
/
/
Parent / Guardian Initials: ___________ Date: ___________
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