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Atonement Lutheran Preschool and Extended Care      

1621 Francisco Road   Columbus, OH  43220

Phone (614) 451-5212             Fax (614) 451-9825

 

2010 Registration Form (January-May)

Taste of Preschool Class for Three’s

 

Child’s Name                                                                                         Birth Date                              

 

Father/Guardian Name                                                               Phone                        

 

Mother/Guardian Name                                                                          Phone                        

 

Address                                                                         City                                         Zip                

 

E-mail Address(es)                                                                                                                              

 

Child’s Name to be used/written in class                                                                                              

 

Choice

Class/Program

Days

Time

Tuition

 

Taste of Three’s

Tuesday, Thursday

12:30-3:00 pm

$625/5 month class

$125/5month

 

Taste of Three’s

Monday, Wednesday

12:30-

3:00 pm

$625/5 month class

$125/month

 

Taste of Three’s

Monday-Thursday

12:30-3:00 pm

$1175/5 month class

$225/month

 

Registration requires this completed form with the registration fee of $25, one time supply fee* of $25, and the first month of tuition.  Both the registration fee and the first month tuition are non-refundable.

 

*Our one-time supply fee of $25 covers school supplies, art materials, paper goods for snack, Kleenex, etc. 

                       

I agree to pay my tuition and extended care fees on or before the 1st of the month and I understand that I will be charged a $5 late fee for each day late after the due date.

I understand that there is no reduction of tuition for absence due to vacation or illness.

I agree that a two-week written notice of withdrawal be made in advance; otherwise, I am liable for a two-week tuition payment.

I understand that my child must be at least three years old and potty trained to enroll in this program.

I understand that the school reserves the right, in extreme circumstances, to terminate the enrollment of any child if, in the opinion of the teacher, director, and preschool board, continued attendance would not be in the best interest of either the child or the school.

 

 

Signature of Parent/Guardian                                                                           Date                         


 

Signature of Preschool Director                                                                       Date                         

 

Registration for Summer Camp 2010 begins January 4, 2010.

Registration for Fall 2010 Preschool Classes begins February 1st.