hunters' glen baptist church

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HUNTERS GLEN BAPTIST CHURCH CHILDHOOD LEARNING CENTER

REGISTRATION CONTRACT 2015-2016 School Year

4001 Custer Rd Plano, Texas 75023 972.519.0365 Child’s Name Child’s Date of Birth ____________ / _________ / _________ Boy / Girl

Today’s Date ____________________________________

Parents’ Name _______________________________________________________________________

HGBC Member? YES / NO

Address ________________________________________________________________ City ________________________ Zip __________ Home Phone ________________________________________________ Cell Phone _____________________________________________ EMAIL Address ______________________________________________________________________________________________________ How did you learn of our program? ___________________________________________________________________________________

CLASS PLACEMENT IS BASED ON CHILD’S AGE AS OF SEPTEMBER 1, 2015 REGISTRATION/SUPPLY FEES ARE NON-REFUNDABLE AGE GROUP

REG/SUPPLY FEE

TUITION

Two Days per week Tues/Thurs ________________ Wed/Fri ________________ Mon/Wed ________________

$140.00

$245.00

$50.00

Three Days per week Mon/Wed/Fri ________________ Other ________________

$170.00

$295.00

$50.00

Four Days per week Tues – Fri ________________

$200.00

$375.00

$50.00

Five Days per week Mon – Fri ________________

$230.00

$475.00

$50.00

INFANTS: AGE 3 MONTHS – 6 MONTHS AGE 6 MONTHS – 11 MONTHS TODDLERS: 12 – 23 MONTHS

2ND SEM SUPPLY Due in January

*************************************************************************************************************************************** TWOS/THREES/FOURS (AS OF 9/1/15) Two Days per week Tues/Thurs _______________

$140.00

$235.00

$50.00

Three Days per week Mon/Wed/Fri _______________

$170.00

$285.00

$50.00

Four Days per week Mon – Thur _______________ Tues – Fri _______________

$200.00

$375.00

$50.00

Five Days per week Mon – Fri _______________

$230.00

$465.00

$50.00

__________ I will need extended day options for my child. Prices are listed on back of form. This is not a drop in service. You will be billed for the days and hours checked. I have submitted the required fees to secure placement for my child for the 2015 school year at the Childhood Learning Center. I understand that all registration and supply fees are NON-REFUNDABLE. Parent/Guardian Signature _______________________________________________________________________________

EXTENDED HOUR OPTIONS AM 7:00 – 9:00

PM 2:00 – 6:00

Prices are monthly fees added to your tuition ______ 2 days per week

AM $55

PM $105

______ 3 days per week

AM $75

PM $145

______ 4 days per week

AM $95

PM $185

______ 5 days per week

AM $115

PM $225

CLC Office Use Only: Date Recv_______ Amount _________Check # ________ CLC Initials ________ WAIT______

Class child placed in _________________________________________________________________________________ Teacher __________________________________________

Scholarship _________________________________