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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 _________________________________