Registration Form

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LITTLEST ANGELS PRESCHOOL Summer Sessions 1 – 3 June 11 - August 17, 2018 SUMMER REGISTRATION FORM (Ages 2 – 5) Child’s Name:

DOB:

Male___ Female ___

Parent’s Full Names: Address: Home Phone:

E-mail: (Dad)

Cell Phone: (Mom)

Please initial if we are authorized to reach you by text :________ _______

Work Phone: (Mom)

(Dad)

Physician’s Name:

Phone:

Allergies, health problems, special needs:

Names of ALL others who may pick up the student from school: Name:

Phone:

Name:

Phone:

Name:

Phone:

Name:

Phone:

Program Hours 2 year olds......... 9:00 a.m. to 12:00 p.m. daily 3-5 year olds...... 9:00 a.m. to 1:00 p.m. daily All sessions are three (3) weeks long

LITTLEST ANGELS PRESCHOOL Summer Sessions 1 – 3 June 11 thru August 17, 2018 Tuition Fees: 2 days - $525.00

3 days - $680.00

5 days - $945.00

Please circle the days requested for each session. Session 1: Animal Antics! (June 11 – June 2 9 ) Preferred choice of days: M T W TH F

Second choice: M T W TH F

Session 2: Growing Up Global!

(July 9 – July 27)

Preferred choice of days: M T W TH F Session 3: All Aboard!

Second choice: M T W TH F (July 30 – August 17)

Preferred choice of days: M T W TH F

Second choice: M T W TH F

No Summer Session July 2 to July 6 Please contact the office if you would like your child to attend only two weeks of a three week session. Optional Programs (available to all students)

Before-School Care From 8:30 a.m. – 9:00 a.m.

After-School Care From 1:00 p.m. – 5:30 p.m.

Parent’s Signature

No

Yes

$5.00 per day

No

Yes, from 1:00 p.m. to

$8.50 per hour

Date

Please return registration form and non-refundable registration fee of $50* by Friday, April 13, 2018. (See “Fees” page for complete information) * Each additional child is $35.00