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NOTE: You can print this form with CTRL-P
Westminster Preschool
Registration Form
August 20, 2008 to June 4, 2009
Child's Name
________________________________
Address
____________________________________
Zip_________
Birthday____________
Mother's Name_______________________________
Address ______________________
Zip__________
Phone (Home) ______________
(W)_______________
Father's Name
__________________________________________
Address
______________________________ Zip______________
Phone (Home)
_______________________ (W)________________
Church
Affiliation__________________________________________
Preschool
(child must be 3 years old on or before Oct 15,
2008)
_____ T-Th (AM)
$85 per month
_____ M-W-F (AM)**
$115 per month
**(This class is open to only 4 & 5 yr
olds)
_____ MTWThF (AM) $195
per month
_____ T-Th (PM)
$85 per month
_____ M-W-F (PM) $115 per
month
Please return this registration form with a $35.00
registration fee for preschool.
Extended Care
Hours: 7:30-9:00 am & 11:30am-5:30pm
Days needed: M T W Th
F
Before__________ After ____________
Fees Enclosed:
Registration Fee for Preschool
$35______
Registration Fee for Extended Care $25_____
TOTAL ENCLOSED
$____________
Note: All registration fees are non-refundable
Make checks payable to Westminster Preschool |
