Our Savior’s Lutheran Preschool Registration 2022

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Our Savior’s Lutheran Preschool Registration 2022 - 2023 School Year

1800 21st Avenue | Greeley, CO 80631 | 970-336-6420 | Char Wells, Director

Email *

Child's Name *

As you would like him/her to be called

Child’s Date of Birth *

YYYY

Child’s Sex: *

Male

Female

Child’s Tee Shirt Size *

Please choose one size for your child

XS (3t)

Guardian 1 Full Name: *

Mother's Occupation *

Mother's employer

Name & Address

Mother's Work Phone *

Mother's Cell Phone *

Father's Name: *

Father's occupation *

Father's Employer *

Employer name & Address

Father's Work Phone *

Father's Cell Phone *

Check primary reasons you are desiring a preschool experience for your child: *

Yes

Social reasons; Learning to ne with others

Intellectual; to prepare for school

Physical; improve coordination

Emotional; to develop acceptable ways of expressing self with peers

Religious; Christian values and influences

Indicate which date/times you're wanting for your child to be in: *

NO Teacher requests available

Mon/Wed/Fri Mornings: 9:00 - 11:30 AM (Must be 4 years old by 9/1/23)

Mon/Wed/Fri Afternoons: 12:30 - 3:00 PM (Must be 4 years old by 9/1/23)

Tu/Th Mornings: 9:00 - 11:30 AM (Must be 3 years old by 9/1/23)

Required

Current Tuition & Fees: *

Please check each statement as verification that you agree and understand.

I understand/ Agree

Tuition is always due by the 10th of each month. Late fees of $25.00 are assessed after that due date.

All Monday, Wednesday, Friday classes pay $130.00 per month

Supply fees for Monday/Wednesday Friday- ($20.00) are due in September and February.

Tuesday, Thursday classes pay $115.00 per month

Supply fees for Tuesday/Thursday- ($15.00) are due in September and February

Current Tuition & Fees: *

Please check each statement as verification that you agree and understand.

I understand/ Agree

All children must pay a pre-registration fee of $80.00 to accompany this form in order to be registered.

I understand that the school has the right to refund my fee and cancel any class with insufficient enrollment. No refunds of this fee will be granted unless a class is canceled.

Parent Helper Availability:

Please choose one

I Agree

I (we) are planning on being part of the parent cooperative and would like to help at preschoolAPPROXIMATELY ONCE A MONTH. I realize I will be charged a fee if I do not show upon my day.

I (we) do not wish to be part of the cooperative, and agree to pay an additional 30.00 per month to pay another person to take my place

** Your $100.00 non-refundable fee must accompany this form in order for your child to be officially registered. You are welcome to use Venmo (instructions on our website) or mail a check. Checks should be made out to: Our Savior’s Lutheran Preschool. All forms are available on our website,(greeleylutheran.org/preschool) or you may request forms. These forms need to be completed and returned to the preschool by August 15th, 2023.**

Signature: *

Please type your full legal name as a signature to this form

Today's Date *

YYYY

A copy of your responses will be emailed to the address you provided.

Submit

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