2023-2024 Preschool Day/Time Form

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Please complete one form for each child that you will be enrolling in St. Mary Preschool for the 2023-2024 school year. You will also need to complete the St. Mary registration application.

Parent/Guardian Name *

Parent/Guardian Email *

Parent/Guardian Phone Number *

Student's First Name *

Student's Middle Name *

Student's Last Name *

Please Check One:

Three Year Old Preschool Class (Must be three by August 1st of year entering)

Four Year Old Preschool Class (Must be four by August 1st of year entering)

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Student's Birthdate *

YYYY

Preschool/Child Care Rates:

Before Preschool Child Care: 6:45 AM - 7:15 AM- $2.00 daily

*The time period from 7:15 AM - 7:40 AM is included in the options below.

Preschool Prime Time: 7:40 AM -11:00 AM (Pick up at 11 AM) - $22.50 daily*

Preschool Extended: 7:40 AM - 2:30 PM (Pick up at 2:30 PM) - $27.00 daily*

Preschool and After-School Care: 7:40 AM - 5:30 PM (Pick up by 5:30 PM) - $30.00 daily*

Please select one of the preschool schedules below.

If you have questions about the schedules, please contact Mary Smith at mary.smith@smss.org or 270-442-1681, ext. 252.

Full-time (5 days) - Monday through Friday

Part-time (3 days) - Monday, Wednesday, Friday

Part-time (2 days) - Tuesday and Thursday

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