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Online Registration

Student Information

Child's Legal Name
Gender
MM slash DD slash YYYY
Address
If yes, please explain.

Parent/Guardian Information

Mother's Name
Father's Name
Primary Contact

Emergency Contact Information (if parents cannot be reached)

Name
Name
Name

Please Check One:

Preschool

K-3 Program (Registration $250) 3 and potty trained by 9/01/22
Mon-Friday Class 8:15-3:00
K-4 Program (Registration $250) 4 by 9/01/22
Mon-Friday Class 8:15-3:00
K-5 Program (Registration $350.00) 5 by 9/01/22
Mon-Friday Class 8:15-3:00

Elementary

1st Grade (Registration $350.00)
2nd Grade (Registration $350.00)
3rd Grade (Registration $350.00)
4th Grade (Registration $350.00)
5th Grade (Registration $350.00)
Additions
If you will be utilizing our before and/or after-school programs, please fill in approximate days/times you will need. The before-school program is available daily, Monday-Friday 7:30 a.m. to 8:10 a.m. The after-school program is available daily, Monday - Friday 3:00 p.m. to 5:30 p.m.
Monday's Arrival
Monday's Departure
Tuesday's Arrival
Tuesday's Departure
Wednesday's Arrival
Wednesday's Departure
Thursday's Arrival
Thursday's Departure
Friday's Arrival
Friday's Departure
 
See example: Mondays Arrival: 7:45 a.m. Departure: 4:45 p.m.
People authorized to pick up my child/children

Financial Information

Student's Name and Grade

Tuition

Please check the appropriate box for your 2022-2023 tuition payment plan.

Tuition Assistance

If you will be asking for tuition assistance, please stop by the school office and pick up a tuition assistance request form. Please note tuition assistance request forms must be returned to the office by May 30, 2022.
This field is for validation purposes and should be left unchanged.