Little Lambs Preschool
Registration Form 2017-2018 REGISTRATION FEE AND TUITION ARE NON-REFUNDABLE Please check the class in which you are enrolling your child: Two year old class (child must be 2 by September 1st): _____Wed/Fri (9:00 am to 11:30 am) $190.00 /month Three year old class (child must be 3 by September 1st): _____ Tues/Thurs (9:15 am-12:15 pm) $190.00/month _____ Mon/Wed/Fri (9:15 am-12:15 pm) $255.00 /month Pre-K class (child must be 4 by September 1st): _____ Mon/Tues/Thurs (9:15 am-1:15 pm) $290.00/month _____ Mon/Tues/Wed/Thurs (9:00 am-1:00 pm) $360.00/month Child’s Name
Child’s Birth Date
Mother’s Name
_______
Address
___
Home #
__ __ Work #
City:
___
_____Cell #
E-mail Address
____ Zip Code:
___ __
________ _
_______
Other
_______
Father’s Name
_______
Address
___
Home #
__ __ Work #
City:
___
E-mail Address Is your child baptized? Y / N Date?
_____Cell #
____ Zip Code:
___ __
________ _
_______
Other
_______
Home Church
**Is your child toilet trained? ________________________________________ **We require students in the 3 and 4 year-old classes to be toilet trained. **Does your child have an allergy? (If yes, please explain)__________________________________________________________________ ____________________________________________________________________________________________________________________________________ The registration fee for each child is $50.00. We offer financial aid and a “second-child discount” to eligible families. The registration fee and first month’s tuition are due at the time of registration. This will secure your child’s spot for September. Please note the registration fee and tuition are NON-REFUNDABLE.
Signature______________________________________________________________________ Date_______________________________________
Check No.* __________________________________________ * (To be filled in by staff)
Amount *
__________________________________________
Little Lambs Preschool | A ministry of First Lutheran Church 6300 Southern Maryland Blvd. Huntingtown, MD 20639 | 410-257-3530 | www.firstlutheranchurch.org
Child’s Birth Date
Mother’s Name
_______
Address
___
Home #
__ __ Work #
City:
___
_____Cell #
E-mail Address
____ Zip Code:
___ __
________ _
_______
Other
_______
Father’s Name
_______
Address
___
Home #
__ __ Work #
City:
___
E-mail Address Is your child baptized? Y / N Date?
_____Cell #
____ Zip Code:
___ __
________ _
_______
Other
_______
Home Church
**Is your child toilet trained? ________________________________________ **We require students in the 3 and 4 year-old classes to be toilet trained. **Does your child have an allergy? (If yes, please explain)__________________________________________________________________ ____________________________________________________________________________________________________________________________________ The registration fee for each child is $50.00. We offer financial aid and a “second-child discount” to eligible families. The registration fee and first month’s tuition are due at the time of registration. This will secure your child’s spot for September. Please note the registration fee and tuition are NON-REFUNDABLE.
Signature______________________________________________________________________ Date_______________________________________
Check No.* __________________________________________ * (To be filled in by staff)
Amount *
__________________________________________
Little Lambs Preschool | A ministry of First Lutheran Church 6300 Southern Maryland Blvd. Huntingtown, MD 20639 | 410-257-3530 | www.firstlutheranchurch.org
