Ovation 2014 15 Registration Form

Registration Form 2014-2015 School Year Student’s Name __________________________________________________________ Age _________________ Grade ___________ Teacher ___________________________ Parent/Guardian Name(s) __________________________________________________ Phone ______________________________________________________ Email ______________________________________________________ *All other pertinent information will be obtained from the required off campus waiver form. Please check which registration option you prefer for your child in the boxes below. * The semester fee must be received in the Accounting Office by: Monday, August 18th – Fall Semester Friday, January 5th – Winter/Spring Semester

For Monthly enrollment please check which months your child will be registered and write in the total amount due. + For Weekly & Daily enrollment, please write in specific dates your child will attend Ovation Care and the total amount due. #

For students enrolled for Semester or Monthly Ovation, holiday dates are included at no additional cost.

Length

Fee

Dates

Total Amount Due

□ Fall Semester * □ Spring Semester *

$1350.00

August 18 - December 30

$1350.00

$1350.00

January 5 - May 30

$1350.00

□ Monthly 

$375.00

□ August □ September □ October □ November □ December □ January □ February □ March □ April □ May

$________

Indicate week(s) below: (Example – Week of Monday, Aug 19)

□ Weekly +

________________________________________

$________

Indicate day(s) below: (Example – Mon Aug 19, Wed Aug 21, etc.)

□ Daily + □ Holiday

$175.00 $50.00

#

(Open Full Day; 6:45am-6:00pm)

$100.00

_________________________________________

□ Sept 5 □ Oct 3 □ Oct 13 □ Oct 31 □ Nov 14 □ Nov 24 □ Nov 25 □ Dec 22 □ Dec 23 □ Dec 29 □ Dec 30 □ Jan 5 □ Jan 19 □ Feb 13 □ Feb 16 □ Mar 6 □ Mar 16 □ Mar 17 □ Mar 18 □ Mar 19 □ Mar 20 □ Apr 6 □ Apr 24 □ May 22

Checks should be made payable to The Village School

$________

$________