Putnam Baptist

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Registration Form Thank you for choosing Pleasant City Church MMO! Our hours are from 9:00am to 1:00pm, Monday through Thursday. Our ages include 6 months – Pre-Kindergarten. Please fill out the following registration form to enroll your child (one per child). A non-refundable $50.00 registration fee is required at time of enrollment to secure your child’s spot. We offer family discounts for siblings who are enrolled at the same time (discounts are listed below). For payments, please use the tuition envelope that is provided to you. This form should be returned to Kristin Walker or mailed to us at: Pleasant City Church MMO, 1146 County Home Road, Shelby, NC 28152. If you have any questions, please feel free to call us at 704-482-4431 or Email us at [email protected] We look forward to having your child join us at MMO! Child’s Name______________________________________________ Birthdate____________________ Address______________________________ City________________ State_______ Zip Code________ Parent Name(s) ________________________________________________________________________ Primary Phone________________ Alt. Phone________________ Email__________________________ Please circle: # of days attending 6 months-12 months: Two Days Three Days Four Days

Monthly tuition

Specific Days

$135.00 $165.00 $195.00

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T.

W.

Th.

Toddler/Twos Two Days Three Days Four Days

$135.00 $160.00 $190.00

M.

T.

W.

Th.

Threes/Fours/Pre-K Two Days Three Days Four Days

$130.00 $155.00 $185.00

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T.

W.

Th.

Family Discounts Include: - Registration Fees - $50.00 for the first child, then $25.00 for each additional sibling. - Tuition Rates – First child is normal tuition rate, with $10.00 off each additional sibling.

Parent Signature: _____________________________________________ Date: _______________

Office Use Only: Age_______ Start Date ___________ Class _________________ Days _______ 1st Child ______ Sibling ______

Registration Fee__________

Paid

Pre-K

Monthly Tuition ________