Enrollment
Student’s Name    
Birth date Age Male Female
Home Address City Zip
Home Phone E-mail    
Father’s Name Mother’s Name    
Cell Phone Cell Phone    

Will your child be attending kindergarten in the fall of 2011? If not, what year

Class & Schedule Options
Half Day Preschool 8:30 – 11:30 AM or 1:00 – 4:00 PM
Tuesday & Thursday AM or PM
Monday, Wednesday, Friday  AM or PM
Monday – Friday   AM or PM
 
Add Lunch Buddies to Half Day
Tuesday & Thursday  $40/Month
Monday, Wed, Friday  $55/Month
Monday – Friday  $90/Month
All Day  Preschool 8:30 – 2:30
Tuesday & Thursday
Monday, Wednesday, Friday
Monday – Friday
   
Full Time Preschool  6:30 – 6:00 PM
Tuesday & Thursday
Monday, Wednesday, Friday
Monday – Friday
 
Enrichment Classes
Dance (Ballet & Jazz) $35/Month
Karate  $50/Month
Yoga  $50/Month
Spanish Immersion  $35/Month
*Please Read & Initial Each Line Below & Summit this paper with $150.00 Registration Fee
I have read and understand the policies and procedures of The Little Scholars Academy Parent Handbook.  I agree to comply with all current policies and procedures.  I understand that I will be informed of policy or procedure changes as they occur.
I understand that there is a 10 minute grace period to pick up my child, after that I will be charged $5.00/hour outside of their scheduled class.  After 6:00 PM $2.00/minute will be charged
If you withdraw your child from school, a written notice must be submitted thirty days prior to the date of withdrawal.  All registration fees and tuition are non-refundable and non-transferable.  No Exceptions.