CCUPC Preschool

2021-2022 Registration

3 Year Old (Mondays and Tuesdays)

Tuition for the 2021-2022 school year: $125/month

Required At Time Of Registration:

Completed Registration Form
$125 (one month tuition applied toward May 2022)
$50 Registration Fee
Copy of Immunization Record
Copy of Birth Certificate

Required at Orientation in August 2021:

$125 September 2021 Tuition
$65 One Time Snack Fee

Preferred Class Time: *

Morning Class (9:00 - 11:30 am)

Afternoon Class (12:45 - 3:15 pm)

Child's Full Name *

Name child prefers to use:

Name you would like your child to learn to write:

Date of Birth *

Age

Sex

Male

Female

Has your child ever attended preschool?

Yes

If so, how long and where:

Child's Home Address *

Country

City

State

Zip code

Home Phone

Mother's Cell Phone

Father's Cell Phone

Parent's Names *

Father's place of employment:

Father's Work Phone

Mother's place of employment:

Mother's Work Phone

Sibling's Names and Ages

Refund Policy:

The registration fee of $50 is non-refundable. The initial $125 installment of tuition is refundable if notice to withdraw is given before July 1, 2021. After July 1, 2021, no refunds for tuition will be given.

Disclaimer:

I understand the refund policy stated above and understand that my child cannot be enrolled without a copy of his/her birth certificate and immunization record. I also understand that my child must be potty trained by the start of school.

Name *

Email *

Date *