Tabernacle PreSchool Registration

Childs Name Date of Birth

Sex Male Female T-Shirt Size 2/4 6/8 10/12

Toddlers (15 - 24 months - Walking) Tuesday & Thursday $140/month

2 year old Monday, Wednesday, Friday $170/month

2 year old Monday - Friday $200/month

3 year old Monday, Wednesday, Friday $170/month

3 year old Monday - Friday $200/month

Pre-K Monday, Wednesday, Friday $170/month

Pre-K Monday - Friday $200/month

Kindergarten Monday - Friday $235/month

* Registration/Activity Fee of $150 for Toddlers, Twos, Threes, Pre-K and Kindergarten (non-refundable).

* Book Fee of $70 for K-4 or $100 for Kindergarten (refundable only prior to December or you can tak your books).

How did you find out about TBC Preschool?

Person responsible

for monthly tuition Home Phone

Relationship to child Cell Phone

Mailing Address

City & Zip

Mother's Information:

Name

Mailing Address (if different from address listed above)

City & Zip

Home Phone Cell Phone

Employer / Occupation Phone

Father's Information:

Name

Mailing Address (if different from address listed above)

City & Zip

Home Phone Cell Phone

Employer / Occupation Phone

Child Resides With: Both Natural Parents One Natural Parent

Natural Parent/Step Legal Guardian

Foster Parents

Church Affiliation

Special Medical Problems

Allergies: Yes No List:

Medical Conditions: Yes No List:

Prescription Drugs Taken Daily

Any additional information you would like to share about your child:

Names and phone numbers of people who have permission to pick up your child:

Space will not be reserved until payment is received!