Tabernacle Baptist Church
Sunday, April 20, 2014

Tabernacle PreSchool Registration

                                   
 2014 - 2015 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                         $155/month
 2 year old                                                      Monday, Wednesday, Friday          $185/month
 2 year old                                                      Monday - Friday                              $215/month
 3 year old                                                      Monday, Wednesday, Friday          $185/month
 3 year old                                                      Monday - Friday                              $215/month
 Pre-K                                                             Monday, Wednesday, Friday          $185/month
 Pre-K                                                             Monday - Friday                              $215/month
 Kindergarten                                                  Monday - Friday                              $260/month
   Children must have attained class age on or before September 1st of the school year.
* Registration/Activity Fee of $150 for Toddlers, Twos, Threes, Pre-K and  Kindergarten (non-refundable).
* Book Fee for Pre-K is $70 or Kindergarten is $100 (non-refundable).
 
Person responsible
for monthly tuition        Home Phone 
 
Relationship to child                              Cell Phone    
 
Mailing Address  
 
City & Zip        Email Address 
 

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:
 
 
Prescription Drugs Taken Daily  
 
 
Siblings & Ages 
 
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:
 
 
How did you hear about Tabernacle Preschool?
     Family & Friends                    Signs
     Our Website                           Newspaper
     TV                                          Telephone  Book         
 
Space will not be reserved until payment is received!