Haygood Preschool Application- NEW Students 2022-2023

CHILD DETAILS

Childs Last Name

Childs First Name

Gender

Birth Date

Age on September 1, 2022

Address

City

Zip Code

FIRST PARENT DETAILS

First Parents Last Name

First Parents First Name

Relationship to Child

First Parents Email

First Parents Cell Phone

First Parents Other Phone

First Parents Occupation

SECOND PARENT DETAILS

Second Parents Last Name

Second Parent First Name

Relationship to Child.

Second Parents Email

Second Parents Cell Phone

Second Parents Other Phone

Second Parents Occupation

CUSTODY DETAILS

Are there any custodial arrangements?

Yes No

If yes, please describe

Other Caretaker/Nanny Name

Other Caretaker/Nanny Cell Phone

PEOPLE ALLOWED TO PICKUP THE CHILD

OTHER DETAILS

Active Members of Haygood United Church?

Yes No

Please list the names of any siblings

Special Needs?

Yes No

If yes, please describe

Allergies?

Yes No

If yes, please describe (We will ask you to fill out an allergy action plan before the start of school):

Please Select the Appropriate Age Level and number of days:

Two Day Twos (Age 2 by September 1, 2022) $424 x 9.5 mos. This class meets Tuesdays and Thursdays Five Day Twos (Age 2 by September 1, 2022) $798 x 9.5 mos. This class meets Monday-Friday Three Day Threes (Age 3 by September 1, 2022) $578 x 9.5 mos. This class meets Mondays, Wednesdays, & Fridays Five Day Threes (Age 3 by September 1, 2022) $798 x 9.5 mos. This class meets Monday-Friday Kindergarten (Age 5 by September 1, 2022) Classes meet Monday - Friday $868 x 9.5 mos. This class meets Monday - Friday. Toddlers (Age 12 months by September 1, 2022) $424 x 9.5 mos. This class meets Tuesdays and Thursdays Pre-K (Age 4 by September 1, 2022) $826 x 9.5 mos. This class meets Monday-Friday Three Day Twos (Age 2 by September 1, 2022 $578 x 9.5 mos. This class meets Monday, Wednesday, Friday

The $150.00 registration fee is non-refundable.

By clicking this box I understand the following: the $150.00 registration fee is non-refundable, by completing the enrollment process I am responsible to pay the annual tuition and activity fees for the full academic year and I understand the advance tuition fee refund conditions.

By clicking this box I understand the following: Advance tuition fees are refundable only when all of the following conditions are met: The child moves out of the Atlanta metropolitan area AND the Preschool is notified by June 1, 2022 AND the space is filled by another student.

*** PLEASE NOTE

For NEW Students: The first payment is for May, 2023 and is due on February 28, 2022 to secure your child's space. This serves as a deposit and is non-refundable. There will be a prorated payment due on August 5, 2022 for the days your child attends in August (calendar TBD). The other eight payments will be on the fifth of each month September- April.

For RETURNING Students: The first payment is for May, 2023 and is due on May 5, 2022. There will be a prorated payment due on August 5, 2022 for the days your child attends in August (calendar TBD). The other eight payments will be on the fifth of each month September- April.

Activity Fees (one time per year)

Toddler Classes $50

Two-Year Old Classes $50

Three Year Old Classes $75

Pre-K Classes $100

Kindergarten Kickstarters $100

Registration Fee

Fee 150 USD

Haygood Preschool Application- NEW Students 2022-2023

Total

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