Our Gang Preschool & Kindergarten

APPLICATION FOR ADMISSION

 

Child's Full Name ___________________________________________

First Name....Middle Name.....Last Name

Birth Date _____________________ Age_________

Complete Address ____________________________

____________________________

Phones: Home ______________ Mobile_______________

Mom's Name______________ Dad's Name_____________

Siblings & Ages _______________________________

Class Requesting: Pre-K_____ T-Th 3's____ T-W-Th 3's_____

I enclose a $100 registration fee. I understand this is a one-time per year cost and is

NON-REFUNDABLE UNDER ANY CONDITION.

Signed ______________________________ Date __________

Two-day 3's - T-Th 9:00 - 11:00 a.m. $125
Three-day 3's - T-W-Th 9:00 - 11:00 a.m. $165
Pre-K - M-T-W-Th 9:00 - 11:30 a.m. $210