CC: Melodee Shawna
Faith Lutheran Preschool
Nancy Nielsen, Director
Phone 562/941-0245 Fax 562/941-4451
2009-20010 Preschool Registration Agreement
FULL-DAY {6 hours or more} or HALF-DAY {6 hours or less}
Child’s Name: __________________________________________________ Birth Date: ______________________
Parent/Guardian Name: ___________________________________________ Daytime Phone: ___________________
Address: _______________________________________________________ Home Phone: _____________________
City Zip
Parent/Guardian Name: ___________________________________________ Daytime Phone: ___________________
Address: _______________________________________________________ Home Phone: _____________________
City Zip
The Faith Lutheran Preschool is open year-round.
Preschool is open from 6:30 A.M. to 6:00 P.M. Hours are flexible.
Annual Registration Fee $150.00 (Non-Refundable) is payable at the time of enrollment
and re-enrollment every August. {Rates effective 9/1/09} Choose one:
Tuition Rates for full-day program: Tuition Rates for half-day program:
2 days - $226.00/month 2 days - $142.00/month
3 days - $342.00/month 3 days - $204.00/month
4 days - $436.00/month 4 days - $226.00/month
5 days - $460.00/month 5 days - $266.00/month
Days Attending: MON TUE WED THUR FRI Start Date: ________ End Date: ________
Notify school office of any changes to the above by completing the “Attendance Schedule Change” form.
Monthly payments are due on the 5th of each month. Payments are made by cash, check, or money order. A late charge of $15.00 will be assessed to payments made after your due date. Checks returned by your bank will incur a $20.00 charge.
For your child’s safety and for obvious liability reasons, ALL children must be signed in and out of Preschool each day by the adult(s) listed on the emergency form. Names of other individuals must be added to that form with a written notification from the Parent/Guardian or your child will not be released.
Those who pick up their child after 6:00 P.M. will be charged a rate of $5.00 for every 15 minutes.
I wish to enroll my child in the program explained above. I have met with the Preschool staff and understand and shall comply with all the policies of the Faith Lutheran Preschool. I am aware that all pictures taken of my child during school hours may be used for publicity purposes.
Parent/Guardian Signature: ___________________________________________ Date: _______________
Parent/Guardian Signature: ___________________________________________ Date: _______________
