Trinity Preschool Registration Form



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Trinity Preschool Registration Form


__________________ _____________________ ___________________

Today's Date Phone Number



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Child's Name Child’s Birth Date Male  Female 

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Parent(s) Name(s)



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Street Address



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City Zip Code

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E-mail


_____ Tiny Tots for 2's ($244.00)

Thursday morning, 9:00-10:30. We recommend enrollment of children who are 2 by December.

_____ 2-Day Class for 3's ($548.00)

Tuesday & Thursday mornings, 9:00-11:30. We recommend enrollment of children who are 3 by December.

_____ 3-Day Class for 4's and 5's ($801.00) Monday, Wednesday, and Friday mornings, 9:00-11:30. We recommend enrollment of children who are 4 by December.

_____ 4-Day Class for 4’s and 5’s ($1,079.00)

Monday, Tuesday, Wednesday, Friday mornings 9:00am-11:30am.

_____ 1-Day Enrichment Class for 4’s and 5’s ($284.00 for 28 sessions)

Wednesday afternoons 11:30am-2:00pm .

Begins October, 2014. Bring a bag lunch.

Please return this completed form to:

Trinity U.C.C. Preschool

2340 State Street, East Petersburg, 17520.



Enclose the $40.00 registration fee. It is agreed that this fee is non-refundable. Registrations are accepted in the order received.

Availability of sessions will be based on enrollment demand.

How did you hear about our program?

___________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

Other agencies involved with student

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