WAKEFIELD CENTRAL BAPTIST CHURCH PRESCHOOL REGISTRATION FORM 2018-2019

Child's Full Name (required)

Name Child Called By (required)

Child's Date of Birth (required)

Child's Sex (required)
MaleFemale

Mom's Name (required)

Mom's Cell/Work# (required)

Dad's Name (required)

Dad's Cell/Work# (required)

Home Phone# (optional)

Mailing Address (required)

Email (required)

Please make note of any need or work/carpooling schedule that may limit you to certain class days

***PLEASE CHOOSE THE PROGRAM AND CLASS DAY YOU WISH TO ENROLL YOUR CHILD IN***

TWO YEAR OLDS - two years old on or before August 31, 2018
A. Two Mornings a Week (9:00am - 12 noon), Mon/Wed or TUES/THURS
Registration ...... $135 / Monthly $135
B. Three Mornings a Week (9:00am - 12 noon), Mon/Wed/Fri
Registration ...... $185 / Monthly $185
C. Four Mornings a Week (9:00am - 12 noon), Mon/-Thurs
Registration ...... $220 / Monthly $220
D. Five Mornings a Week (9:00am - 12 noon), Mon through Fri
Registration ...... $250 / Monthly $250

THREE YEAR OLDS - three years old on or before August 31, 2018
A. Two Mornings a Week (9:00am - 12 noon), Mon/Wed or TUES/THURS
Registration ...... $135 / Monthly $135
B. Three Mornings a Week (9:00am - 12 noon), Mon/Wed/Fri
Registration ...... $185 / Monthly $185
C. Four Mornings a Week (9:00am - 12 noon), Mon/-Thurs
Registration ...... $220 / Monthly $220
D. Five Mornings a Week (9:00am - 12 noon), Mon through Fri
Registration ...... $250 / Monthly $250

FOUR YEAR OLDS - four years old on or before August 31, 2018
A. Two Mornings a Week (9:00am - 12 noon), Mon/Wed or TUES/THURS
Registration ...... $135 / Monthly $135
B. Three Mornings a Week (9:00am - 12 noon), Mon/Wed/Fri
Registration ...... $185 / Monthly $185
C. Four Mornings a Week (9:00am - 12 noon), Mon/-Thurs
Registration ...... $220 / Monthly $220
D. Five Mornings a Week (9:00am - 12 noon), Mon through Fri
Registration ...... $250 / Monthly $250
E. Five Transitional Preschool/Kindergarten (9:00am - 1:00pm), Mon through Fri
Registration ...... $295 / Monthly $295

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