Tuition & Payment Information Date received by office: Student Name: Class Room (Circle): Orange (6 weeks-17 months) Purple (18mo-2yrs) Yellow (2-3yrs) Blue (3-4yrs) Red (4-5yrs) Please Circle Registration Fee– Supply Fee- 10-Month Tuition Bi-Annual Tuition Annual Tuition Extended The preferred Due at time of Installment Plan First Payment– Care Options: $150/$100 schedule for Registration Charged the 1st August 1st Please state August 1st estimated your child: Non-Refundable of the month Second Payment- $150/$100 Please Initial: time LATE START January 1st January 1st $250 $525/$625 $2500/$3000 Paid in full ______AM INFANT ROOM $725/$825 2/3/4/5/DAYS $3500/$4000 $5000/$6000 ______PM $7000/$8000 3 Day/Week $250 $200 $525 $2,500 Paid in full AM 9am-3pm $5,000 PM 4 Day/Week $250 $300 $625 $3,000 Paid in full AM 9am-3pm $6,000 PM Pre-K $250 $300 $725 $3,500 Paid in full AM 5 Day/Week $7,000 PM 9am-3pm Sign up to extend your day! BEFORE AND AFTER SCHOOL CARE OFFERED MONDAY - FRIDAY Early Stay: 7:00 am—9:00 am After Stay: 3:00 pm– 6:00 pm $10 per hour *If prior arrangements have NOT been made, late fees will be billed to your account at the rate of $1 per minute after 3:10 pm. Member Discount: 15% Or Sibling Discount: 10% (One per Family) (select one discount, does not to extended care) All returned checks or declined credit cards will have a $25 fee automatically added. Method of Payment: Bill my Account Or # Credit Card charges will have an extra charge of 3% Please bill my: Visa MC Am Ex For a Total of $ Name on Card: Billing Address & Zip Code: Credit Card Number: Exp Date: Signature of Card Holder:
Tuition & Payment Information Date received by office: Student Name: Class Room (Circle): Orange (6 weeks-17 months) Purple (18mo-2yrs) Yellow (2-3yrs) Blue (3-4yrs) Red (4-5yrs) Please Circle The preferred schedule for your child: Registration Fee– Due at time of Registration Non-Refundable Please Initial: Supply Fee- $150/$100 August 1st $150/$100 January 1st 10-Month Tuition Installment Plan Charged the 1st of the month LATE START Bi-Annual Tuition First Payment– August 1st Second Payment- January 1st Annual Tuition Extended Care Options: Please state estimated time INFANT ROOM 2/3/4/5/DAYS $250 $525/$625 $725/$825 $2500/$3000 $3500/$4000 Paid in full $5000/$6000 $7000/$8000 ______AM ______PM 3 Day/Week 9am-3pm $250 $200 $525 $2,500 Paid in full $5,000 AM PM 4 Day/Week 9am-3pm $250 $300 $625 $3,000 Paid in full $6,000 AM PM Pre-K 5 Day/Week 9am-3pm $250 $300 $725 $3,500 Paid in full $7,000 AM PM Sign up to extend your day! BEFORE AND AFTER SCHOOL CARE OFFERED MONDAY - FRIDAY Early Stay: 7:00 am—9:00 am After Stay: 3:00 pm– 6:00 pm $10 per hour *If prior arrangements have NOT been made, late fees will be billed to your account at the rate of $1 per minute after 3:10 pm. Member Discount: 15% Or Sibling Discount: 10% (One per Family) (select one discount, does not to extended care) All returned checks or declined credit cards will have a $25 fee automatically added. Method of Payment: Bill my Account Or # Credit Card charges will have an extra charge of 3% Please bill my: Visa MC Am Ex For a Total of $ Name on Card: Billing Address & Zip Code: Credit Card Number: Exp Date: Signature of Card Holder:
2017-2018-enrollment-forms-Heintz-pre-school.docx