AGAPE ORTHODOX CHRISTIAN PRESCHOOL

KINDERGARTEN REGISTRATION FORM

2015-2016

NAME______

(FIRST) (MIDDLE) (LAST)

SEX______BIRTHDATE______/______/______

CHILD’S AGE ______CHILD’S BAPTISMAL SAINT______CHILD’S NAME DAY ______

DID YOUR CHILD ATTEND PRESCHOOL?YES______NO _____

If SO, WHERE? ______

HOME ADDRESS______

(STREET)(CITY)

______PHONE #______

(STATE) (ZIP)



ANY HEALTH PROBLEMS FOR CHILD? YES______NO______

EXPLAIN______

ANY ACADEMIC OR BEHAVIOR PROBLEMS IN PREVIOUS SCHOOL EXPERIENCE, IF ANY?______

WHO DOES THE CHILD LIVE WITH?

WHAT IS THE PRIMARY LANGUAGE SPOKEN AT HOME? ______

MOTHER’S NAME______

OCCUPATION______EMAIL______

CELL PHONE#______WORK PLACE#______

FATHER’S NAME______

OCCUPATION______EMAIL______

CELL PHONE#______WORK PLACE#______

TUITION AGREEMENT

I/We agree as parents or guardians to cooperate with the terms and conditions of AGAPE Preschool/Kindergarten:

  1. To pay the $225 non-refundable registration fee . This fee must be paid to reserve a place for your child.
  1. Tuition Schedule for Kindergarten

Pay ½ of the tuition by August 15th, 2014.

Pay the remaining tuition by January 15th, 2015.

* You may also pay tuition in one payment by September 15th and receive 5% off your tuition bill or you can pay tuition in nine monthlycredit card payments.

*Please contact Director to receive more information on paying tuition monthly.

Automatic credit card payments will be charged on the 10th of each month

  1. If tuition has not been paid by the 15th of each month, a $20 late fee will be charged to your account.
  1. Any check returned is subject to a $30 check return fee.
  1. Operating expenses require that parents maintain tuition payments. No refunds or tuition allowances will be made for vacation days, sick days, school holidays or emergency closings.
  1. A one month written notice is required if your child will be leaving the program for any reason. You will be responsible for the entire month of tuition,whether your child is in attendance or not.
  1. Please make checks out to:
  • Saints Peter and Paul Greek Orthodox Church. Please put your child’s name and TUITION in the memo column.

OR

  • Credit card payments are accepted at AGAPE Preschool.

In order to set up an automatic credit card payment, please notify our account, Diane Bravos at (847) 729-2235 in the church office.

Kindergarten Class (5 years of age by September 1, 2014) Class hours: 9:10am to 2:00pm

___Kindergarten Class (Monday through Friday)$5,600.00

AGAPEPreschool for the 2014-2015 school year.

I/We choose to pay tuition in;

____one installment of $5320per school year

** If you pay tuition in ONE installment, you will receive 5% discount.

___ two installments of $2800 per school year

I/We understand and agree to comply with the above statements.

Parent/Guardian Signature______Date____/____/______

** Please return this form along with the $225 non-refundable registration fee by March 1, 2015to reserve a place for your child and enroll him/her in the 2015-2016 Agape Orthodox Christian Preschool Kindergarten Program.