For Office Use
Date Rec’d______
Rec. Fee Rec’d_____
Notified______
Packet sent____

Boulevard Presbyterian Church Preschool

1235 Northwest Boulevard, Grandview Heights, OH 43212

614.486.2362 Fax# 614.486.2342

e-mail:

2017/2018Registration Form

CHILD’S NAME______Age___ Sex___Birthdate______

CHILD PREFERS TO BE CALLED______

PARENT’S NAME______

ADDRESS______Zip______

ADDRESS(If different from child’s) ______Zip______

E-MAIL ______PHONE______

Please check the class in which you wish to enroll your child, indicating a first and second choice.
Morning One day
(21/2year olds) 9:00-11:15 / Monday (2 by 3/1/17) / $80.00/month
Morning – Two days
(Young 3’s) 9:00-11:15 / Mon. / Fri. (3 by 12/31/17) / $150.00/month
Afternoon -Two days
(Young 3’s) 12:30-2:45 / Tues. /Thurs. (3 by 9/30/17) / $150.00/month
Morning- Three days (Older (3’s & Young 4’s) 9:00-11:15 / Tues/Wed/Thurs (3 by 9/30/17) / $190.00/month
Afternoon- Three days
(3’s & Young 4’s) 12:30-2:45 / Tues/Wed/Thurs (3 by 9/30/17) / $190.00/month
Morning- Four Days Pre-K
(4 & 5 year old’s) 9:00-11:15 / Mon./Tu/Wed/Thurs (4 by 8/1/17) / $225.00/month
Afternoon- Four Days Pre-K
(4 &5 year old’s) 12:30-2:45 / Mon/Tu/Wed/Thurs (4 by 8/1/17) / $225.00/month
Morning- Five Days Pre-K
9:00-11:15 Fri. 9:00-1:00 / Mon/Tu/Wed/Th/Fri (5 by 12/31/17) / $255.00/month

All class enrollments are subject to minimum enrollment criteria. We reserve the right to change class times as necessary.

Boulevard offers extension of the daily programs for anadditional fee.

Lunch Bunch Monday through Thursday 11:20 to 12:15 (Children bring lunch).

For Full-Day Preschool information contact Ciara Robinson @ 486-2362

Full-Day Preschool / Monday to Friday 7:30-5:30
(3 by 9/30/17) / $220.00/Week

To secure yourchild’s place, send this form to the above address along with a $50.00 non-refundable registration fee ($60.00 per family) payable to “Boulevard Preschool”.

Parents’/Guardians’ Signatures______Date______

______Date______

PLEASE ASSIST US IN WELCOMING YOUR CHILD TO BOULEVARD PRESCHOOL

Does your child have any health, developmental or behavioral concerns of which we should be aware or have they been evaluated for any special needs in these areas? ______

______

Is there anything else about your child, his or her family history or current concerns that it would be helpful for us to know?______

Boulevard Preschool Tuition Contract 2017/2018 School Year

Initial Choice / Class / Program Days / Nonrefundable
Registration Fee / Tuition / Supply Fee
2 1/2 yr.Old’s
(2 by 3/1/17) / Monday
9:00-11:15 / $50.00 / $80.00/month or
$720.00/year / $25.00
Young 3’s
(3 by 12/31/17) / Monday & FridayAM
(2 days/week)
9:00-11:15 / $50.00 / $150.00/month or
$1,350/year / $40.00
Young 3’s
(3 by 9/30/17) / Tuesday &Thursday PM
(2 days/week)
12:30-2:45 / $50.00 / $150.00/month or
$1,350/year / $40.00
Older 3 yr. old/ Young 4’s
( 3 by 9/30/17) / Tuesday, Wednesday, & Thursday
(3 days a week)
9:00-11:15/ 12:30/2:45 / $50.00 / $180.00/month or
$1,620/year / $50.00
Pre-K
4 yr. old/5yr.olds
(4 by 8/1/17) / Monday through Thursday
(4 days a week)
9:00-11:15/12:30-2:45 / $50.00 / $225.00/month or
$2025/year / $60.00
Pre-K
5 yr. old
(5 by 12/31/17) / Monday through Friday A.M.
9:00-11:15/12:45-2;45
Friday 9:00/1:00 / $50.00 / $255.00/month or
$2295/year / $70.00

Boulevard Preschool reserves the right to change or cancel any class session due to low enrollment

_____ One month’s tuition payment (deposit) is due upon notification of acceptance into our Part-Time Program. My child will not be considered enrolled until the deposit is received. The deposit and supply fee is due by May 1, 2017 and will be applied to the last month of attendance provided tuition is current.

_____If you need to withdraw your child from our program for any reason, we ask that you give us a minimum of two weeks written notice. Only prepaid tuition for upcoming months may be refunded upon written notification.

_____I also understand that at any time upon recommendation of the Boulevard Preschool Board, a child’s enrollment may be terminated, if our program can’t fit the needs of that child. Upon such termination, any per-paid tuition will be refunded on a prorated basis.

_____Preschool tuition is based on a FULL SCHOOL YEAR not the number of days in each month. For your convenience tuition at Boulevard is divided into (9) nineequal payments(the number of months Boulevard is in session). This results in 9 equal payments and is not determinedby the number of days school is in session each month. The first payment (deposit) and supply fee is due May 1, 2017. All monthly fees are due the first day of each month, with the exception of the May tuition which is due at the time of acceptance. The subsequent eight payments are due the 1st of each month, September through April. A 10% discount will be given for each additional child in a family. A 5% discount will be given for pre-paying for the full year. Only one discount can be applied toward tuition. Any payment not received by the 15th of each month will be assessed a $10.00 late fee each week the payment is late. A $45.00 charge will be imposed for all returned checks.

______I agree to have my name, my child’s name, our home address, telephone number, in the Boulevard’s directorythat will be made available to any parent whose child is enrolled at Boulevard. ______Yes, my family may be included ______No, do not include my family

______I/ we understand and agree to the terms of this contract.

Parent’s Signature______Date______

Thank you for your interest in Boulevard Preschool.

Please return or mail this completed form with a $50.00 ($65.00 per family)

Non- refundable registration fee to:

Boulevard Preschool

1235 Northwest Blvd

Grandview Heights, Ohio 43212

Make checks payable to Boulevard Preschool

Boulevard Preschool admits children of any race, color, national & ethnic origin to all rights, privileges, programs & activities of the preschool. It does not discriminate on the basis of any of these factors in the administration of educational policies, admission & tuition assistance.