Mother S Morning out Registration Form

MOTHER’S MORNING OUT REGISTRATION FORM

FUMC PRESCHOOL AND KINDERGARTEN

100 South Church Street

Rocky Mount, NC27804

(252) 977-0475

Application for 2015 – 2016 school year

FUMC Preschool offers Mother’s Morning Out (infants and toddlers), 2 yr. old, 3 yr. old, and Pre-K (4 yr. old) classes. Child must be the age of the enrolled class by August 31, 2015.

Child’s Name ______Sex ______Birthdate ______

(please indicate name used)

Address ______Home Phone ______

City ______State ______Zip Code ______

Address (if different from mailing address) ______

Father’s Name ______Occupation ______

Name of Business ______Business Phone ______

Cell Phone ______

Mother’s Name ______Occupation ______

Name of Business ______Business Phone ______

Cell Phone ______

Parent’s e-mail address ______

Other Children in family (Please list names, ages, sex of each) ______

______

Child’s previous preschool experience: Where ______When ______

Child’s special interest or play activities______

Describe how your child gets along with other children ______

______With adults ______

Briefly tell why you chose FUMC Preschool/Kindergarten ______

Church Affiliation ______

Has your child had Measles ______Mumps ______Chicken Pox ______?

List any allergies ______

List any physical concerns or problems of which the teacher should be aware ______
______

The registration fee is due with the return of this application. Please make checks payable to FUMC Preschool and indicate child’s name/age and “Registration” in the memo.

Please use the back to comment on any other information about your child that might be helpful to the teacher. If you would like to make an appointment with the teacher or the director to discuss any concerns, please feel free to call.

MOTHER’S MORNING OUT CONTRACT

FUMC PRESCHOOL AND KINDERGARTEN

2015- 2016 SCHOOL YEAR

Entrance Requirements

Age: 12 months - 4 yrs. old by August 31, 2015
Health: Each child must have regular medical checkups. All immunizations are required for each student. A copy of the immunization records must be provided before the first day of school.

Tuition

Tuition payments may be made monthly, quarterly or annually. Tuition payments are due by the 5th of each month. No bills are sent and no fees are refunded for temporary absence or illness. No alterations are made for holidays, workdays etc.

Monthly tuition fees are:

Please check the desired number of days and days requested.

____1 Day MMO – Monthly tuition - $60