FOR OFFICE USE ONLY ______ Reg. fee paid
Troy Early Childhood Centers
Program Select Form
Circle the location:
Site 1 (TECC)
Site 2 (TECC, Too)
Site 3 (TECC South)
Today’s date: ___________________
Projected start date: ___________________
Date of birth:
Name of parents/guardians
living with child:
You will be required to pay for all days for which your child is registered. This means that if your child attends Troy Early Childhood
Center on an additional day during the week, you will be required to pay an additional fee for that day. We do not exchange days.
Upon receipt of this form and your $50 registration fee, we will place your child on our enrollment list. This fee is non-refundable
and will enable us to plan for the correct number of classes. If your requested class is full at the present time, you will be contacted
upon the first available opening.
Tuition fees are payable the first day of each week that your child is registered to attend. Please review the tuition policy for the
cost of the program for which you have selected based on the number of days your child is registered to attend.
I understand that the cost of my child care is $________ per week, payable at the beginning of each week.
Parent signature _________________________________________________ Date ______________________________
How did you hear about our services?
____Chamber of Commerce