Pre Registration Form printable pdf download

PRE-REGISTRATION FORM

Four Square has a one-time non- refundable registration fee of $55.00 for child care services (full time or part time), and $40 for Bright

Beginnings and/or the CLUB 345 per family. Once the registration fee has been paid and the Pre-Registration form is complete, you will receive

all the enrollment paperwork required to be on file at the center and a copy of the parent handbook.

Date of Registration: ___________________

Requested First Day of Attendance: ___________________

CHILD INFORMATION

Child’s Full Name (FIRST, MIDDLE, LAST) __________________________________________________________________________

Nickname: ______________________________________________________________________

Birthdate: _________________________________ Boy_____

Girl_____

Child’s Primary Language: ______________________________Parents Primary Language: ___________________

Home Address: ________________________________________________________________________________

Does your child attend school?

Elementary School: ____________________________________________

Yes_____ No______

School Phone: ________________________ Grade: ___________

School address: ________________________________________________________________________________

School transportation provided by: Elementary School ___

Parent ___

Four Square _____

Other (please specify) _________________________________

ENROLLMENT SCHEDULE

It is required for all children enrolled to have a set schedule. Below is a definition of the different available schedules. Please check the program,

and if applicable, circle the days you are registering for.

Full Time and Part Time Schedule’s

Full Time: Full time enrollment is considered 5 days of care each week, and reserves a spot for your child during all hours of operation.

Part Time: Part-time enrollment allows your child to attend full days, less than 5 days a week. If you choose a part time schedule, we require that

you commit to a weekly schedule so that we may arrange for adequate staffing and supplies. If a holiday or your child is ill on one of their

scheduled days, tuition will NOT be discounted. Your child may attend an additional or alternate day when available, however, you will be

charged for the day(s). Four Square desires part time schedules to consist of 3-4 days a week, however, will provide families with 1 to 2 day

schedules until a classroom can no longer accommodate it. At that time you will be given the option of enrolling to a three day part time set

schedule. In addition, children coming 1-2 days for full day care will pay more per day, than children who come 3-4 days.

Please check the program, as well as, circle days you are registering for. Rates are available on the last page of the this from.

Infant

Toddler

Preschool

Before School -$12/ day

Kindergarten -$15/ day

(Other half of kindergarten)

After School- $12/day

(952)891-5437(kids)

Pre Registration Form

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