Online Enrollment

Instructions: Please fill out each field. Fields marked with an asterisk (*) are required. Fields with a double asterisk(**) are not required if you are only enrolling Preschool students. Upon successful processing of your enrollment form, you will be directed to a PayPal page on which you may pay your enrollment fee, if applicable.

Parents

at least one of the following is required:

Father's Name:

Mother's Name:

Family Information

Address*:
Phone*:
E-Mail*:
Church**:

Number of Children

How many children are you enrolling right now?*

Child One

Children must be 3 by December 31 in order to be enrolled in a 3's class, and 4 by December 31 in order to be enrolled in a 4's class.

Name*:
Gender*:
Birth Date*:
Class*:

Child Two

Children must be 3 by December 31 in order to be enrolled in a 3's class, and 4 by December 31 in order to be enrolled in a 4's class.

Name*:
Gender*:
Birth Date*:
Class*:

Child Three

Children must be 3 by December 31 in order to be enrolled in a 3's class, and 4 by December 31 in order to be enrolled in a 4's class.

Name*:
Gender*:
Birth Date*:
Class*:

Child Four

Children must be 3 by December 31 in order to be enrolled in a 3's class, and 4 by December 31 in order to be enrolled in a 4's class.

Name*:
Gender*:
Birth Date*:
Class*:

Covenant Plan

Will you be paying though a Church Covenant Plan?

Enrollment Fee, Tuition, & Agreement

Agreement Statement:

I understand and accept that Young Explorers Preschool has an underlying Christian focus and philosophy.
I agree to pay the first months tuition at enrollment and understand that this is a non-refundable deposit.
I agree to pay my tuition on time. A late fee of $10.00 will be charged to the account after the due date. There are no refunds for illness or vacation. Cases of extended illness may be reviewed by administration. If tuition is not paid by the 20th, you will be contacted by a member of the Finance Team.
I understand that Young Explorers Preschool admits students of any race, color, national or ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at this school. We do not discriminate on the basis of race, color, sex, national or ethnic origin in administration of any educational policies.
I agree to provide a copy of my child's health form to the preschool by the first day of school.

Financial Commitment and Payment Method:

2 days: $1044, $118 per month for 9 months.
3 days: $1350, $153 per month for 9 months.
1 month (nonrefundable) due upon enrollment to be applied to September payment.

Do you acknowledge and accept the Agreement Statement, Financial Commitment, and Payment Method?*
Yes
No