St. Mary Preschool Day and Time Form
Please complete one form for each child that you will be enrolling in St. Mary Preschool for the 2017-18 school year. You will also need to complete the St. Mary registration application, which can be accessed at www.smss.org/admissions/registration.
Name of Parent(s)/Guardian
Your answer
Student's First Name
Your answer
Student's Middle Name
Your answer
Student's Last Name
Your answer
Name you would like the teacher to call your child:
Your answer
Please check one:
Child's date of birth
MM
/
DD
/
YYYY
Preschool/Child Care Rates:
Please see options below:

Before Preschool Child Care: 6:30AM-7:30AM- Included in Preschool Prime Time cost

Preschool Prime Time: 7:45AM-11:00AM (Pick up at 11:AM) - $22.00 daily

After Preschool Child Care: 11:00AM-2:30PM (Pick up by 2:30PM) - $4.50 added to Preschool Prime Time cost

Extended After Preschool Child Care: 11:00AM-5:30PM (Pick up by 5:30PM) - $7.50 Added to Preschool Prime Time cost

Please enter arrival time and pick up times for each day your child will attend. This will determine tuition rates. Should you need to adjust this schedule throughout the school year, please speak with St. Mary Preschool Director, Mrs. Brenda Spees.
Monday Arrival Time:
Time
:
Monday Pick Up Time:
Time
:
Tuesday Arrival Time:
Time
:
Tuesday Pick Up Time:
Time
:
Wednesday Arrival Time:
Time
:
Wednesday Pick Up Time:
Time
:
Thursday Arrival Time:
Time
:
Thursday Pick Up Time:
Time
:
Friday Arrival Time:
Time
:
Friday Pick Up Time:
Time
:
Submit
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