Prospect Preschool 2015-2016 Registration Form

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Please complete one form for each child you are attempting to register for the 2015-2016 school year. You will be notified by email once your application and fee is received. Please email our registrar with any questions: prospect.registrar@gmail.com.

Child's First Name *

Child's Last Name *

Child's Sex *

male

female

Child's Birth Date *

YYYY

Street Address *

City, State ZIP *

First Parent's Full Name *

Second Parent's Full Name

Phone Number for use in School Directory *

Home Phone Number

Mobile Phone Number

Primary Email Address *

Alternative Email Address

Is this child currently enrolled at Prospect for the 2014-2015 school year? *

Yes

Does this child have a sibling who is currently enrolled at Prospect for the 2014-2015 school year? *

Yes

Does this child have a sibling who was enrolled at Prospect prior to the current school year? *

Yes

If Yes, please list name(s) of siblings and year of attendance at Prospect

Are you currently a member of Prospect Presbyterian Church? *

Yes

Has your child participated in the Prospect Church Camp (Summer camp or Camp Seasons)? *

Yes

First Choice Class *

Choose the class for which you are applying. Please note that all classes are filled by lottery, so your choice is not guaranteed. If, after our lottery, we are unable to enroll your child, he/she will be placed on our waiting list. Morning classes meet from 9-11:30; afternoon classes meet from 12:30-3. A limited number of scholarships are available. Please contact or director Betsy Geiger for more information.

Tu/Th 2 AM (child must be 2y/o by April 1, 2015) $220/mo

Tu/Th 3 AM (child must be 3y/o by Oct 1, 2015) $205/mo

MWF 3 AM (child must be 3y/o by Oct 1, 2015) $250/mo

MWF 3/4 PM (child must be either 3 or 4y/o by Oct 1, 2015) $250/mo

MWF 4 AM (child must be 4y/o by Oct 1, 2015) $250/mo

M-F 4 PM (child must be 4y/o by Oct 1, 2015) $315/mo

Second Class Choice

Tu/Th 2 AM (child must be 2y/o by April 1, 2015) $220/mo

Tu/Th 3 AM (child must be 3y/o by Oct 1, 2015) $205/mo

MWF 3 AM (child must be 3y/o by Oct 1, 2015) $250/mo

MWF 3/4 PM (child must be either 3 or 4y/o by Oct 1, 2015) $250/mo

MWF 4 AM (child must be 4y/o by Oct 1, 2015) $250/mo

M-F 4 PM (child must be 4y/o by Oct 1, 2015) $315/mo

Clear selection

Third Class Choice

Tu/Th 2 AM (child must be 2y/o by April 1, 2015) $220/mo

Tu/Th 3 AM (child must be 3y/o by Oct 1, 2015) $205/mo

MWF 3 AM (child must be 3y/o by Oct 1, 2015) $250/mo

MWF 3/4 PM (child must be either 3 or 4y/o by Oct 1, 2015) $250/mo

MWF 4 AM (child must be 4y/o by Oct 1, 2015) $250/mo

M-F 4 PM (child must be 4y/o by Oct 1, 2015) $315/mo

Clear selection

A $45 registration fee is due at this time. Your payment may be mailed to or dropped off at the school during school hours. 646 Prospect St. Maplewood, NJ. Payment must be received by 3:00pm on January 9, 2015 in order for your child to be included in the lottery. (Please note: currently enrolled students are NOT required to pay the registration fee). *

I will mail my $45 registration fee to school.

I will hand deliver my $45 registration fee to school.

My child is currently enrolled - no fee due.

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