FCCNS APPLICATION FOR ADMISSION FOR SCHOOL YEAR: 2022-2023
Thank you for applying to First Congregational Church Nursery School!

NEW REGISTRATION PROCEDURE:
1. Complete this application form separately for EACH child you are registering.
2. Indicate your first, second and third choice for your preferred class days and times.
3. Once you submit this application, a pop up screen will direct you to pay the required $50 Registration fee online.

Application will be ONLINE only. Th Application form must be completed and submitted by Monday, January xx, 2022. PLEASE SUBMIT ONE FORM PER CHILD.

We will notify you of the status of your application by email on Wednesday, January xx, 2022. Your response to the notification is due on Friday, January xx, 2022 in the form of a returned signed contract and initial tuition payment. The non- refundable application fee is $50 per student.

Tuition for 2022-23 is as follows:
2’s: 2-day - $x,xxx
2’s: 3-day - $x,xxx
3’s: 4-day - $x,xxx
3’s: 5-day - $x,xxx
4’s: 5-day - $x,xxx
Pre-K - $xx,xxx

Thank you for your interest in FCCNS!
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Email *
Primary Guardian Full Name (Person responsible for receiving email) *
Primary Guardian Email Address *
Child's Full Name (Last, First) *
Child's Nickname (if applicable)
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Gender *
Street Address *
City *
State *
Zipcode *
Primary Guardian Cell Phone *
Class Preference - First Choice *
Please check your first choice for your child's class
Required
Class Preference - Second Choice *
Please check your first choice for your child's class
Required
Class Preference - Third Choice *
Please check your first choice for your child's class
Required
Are you an active member of The First Congregational Church of Darien? *
Is applicant a current student at FCCNS? *
Is applicant a sibling of a past or present FCCNS student? *
Once tuition payments are made, they are not refundable. Do you understand and agree to abide by our NO REFUND policy regarding tuition payments? *
Do you agree to make tuition payments on-time and in-full as indicated by our Tuition Payment schedule? *
Do you understand and agree that there will be a $75 late fee for all payments not received by the 30th of the month payment is due? *
Registration Fee (Please check the box. Upon form submission, you will receive a link to complete payment). *
Required
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