Astra Day School Interest Form
Please use this form to tell us a little about your child, your interest in our program, and your anticipated enrollment schedule.
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Date of Submission
MM
/
DD
/
YYYY
Student's Full Name
Student's Age
*
Day of Birth
*
MM
/
DD
/
YYYY
Parents' Names
Primary Contact
*
Primary Email
*
Primary Phone (please use periods as delimiters: 555.555.5555)
*
Primary Home Address
Please tell us as much as you would like about your child and your interest in Astra Day School.
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Enrollment Anticipation (Non-binding)
Aftercare is only provided in collaboration with the program director (and sometimes it is offered till 5:30 during that collaboration).
Families with more than one child enrolled at Astra Day School will receive a 10% discount of the second, third, etc. tuition. Please note this does not equate to a 10% discount of the total tuition amount for all children combined.
Tuition assistance available to families who qualify.
Program Attraction (Please rank 1 to 8) *
Preschool Traditions
Green / World Citizen Emphasis
Explicit Social / Friendship Instruction
Early Literacy Acceleration
Early Numeracy Acceleration
Inclusive Setting / Low Ratios
Explicit Game / Play Instruction
Language Skill Acceleration
Traditions
World
Friendship
Literacy
Numeracy
Ratios
Play
Language
1
2
3
4
5
6
7
8
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This form was created inside of Kansas City Autism Training Center. Report Abuse