Registration Form – Kids Under Construction Preschool

KIDS UNDER CONSTRUCTION KIDS UNDER CONSTRUCTION
REGISTRATION FORM

Select one: *

Current Student/Sibling

Alumni Family

Church Member

New Family

Child’s Name:


First	Last

Birthday:

	/		/
day		month		year

Address:

City:

Zip:

Parent’s names:

List food allergies, if any:

Home Phone:

–
Area Code	Phone Number

Work Phone:

–
Area Code	Phone Number

Cell Phone:

–
Area Code	Phone Number

E-mail address:

Program choices; please indicate 1st and 2nd choice:

Registration Fee:

1 child, $100

2 children, $180

2 1/2 year olds:

1 day Two – Friday

2 day Two – T/TH

2 day Two – M/W

3 year olds:

2 day Three – T/TH

3 day Three – T/TH/F

3 day Three – M/W/F

4 year olds:

3 day Four – M/W/F

4 day Four – M/TH

Pre-K – 5 Day – Must be 5 by 3/1/2016

* KUC Preschool offers a 10% discount on a second child

I understand that the registration fee is non-refundable once the child is accepted into the program and once enrolled that I am to be financially responsible for the child:

Parent full name