Student's Name *

First Name

Last Name

Second Student's Name

Please fill this question out if you would like to register more than one child.

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Student's Birthdate *

MM

DD

YYYY

Second Student's Birthdate

Only fill this question out if you are registering more than one student

MM

DD

YYYY

Has your student attended preschool before? *

Yes

No

Has your second student attended preschool before?

Only fill this question out if you are registering more than one student

Yes

No

Parent/Guardian Name #1 *

First Name

Last Name

Address (If different than your student)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone *

(###)

###

####

Work Phone

(###)

###

####

Are you an emergency contact? *

Yes

No

Parent/Guardian Name #2

First Name

Last Name

Address (If different from student or parent #1)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone

(###)

###

####

Work Phone

(###)

###

####

Are you an emergency contact?

Yes

No

Preschool/Pre-K (ages 3-6) *

If the enrollment option for your second child is different than your first child, please leave us a note in the comments.

3 days (Mon/Wed/Fri) Morning only (8:00 am - 11:30 am) - $275 per month, $1212.75 per semester (2% discount), or $2425.50 per year (3% discount)

5 days (Mon-Fri) Morning only (8:00 am - 11:30 am) - $325 per month, $1433.25 per semester (2% discount), $2837.25 per year (3% discount)

3 days (Mon/Wed/Fri) All day (8:00 am - 3:00 pm) - $400 per month, $1764 per semester (2% discount), $3492 per year (3% discount)

5 days (Mon-Fri) All day (8:00 am - 3:00 pm) - $625 per month, $2756.25 per semester (2% discount), $5456.25 per year (3% discount)

Do you intend to use the after-school program from 3-5 pm? *

Yes

No

Tuition Payment Options (Please choose one) *

Monthly statement mailed to you

Automatic monthly payment set up on weshare-online

Pre-payment each semester (2% savings)

Pre-payment of full year (3% savings)