• 2021-22 Registration Form

    (a separate form must be submitted for each child)

     

  • Registration information

    Once this application is received, you will be contacted directly via the email address provided to confirm your child's placement. To secure placement, a *nonrefundable* registration fee of $150 will be collected for each child. Spots will be filled based on the time and date of receipt of this registration fee, which can be paid via check or PayPal. 
  • Class times and tuition

    Our classes meet on Mondays and Wednesdays, 9am-2:30pm. Tuition is due by the 3rd of each month, September-May. Base tuition for children 12 months-23 months (as of September 1) is $200/mo; tuition for children 24 months and above (as of September 1) is $180/mo. There is a 10% sibling discount for each additional child. (For example, if you are enrolling a one year old, a three year old, and a four year old, you would be invoiced at $200 for the first child, with a discounted rate of $162 for the two others, for a monthly total of $524.)
  • Early Bird and Late Day

    You may sign up for our optional Early Bird (7:45-9am) and/or Late Day (2:30-3:45pm) sessions for an additional fee (sibling discount does not apply). Please see below.
  • CHILD’S BASIC INFORMATION

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  • CHILD’S HEALTH INFORMATION


  • Emergency Medical Care: In the event I cannot be reached to make arrangements for emergency medical attention, I authorize the staff of Foundation Church and Foundation Kids Mother's Day Out to seek assistance from the following physician and/or have my child transported for emergency care to the following emergency medical care facility:

  • GUARDIAN #1 INFORMATION

  • GUARDIAN #2 INFORMATION

  • EMERGENCY CONTACT #1

    List a person who will assume responsibility if guardian(s) cannot be reached.
  • EMERGENCY CONTACT #2

    List a person who will assume responsibility if guardian(s) cannot be reached.
  • Confirmation of Intended Registration

    I have reviewed the above for any errors and certify all entries are correct to the best of knowledge.
  • Clear
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  • Should be Empty: