Providence Christian Preschool Enrollment Form

2024/2025 Enrollment Form

2024/2025 School Year
Child's Name:*

First NameLast Name
Gender:*

MaleFemale
Date of Birth:*

MonthDayYear
Date
Preferred Name:
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child Lives With:*

MotherFatherBoth ParentsOther
Does your child speak English?:*

YesNo
Primary Email:*
example@example.com
Home Phone:
Please enter a valid phone number.
Mother's Name:*

First NameLast Name
Mother's Cell:*
Please enter a valid phone number.
Father's Name:*

First NameLast Name
Father's Cell:*
Please enter a valid phone number.
If your child has special needs, please explain:*
Enter N/A if there are no special needs.
Tuition cost is per month. Please indicate 1st, 2nd, and 3rd choices for your class preference. Lunch Bunch offers children an extended day where they eat lunch and have playtime with classmates. Beginning at 11:30 AM and ending at 12:30 PM, it extends the day for morning students or gives afternoon students an early drop-off. All students, ages 2 - 5, are welcome to participate. Lunch Bunch fills quickly and isn't guaranteed. If Lunch Bunch is full, your child will be placed on the waitlist. Please indicate Class Only or With Lunch Bunch below.

Two-Year-Old Class (Age 2 by August 31) *

	1st Choice	2nd Choice	3rd Choice	N/A
MWF Morning Class Only - $315 (waitlist)
MWF Morning with Lunch Bunch - $375 (waitlist)
TTH Morning Class Only - $225
TTH Morning with Lunch Bunch - $275 (waitlist)
Choose N/A if Selecting Another Class

Three-Year-Old Class (Age 3 by August 31)*

	1st Choice	2nd Choice	3rd Choice	N/A
MWF Morning Class Only - $300 (waitlist)
MWF Morning with Lunch Bunch - $360 (waitlist)
TTH Morning Class Only - $225 (waitlist)
TTH Morning with Lunch Bunch - $270 (waitlist)
Choose N/A if Selecting Another Class

If you're interested in a waitlisted class, before submitting the form and fee, please contact Heather Banmiller, Preschool Administrator, at heatherb@ccvlive.com or 610.792.0777 ext. 214. Thank you!

Four-Year-Old Class (Age 4 by August 31) *

	1st Choice	2nd Choice	3rd Choice	N/A
MWF Morning Class Only - $300
MWF Morning with Lunch Bunch - $360 (waitlist)
MWF with Afternoon Enrichment - $620
M-F Morning Class Only - $405 (waitlist)
M-F Morning with Lunch Bunch - $495 (waitlist)
M-F with Afternoon Enrichment - $725
Choose N/A if Selecting Another Class

Enrollment Fee(non-refundable)

$75.00

Total

$0.00

How did you hear about Providence Christian Preschool?*

Attend Christ's Church of the ValleyBillboardFacebookFamilyFriendGoogle/Search EngineOther
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2024/2025 Enrollment Form