Kindergarten Readiness Program

Kindergarten Readiness Program

Enrollment Form

Thank you for choosing Total Education Solutions. Please complete this form to begin the enrollment process.

Session A

Time: 8:00am -11:00am

Days: Monday through Friday

Tuition: $250/child/week for 36 weeks

Fees: One-time supply fee of $25

Session B

Time: 1:00pm - 4:00 pm

Days: Monday, Wednesday, Friday

Tuition: $200/child/week for 36 weeks

Fees: One-time supply fee of $25

Emergency Contacts
Emergency Contact's Name

First Name Last Name
Phone Number
Alt. Phone Number
Individuals Other than Parent/Guardian Authorization

Only these individuals have my authorization to care for my child in the event of an emergency and/or for drop-off and pick-up. Please advise these individuals they are authorized and will need to present identification to staff.
Contact's Name

First Name Last Name
Relationship
Contact's Name

First Name Last Name
Relationship
Does the child have any allergies, chronic illness, or medical conditions?

No Yes
If yes, please describe *
Does your child wear glasses?

No Yes
Has you child had a hearing exam in the past 12 months?

No Yes