Kaleidoscope KinderPrep -Online Registration

Kaleidoscope KinderPrep-Online Registration

4 Year Old's
Student Information
Kaleidoscope KinderPrep is for 4 year olds who will be entering into Kindergarten next school year.
Student's Full Name *

First Name Last Name
Student's Gender *
Student's Date of Birth *

Month Day Year
Date
Student's Address *

Street Address

Street Address Line 2

City State

Zip Code
Does your child require special education or have physical accommodations? *
If your child requires special education or have physical accommodations, please explain here.
Parent / Guardian Information
Parent 1 Name *
Parent 1 Phone Number *
Please enter a valid phone number.
Parent 1 Email *
example@example.com
Parent 1 Employer & Occupation *
Parent 1 Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent 2 Name
Parent 2 Phone Number
Please enter a valid phone number.
Parent 2 Email
example@example.com
Parent 2 Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Sibling(s) Name and Age(s)
Where did you hear about Kaleidoscope? *

Friend School Website Internet Advertisement Other
If you learned about Kaleidoscope from a friend or in an other way, please explain here.
Enrollment Options

Base Fees:

KinderPrep - 8:30am - 12:30pm:

M - F 4's & 5's $5,000 per year / $500 per month
Additional Fees:

Morning Care - 7:00am to 8:30 am

M - F $75.00 per month

12:30pm to 3:00pm - Full Day Program

3 days per week $75.00 per month

5 days per week $125.00 per month

3:00pm to 6:00 pm - After Care Program

3 days per week $90.00 per month

5 days per week $150.00 per month

Drop in Fee

$30.00 a day
Select Extended Hours (Optional)

7:00am to 8:30am (M - F) 12:30pm to 3:00pm (M/W/F) 12:30pm to 3:00pm (M - F) 3:00pm to 6:00pm (M/W/F) 3:00pm to 6:00pm (M-F)
Discounts
Check Any That Apply

5% discount if 50% of annual fee paid in advance 10% discount if annual fee paid in advance 10% sibling discount on tuition only
Additional Information

Withdrawal

In the event of an extended absence, we cannot hold your enrollment spot. Your child will be withdrawn unless you choose to pay the full tuition for the entire extended absence. If your child is withdrawn due to an extended absence, you will be required to re-enroll your child if a spot is available. A registration fee of $50 will be charged upon re-enrollment.

Drop in Fee

$30.00 per day
Your Full Name *

First Name Last Name
Today's Date *

Month Day Year
Date
Please verify that you are human *
My signature verifies that the information in the form is correct.

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Kaleidoscope KinderPrep-Online Registration

Student Information

Parent / Guardian Information

Discounts