Schoolhouse 2022-2023 Registration

2022-2023 Registration
I want to register for the 2022-2023 school year at The Schoolhouse

YES NO
Child's Name

First Name Last Name
Choose a Class
Lunch (Please choose which days you would like.)

Monday Tuesday Wednesday Thursday Friday
Enrichment or TK Enrichment (4 yr olds or TK only)
Gender

Male Female
Date of Birth

Month Day Year
Date
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.
Parent 1 Name

First Name Last Name
Parent 1 Cell Phone
Please enter a valid phone number.
Parent 1 Occupation
Parent 1 Email
example@example.com
Parent 1 Work Phone Number
Please enter a valid phone number.
Parent 2 Name

First Name Last Name
Parent 2 Cell Phone Number
Please enter a valid phone number.
Parent 2 Occupation
Parent 2 Email
example@example.com
Parent 2 Work Phone Number
Please enter a valid phone number.
Allergies
Pediatrician Name
Pediatrician Phone Number
Please enter a valid phone number.
Emergency Contact (Someone other than Parent 1 & 2)

First Name Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Emergency Contact Relationship
Special Requests... (not guaranteed)
I give my permission to The Schoolhouse to photograph my child for use in class projects, as well as, on the secured class website page. At no time will photographs be used for public access.
YES NO
Signature

Clear
I give my permission for our home mailing and email address to be released for the Class List. This list will only be distributed to The Schoolhouse teachers and families in my child’s class to be used only for school functions, announcements, and social events both inside and outside of the classroom.
YES NO
Signature

Clear
Registration is not complete until a $60 Non-Refundable Registration Fee is recieved. An invoice will be sent within 24 hrs and is due upon receipt. This registration will be held for 24 hrs after invoice is sent.

You will also be invoiced for a $100 non-refudable tuition deposit due April 1, 2022. This deposit will then be applied to your September Tuition which will be invoice on July 20, 2022 payable August 1, 2022.

Thank you.
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