Christ The King Catholic School Preschool Enrollment Form

Child's Name*

First NameLast Name

Birthdate*

Date

Child's Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Full Time $2,500 (full days M-F)Part Time $20/day (M,T,W,TH,F -set the schedule)

MonthlyQuarterlyPaid in FullOther

Yes PaidNot Paid

Known Allergies *

Mother's Name*

First NameLast Name

Mother's Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Mother's Employer*

Mother's E-mail*

example@example.com

Mother's Phone Number*

Format: (000) 000-0000.

Texting Allowed? *

Father's Name*

First NameLast Name

Father's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Father's Employer*

Father's E-mail

example@example.com

Father's Phone Number*

Format: (000) 000-0000.

Texting Allowed? *

Authorized Pick Up List - Name and Phone Number Required*

Must be age 3 by Sept. 1 or earlier for Preschool Classroom and fully potty trained.

Must be age 4 by Sept. 1 or earlier for Pre K Classroom and completely independent in the bathroom.

Must be age 5 by Sept. 1 or earlier for Kindergarten.

************************************************

Preschool runs concurrent with the school calendar.

Preschool / Pre-K needs to follow the above minimum requirements per classroom unless certain circumstances apply.

Payments are set up by what is listed above either typed or written.

A non-refundable deposit of $100 is required to hold your spot and will be applied towards the tuition balance.

Payments are based on schedule, not attendance.

Part time schedule is set per week and does not change. P

reschool and Pre-K tuition are not eligible for multiple student discounts.

Feel free to call and arrange an appointment to visit the school and meet the teachers: 320-594-6114.

Signature

Today's Date*

Date

CTK PRESCHOOL/ Pre-K ENROLLMENT FORM