2023/2024 Registration Form

GOOD SHEPHERD EARLY CHILDHOOD CENTER

Irvington Presbyterian Church

25 North Broadway, Irvington, NY 10533

914-591-4104

mandy.Landivinec@irvingtonpresbychurch.org

CONTRACT & REGISTRATION - 2023-2024

Child's name

Boy/Girl

DOB

This contract, dated

Date

Shall be between the Good Shepherd Early Childhood Center and

Mother/Guardian

email

example@example.com

Occupation

Cell Phone

Format: (000) 000-0000.

Father/Guardian

email

example@example.com

Occupation

Cell Phone

Format: (000) 000-0000.

Home Address

Home Phone

Format: (000) 000-0000.

City, State. Zip

Enrollment (please choose one option). Classes will be filled on a first come, first served basis. We will be in contact with you if your choice is filled.

2’s – 2 mornings/week (Mon & Tues, 9:15-11:30) Total: $4,832 Deposit $400 + $100 registration fee. Remaining tuition to be paid in thirds of $1,444 in February, May and August 2023.2’s – 3 mornings/week (Weds -Fri, 9:15-11:30) Total: $7,248 Deposit $500 + $100 registration fee. Remaining tuition to be paid in thirds of $2,216 in February, May and August 2023.2’s – 5 mornings/week (9:15-11:30) Total: $11,616 Deposit $700 + $100 registration fee. Remaining tuition to be paid in fourths of $2,704 in February, May, August and November 2023.

3’s – 3 mornings/week (Weds –Fri, 9:00-11:45) Total: $5,562 Deposit $500 + $100 registration fee. Remaining tuition to be paid in thirds of $1,654 in February, May and August 2023.3’s – 5 mornings/week (9:00-11:45) Total: $7,640 Deposit $700 + $100 registration fee. Remaining tuition to be paid in thirds of $2,280 in February, May and August 2023.

4’s – 5 mornings/week (8:45 -11:30) Total: $7,640 Deposit $700 + $100 registration fee. Remaining tuition to be paid in thirds of $2,280 in February, May and August 2023.4’s – 5 full days/week (8:45-2:15) Total: $13,533 Deposit $900 + $100 registration fee. Remaining tuition to be paid in fifth of $2,753 in February, $2,445 in May, August, November 2023 and February 2024.

Scholarships are available by application. Please email Mandy, at mandy.landivinec@irvingtonpresbychurch.org, to request scholarship information and an application.

Monthly Payment Plan Requested

Enrollment is for the full school year beginning in September and ending in June. All fees and tuition payments are non-refundable except, if in the opinion of the director, the continuance of a child at the school is not in the best interest of either the child or the school.

An annual physical exam, signed and dated by the physician and indicating up-to-date immunizations and screening must be on file before a child can begin school. School staff and families will be the only ones with access to a child's medicals unless otherwise indicated.

Parent's Name (Please Print)

Date

Parent's Signature

G.S.E.C.C. Authorized Signature

The Registration Fee and Deposit are required to confirm registration. Please submit a check or cash to the church office within 3 days of submitting your application. Checks should be made payable to the "Irvington Presbyterian Church", the remaining tuition can be paid by check, bank transfer or credit card. An invoice for those payments will be emailed. Nursery School fees may be eligible expenses for childcare tax credits, according to Internal Revenue Service regulations. Check with your accountant or IRS to determine eligibility. Our Federal ID # is: 13-1740280