2023 Enrollment Form

Hilltop Preschool Enrollment Form 2023/2024
CLASS OPTIONS:
2 Year Old - Young 3's

Do not need to be potty trained. Must be 2 years old by September 30, 2023 - or may join upon turning 2, if space is available
2 - 3

2 day (T/TH) $240/month ($2160 Annual, $1048x2 Semi-annual)3 day (M/W/F) $290/month ($2610 Annual, $1266x2 Semi-annual)5 day (M-F) $360/month ($3078 Annual, $1572x2 Semi-annual)
3 - 4 Year Olds

Must be at least 3 years old by September 30, 2023 and Potty Trained
3 - 4

2 day (T/TH) $240/month ($2160 Annual, $1048x2 Semi-annual)3 day (M/W/F) $290/month ($2610 Annual, $1266x2 Semi-annual)5 day (M-F) $360/month ($3078 Annual, $1572x2 Semi-annual)
4 - 6 Year Olds (Pre-K/Jr. Kindergarten)

Must be at least 4 years old by September 30, 2023
4 - 6

5 day (M-F) $360/month ($3078 Annual, $1572x2 Semi-annual)
CHILD'S INFORMATION:
Child's Name*

First NameMiddle NameLast Name
Name child will be using at school (likes to be called)
Sex*
Current Age*
Age
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Previous School(s) Attended, if any
Siblings/Ages
Allergies?*
Please explain:
Special Concerns/ Illnesses
How did you hear about us?
PARENT/GUARDIAN INFORMATION:
Parent or Guardian's Name

First NameLast Name
Occupation
Employer
Home or Cell Phone Number

Area CodePhone Number
Work Phone Number

Area CodePhone Number
Email
example@example.com
Do you want to receive school emails?
ADDITIONAL PARENT/GUARDIAN INFORMATION:
Additional Parent or Guardian's Name

First NameLast Name
Occupation
Employer
Home or Cell Phone Number

Area CodePhone Number
Work Phone Number

Area CodePhone Number
E-mail
example@example.com
Do you want to receive school emails?
LOCAL EMERGENCY CONTACT:

(if we cannot contact parents or guardians)
Name

First NameLast Name
Phone Number

Area CodePhone Number
Tuition is calculated as an annual amount, but for your convenience may be paid on a monthly basis. Holidays, etc. throughout the year are already accounted for in the tuition amount. Discounts offered for Annual or Semi-Annual payers.
I understand that tuition is calculated on an annual basis and that non-school days are already calculated in. There is no reimbursement for missed days, sick days, vacation days or inclement weather. I understand that should I remove my child for vacation or any other reason, I am still obligated to pay tuition during that time unless I want to forfeit my child’s spot.*

I agree
I understand that the Registration Fee, deposit, and all tuition paid is non-refundable.*

I agree
Signature*

Clear

Payment*

USD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Calculation
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Hilltop Preschool Enrollment Form 2023/2024

CLASS OPTIONS:

2 Year Old - Young 3's

3 - 4 Year Olds

4 - 6 Year Olds (Pre-K/Jr. Kindergarten)

CHILD'S INFORMATION:

PARENT/GUARDIAN INFORMATION:

ADDITIONAL PARENT/GUARDIAN INFORMATION:

LOCAL EMERGENCY CONTACT: