2024/2025 Registration Form

GOOD SHEPHERD EARLY CHILDHOOD CENTER

Irvington Presbyterian Church

25 North Broadway, Irvington, NY 10533

914-591-4104

liz.marinis@irvingtonpresbychurch.org

CONTRACT & REGISTRATION - 2024-2025

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

Father/Guardian

email

example@example.com

Occupation

Cell Phone

Home Address

Home Phone

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 Program

2’s – 2 mornings/week (Mon & Tues, 9:15-11:30) Total: $4,787 Deposit $400 + $100 registration fee. Remaining tuition to be paid in thirds of $1,429 in February, May and August 2024.2’s – 3 mornings/week (Weds -Fri, 9:15-11:30) Total: $7,179 Deposit $500 + $100 registration fee. Remaining tuition to be paid in thirds of $2,193 in February, May and August 2024.2’s – 5 mornings/week (9:15-11:30) Total: $11,964 Deposit $800 + $100 registration fee. Remaining tuition to be paid in fourths of $2,766 in February, May, August and November 2024.

3's Program

3’s – 5 mornings/week (8:45 -11:30) Total: $7,868 Deposit $700 + $100 registration fee. Remaining tuition to be paid in thirds of $2,356 in February, May and August 2024.3’s – 5 full days/week (8:45 -2:15) Total: $13,940 Deposit $900 + $100 registration fee. Remaining tuition to be paid in fifths of $2,588 in February, May, August, November 2024 and January 2025.

4's Program

4’s – 5 mornings/week (8:45 -11:30) Total: $7,868 Deposit $700 + $100 registration fee. Remaining tuition to be paid in thirds of $2,356 in February, May and August 2024.4’s – 5 full days/week (8:45-2:15) Total: $13,940 Deposit $900 + $100 registration fee. Remaining tuition to be paid in fifth of $2,588 in February, May, August, November 2024 and January 2025.

*A Full Day student extension (3s & 4s) will be available daily, 2:15 - 2:45 pm, for a small fee

Scholarships are available by application. Please email Liz, at liz.marinis@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, cash or Zelle payment to the church office within 3 days of submitting your application. Checks should be made payable to the "Irvington Presbyterian Church". Zelle payments now accepted at andrea.sarayli@irvingtonpresbychurch.org through your Chase account and the remaining tuition can be paid by check, bank transfer, credit card or Zelle. 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