Little Explorers School New Student Preschool 2024 Enrollment

Preschool/Pre-K for 2024

Ages 2.5 to 5

New Student Enrollment Form

www.littleexplorersseattle.com
Student name*

First NameLast Name
Student birthday*

MonthDayYear
Date
Student address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please select the days of the week you would like your child to attend. Monthly tuition rates are as follows: 2 days per week-$525 | 3 days per week-$775 | 4 days per week-$975 | 5 days per week-$1,125. Tuition is paid September through June and is divided into 10 equal payments with holidays and breaks taken into account. Payments are due each month no later than the 1st of the month. There is no credit for missed days or extended travel.*

MondayTuesdayWednesdayThursdayFriday
Enrollment & Tuition:

Our family agrees to the following terms: Preschool tuition is paid monthly and due on the 1st of each month (September through June). Paid tuition is nonrefundable. If a family needs to cancel enrollment mid-year, notice must be given via email no later than the 15th of the month for the upcoming month.
Please sign*

Clear
Parent / Guardian 1*

First NameLast Name
Email*
example@example.com
Cell phone*

Area CodePhone Number
Work phone

Area CodePhone Number
Home phone

Area CodePhone Number
Address (if different from student)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent / Guardian 2

First NameLast Name
Email
example@example.com
Cell phone

Area CodePhone Number
Home phone

Area CodePhone Number
Work phone

Area CodePhone Number
Address (if different from student)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact*

First NameLast Name
Email*
example@example.com
Cell phone*

Area CodePhone Number
Work phone

Area CodePhone Number
Home phone

Area CodePhone Number
Others who have permission to pick up your child*
Health Care Provider Information *

First NameLast Name
Phone Number

Area CodePhone Number
Does your child have any immunization exemptions? If yes, please explain.*
Upload student's immunization records.*

Browse Files

Cancelof
Does your child have any allergies or health concerns?*
Consent for medical treatment for your child:

I give permission for my child to be given emergency treatment by a licensed health care provider at the nearest emergency center. When I cannot be contacted, I authorize medical, surgical and hospital care, treatment and procedures to be performed for my child by a licensed health care provider when deemed necessary or advisable by a medical professional to safeguard my child’s health. I also give permission for my child to be transported by ambulance to an emergency center for treatment.
Please sign*

Clear
Permission for walks and trips to park

I give permission for my child to go on walks and to parks in the Green Lake neighborhood.
Please sign*

Clear
What date would you like your child to start preschool?
Does Little Explorers have permission to share your email address with other Little Explorers families?*

YesNo
Does Little Explorers have permission to post pictures of your child on our Facebook and/or Instagram page?*

YesNo
Please feel free to use the space below for any additional information.
Deposit - $350 deposit is applied in full to your 1st month's tuition*
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Preschool Deposit$350.00

Total $0.00
Thank you for your registration! We will be in touch within 48 hours to confirm your enrollment.
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