2024-2025 Toddler & Me Registration

FAMILY INFORMATION
TODDLER'S First Name*
Last Name*
Student's primary residence is with*

Both ParentsMom or Guardian #1Dad or Guardian #2
Gender*

MaleFemale
Student's Date of Birth*

MonthDayYear
Date
Age in months as of August 1st.
Child must be under 3 by August 1st, 2024
Name of person attending with child each week*

First NameLast Name
Mom or Guardian #1's Name*

First NameLast Name
Mom's Complete Address including city, state and zip code*

Full Address - Include City, State, and Zip

Street Address Line 2

CityState / Province

Postal / Zip Code
Mom Cell Phone Number*
Cell Phone Number
Mom Email*
example@example.com
Dad or Guardian #2's Name

First NameLast Name
Dad's Complete Address - Including city, state & zip code
Full Address - Include City, State, and Zip
Dad Cell Phone Number
Cell Phone Number
Dad Email
example@example.com
CLASS SELECTION
Class Selection - Select one day only*

Mondays, 8:30 am - 10:00 am at $15/weekMondays, 10:45 am - 12:15 pm at $15/week - For 30+ months onlyWednesdays, 8:30 am - 10:00 am at $15/week - WAITING LISTFridays, 10:00am - 11:30 pm at $15/week - WAITING LIST
Notes for Director

2024-2025 Enrollment Agreement
Tuition Obligation: TUITION IS BILLED MONTHLY AND IS DUE AND PAYABLE BY THE FIRST FRIDAY OF EACH MONTH. There are two options for billing:

EQUALIZER PLAN - The amount per month will be the same regardless of the number of weeks in school each month. The amount is based on the weekly tuition amount multiplied by the number of weeks in school (26 for Monday classes) divided by the number of months (10.)

WEEKS PER MONTH - The amount per month will be based on the based upon the number of school weeks in each month.

If my child will not be in attendance for a month or more due to illness, travel, vacation, suspension or other situation I understand that I am still responsible for the full payment of tuition while missing school in order to hold their spot in the class until they return. If tuition is not paid, the spot will be filled and the student will go back on the wiating list until a spot becomes available. We cannot guarantee a spot in the same class upon return. Should the school need to close for a week or more due to epidemic/pandemic exposure, acts of God, disaster, etc, there will be no refunds.
Billing: I select the following billing option*

EQUALIZER PLANWEEKS PER MONTH
Tuition Payment*

EFT withdrawal from the account listed on the application on the 1st of each month (10 payments August 1-May 1)Cash or check payments for the entire month by the first school day of each monthZelle payments for the entire month by the first school day of each month
I understand that if I have signed up to bring cash, check or Zelle and have not made payment by the first Friday of each month, I am subject to a $25 per week late fee.
Sick Policy: If my child is sick or not feeling well, I will keep them home FOR AT LEAST 24 HOURS after symptoms have disappeared, WITHOUT the use of medication. If I have to give my child medicine to feel better, I will not bring them to school but will keep them home until there are no more symptoms and my child feels better without the use of medication. If my child becomes sick at school I will take them home immediately and will keep them home for at least 24 hours after symptoms have disappeared. Click here to read complete ILLNESS GUIDELINES.

Withdrawals: I understand that my child's space is guaranteed for the full academic year from August 2024-May, 2025. Any withdrawals must be made in writing through email or the EMP app, giving us a 2 week notice. There will not be any credits or refunds given for absences on school days.

Snack & Water: I confirm I will bring a snack and a spill proof cup of water to class each day.

Potty Time: I confirm that I am responsible for all toileting needs or diaper changes of my child and will excuse myself from the class to clean up in the bathroom or room 114.

Behavior Policy: I confirm that I am responsible for all behavioral issues of my child. If biting occurs, Estrella Mountain Preschool reserves the right to terminate enrollment. If the behavior is disruptive to the class, I will take my child outside to manage the behavior.

Additional: Tuition is due for each week regardless of sickness, vacations, doctor appointments, etc. No refunds for missed classes.
I have read this agreement and the guidelines listed above and in the parent handbook (click here to review) in their entirety and agree to follow the policies and procedures of Estrella Mountain Preschool. Once signed, this agreement will constitute a binding contract.
Signature*

CLASS COMMITMENT FEE

A NON-REFUNDABLE school commitment fee will be charged today, manually by the director through an electronic funds transfer from the bank account below in the amount of $50 per family. If there is no bank account information provided, I understand that my application will not be considered for enrollment.
Name on Bank Account*
Bank Account Type*
Routing Number*
Account Number*
In the event there is a tuition balance after the last day of school, Estrella Mountain Preschool reserves the right to charge this account for the remaining amount due.
After you click "Submit" you will immediately receive a message that your form has been submitted and an email confirmation will be sent. If you don't see the "Submitted" message pop-up or get an email, please go back through your application for required* areas you might have missed.
Should be Empty:

FAMILY INFORMATION

CLASS SELECTION

2024-2025 Enrollment Agreement

CLASS COMMITMENT FEE