HCNS Enrollment Form

Honeoye Cooperative Nursery School

Student Enrollment Agreement

Student Information

Last NameFirst Name

Street Address

Birthdate

Date

Parent/ Guardian Information

Last NameFirst Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Street Address (if different from student)

Parent/ Guardian #2

Last NameFirst Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Street Address ( if different from either address above)

I am enrolling my child in :

I understand that by registering my child(ren) in Honeoye Cooperative Nursery School, I am making a commitment that involves more than paying Registration Fees and Tuition. I agree to fulfill all commitments and obligations that come with being an HCNS parent, including any and all above commitments for which I did not choose a buy-out option. If I do not follow through on my commitments and obligations, I understand that additional charges will be added to my tuition.

Yes, I agree.

Honeoye Cooperative Nursery School Student Enrollment Agreement

Financial Obligations: See all applicable items and total below.

A non-refundable pre-enrollment fee of $100 that goes towards tuition is due along with the registration

Fall Semester 2025 (14 weeks) dates: September 9 - December 18, 2025 (No school week of November 25-27)

3/4 year old class: (3 days per week; mornings only) Tuesday-Thursday 9-11:30am

Co-operative Tuition: $525 per semester (due within 1 week of semester start or within payment plan)

Fundraising $300 per semester (Option for buyout)

Total Financial Obligation for FALL semester:$525 or $825 (if not planning on fundraising)

Spring Semester 2026(19 weeks) dates: January 13- June 4, 2026 (follows HCS for school closings and school breaks.)

3/4 year old class: (3 days per week; mornings only) Tuesday-Thursday 9-11:30am

Co-operative Tuition: $650 per semester (due within 1 week of semester start or within payment plan)

Fundraising $300 per semester (Option for buyout)

Total Financial Obligation for SPRING semester:$650 or $950 (if not planning on fundraising)

By enrolling a child in Honeoye Cooperative Nursery School, guardians are making a commitment that involves more than paying Registration Fees and Tuition

Yes, I will mail my deposit within 1 week of form submission.

Yes, I will pay via PayPal after form submission.

Please visit PayPal.com and pay $100 to: Honeoye Coop Nursery School HCNS

PLEASE CHECK FRIENDS AND FAMILY BEFORE PAYMENT (see below)

SIGNED

DATE

Date

Print Name

Student Name

Tuition payment options