Preschool Registration

Preschool Registration

Questions? Contact Katie Phillips at lalarexburg@gmail.com or 208-569-3172
Student Name*

First NameLast Name
Preferred Name
Birthday*

MonthDayYear
Date
Age on Sept 1
Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother's Name*
Mother's E-mail*
Mother's Phone Number*
Father's Name
Father's E-mail
Father's Phone Number
Who is allowed to pick up your child after school? Names not listed will need prior authorization before you child will be released.
MotherFatherBoth
Emergency Contact*

NameNumber
Please list any Food allergies, physical impairments, or other medical concerns your child may have. **We are NOT certified to teach children with special cognitive needs at this time such as ADHD, Autism, or Oppositional Defiant Disorder. Please contact your local School District for specialty preschools with certified teacher. If your child demonstrates atypical behaviors while enrolled with Leap Ahead Learning Academy, we will refer you to specialty services and/or evaluations to address your child's needs. *
Tell me about your child: personality traits, endearing qualities, and any information that you would like to share with me so I can make their preschool experience positive.*
Please read the terms and conditions below.
I have read and understand the terms and conditions with Leap Ahead Learning Academy *

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4-5 yr old class Monday/Wednesday 8:10-10:40am $120 per month4-5 yr old class Monday/Wednesday 11:00-1:30pm $120 per month4-5 yr old "ADD ON ONLY " Friday 11:00-1:30pm $ 60 per month * class will be taught by Mrs. Jen3-4 yr old class Tuesday/Thursday 8:10-10:40am $140 per month
Fees: Registration fees are per class and are due at time of registration. They are a one time fee for each school year. Fee is non-refundable or non-transferable.
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Preschool Registration
Please VENMO and put your child's name in the message                                @Katie-Phillips-04

$80.00 Quantity



Friday Class Registration
This fee is in addition to the regular class registration. Please VENMO and put your child's name in the message @Katie-Phillips-04

$40.00 Quantity



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