Registration Form

Registration Form

Purpose: The Racepath Early Learning Academy's private full-day 3K/4K and up program is to provide high quality, literacy rich early childhood education that builds a strong foundation for lifelong learning. Grounded in the belief that early literacy skills are the cornerstone of academic success, the program integrates the Heggerty Phonemic Awareness Curriculum to develop children's listening, speaking and pre-reading abilities through systemic engaging instruction .
PROGRAM INFORMATION:

There is a $25 non refundable registration fee. Classes will be filled on the order that registration forms are received. Upon filling all open spots, all additional submissions will be added to our waiting list.

HOURS OF OPERATION:

Monday through Friday 7:30 am-2:00 pm

Afterschool options: Monday through Friday 2:00 pm-6:00 pm

PAYMENT 1 Core manages the billing for tuition and student fees. Payment are preferred to be made online through the 1 Core app or website. With the use of the 1 Core, payments can be automatically drafted each month on their due dates. Payments can also be made by check or cash.

FEES:

The registration fee is due at time of application,
- A late fee will be assessed if payment is received after the 10th of the month.
TUITION

MONTHLY $312/WEEKLY $78

EARLY BIRD/DROP IN Befeoe 7:30 am (MUST BE ARRANGED BEFORE ATTENDING) $15 PER DAY

AFTERSCHOOL CARE: $25 A WEEK, $100 PER MONTH

REFUND POLICY

All fees listed above are non refundable.

If there is an unforseen closure due to inclement weather or pandemic, we wil not automatically credit these days missed. Tuition is included in our final budget and assists with program operational expenses, including teacher salaries.
Registration
Expected Start Date

MonthDayYear
Date
Expected Departure Date

MonthDayYear
Date
Student Information
First Name*
Last Name*
Gender*

FemaleMale
Select Program*

Day ProgramAfterschool programBoth Day and Afterschool
Birth Date*

MonthDayYear
Home Phone*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent/Guardian Information 1
Full Name*

First NameLast Name
Home*
Cell
Work
E-mail*
example@example.com
Address - Same As Child*

YesNo
If your address is different than the childs please fill out the info below. Otherwise move onto the next section.
Parent/Guardian 1 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent/Guardian Information 2
Full Name

First NameLast Name
Home
Cell
Work
E-mail
example@example.com
Address - Same As Childs

YesNo
If your address is different than the childs please fill out the info below. Otherwise move onto the next section.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Other Infomation
Is your child immunized?*

YesNo
Does your child have any allergies?*

YesNo
If yes please list, including any food or drug allergies.
is your child potty trained?*

YesNoOther
Does your child have any medical conditions?
Does your child require any medication? If yes, please list these medications.
Do you authorize us to administer the medications listed above?

YesNo
Please list the people authorized to pick up your child.
Does your child have any siblings?*
If yes, what is their age(s)?
Comments
Emergency Contact - Other than Parent/Guardian
Full Name*

First NameLast Name
Cell*
All registrations are received and reviewed in a first come, first serve basis. Upon filling all open spots, all additional submissions will be added to our waiting list.
Should be Empty:

Registration Form

Registration

Student Information

Parent/Guardian Information 1

Parent/Guardian Information 2

Other Infomation

Emergency Contact - Other than Parent/Guardian