Foundations Early Learning Application

Foundations Early Learning Preschool

First Baptist Church Lake Wales
Student Information
Full Name*
Name to be called/written at school
Date of Birth*
MaleFemale
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Previous Preschool/Childcare - If this isn't applicable, please put N/A*
Church Affiliation*
I would like information and/or a visit from First Baptist Church of Lake Wales
Consistent with Christian principles, Foundations Early Learning does not discriminate with regard to race, sex or national origin in the administration of its educational policies or other school-administered programs. Foundations Early Learning is accredited by the Florida Coalition of Christian Private Schools and is a Ministry of First Baptist Church Lake Wales.
Registration Fee - $150/year (payment reserves your child’s spot)

$75 for FBCLW Members

Supply Fee - $150/year

Infants

7:00am – 5:00pm - $820/Month - $7,790/Annual

1-Year-Old Class

7:00am – 2:00pm - $660/Month - $6,270/Annual

7:00am – 5:00pm - $800/Month - $7,600/Annual

2- and 3-Year Old Class

7:00am – 8:30am - $100/Month - $950/Annual

8:30am – 12:00pm - $320/Month - $3,040/Annual

8:30am – 2:00pm - $550/Month – $5,225/Annual

8:30am – 5:00pm - $690/Month - $6,555/Annual

VPK – Must have VPK eligibility certificate

7:00am – 8:30am - $100/Month - $950/Annual

8:30am – 11:45am – FREE with VPK Voucher

11:45am – 2:00pm - $350/Month - $3,325/Annual

11:45am - 5:00pm - $470/Month - $4,465/Annual

$160 Tuition for May (portion not covered by VPK)
YesNo
NoYes, Early Care 7am - 8:30amYes, Until 2:00pmYes, Until 5:00pm
Both ParentsDadMomOther
If Other, please list name and relationship.
Name(s) & Age(s) of siblings (write N/A if none)
Medical or Developmental Issues (allergies, hearing, eyesight, behavior, attention deficit, etc.) (write N/A if none)*
Parent's goal for your child this year:*
YesNo
YesNo
YesNo
Mother's Information
Name*
Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer & Occupation
Work Phone
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Father's Information
Name*
Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer & Occupation
Work Phone
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Thank you for applying to Foundations Early Learning Preschool. If space is available, we will reach out to you in a timely manner.
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Foundations Early Learning Preschool

Student Information

Mother's Information

Father's Information