Enrollment Form 2024/25

Date*

Month / Day / Year

Gender*

BoyGirl

Student Name*

First NameLast Name

Birth Date*

MonthDayYear

Age (as of Sept 1, 2024)*

Guardian Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Home Phone Number*

Area CodePhone Number

Cell Number*

Area CodePhone Number

E-mail*

Church Affiliation / Home Church:

Referred by:

Parent Name

Student Name

Class Signup:

Age Requirements for each class is September 1st.

2 & 3 year olds do NOT need to be toilet trained to attend our classes.

4 & 5 year olds Must be toilet trained to attend our classes.

2 Year Old - 2day Program (Must be 2 by September 1st)

AM Class - Mon/Wed (9am - 11:30am) - $130/month

2 Year Old - 4day Program (Must be 2 by September 1st)

AM Class - Mon/Tu/Wed/Thu (9am - 11:30am) - $170/month

3 Year Old - 3day Program (Must be 3 by September 1st)

ALL DAY Class - Mon/Wed/Thu (9am - 2:45pm) - $275/month

3 Year Old - 4day Program (Must be 3 by September 1st)

ALL DAY Class - Mon/Tu/Wed/Thu (9am - 2:45pm) - $310/month

PreK 1 - 3day Program (Must be 4 by September 1st)

ALL DAY Class - Mon/Wed/Thu (9am - 2:45pm) - $260/month

PreK 1 - 4day Program (Must be 4 by September 1st)

AM Class - Mon/Tue/Wed/Thu (9am - 11:30am) - $160/month

PreK 2 Advanced - 4day Program (Must be 4 1/2 by September 1st)

ALL DAY Class - Mon/Tue/Wed/Thu (9am - 2:45pm) - $310/month

WAITING LIST - CLASSES CURRENTLY FULL (DO NOT PAY FEE)

2 Year Old - 2day AM Class - Mon/Wed (9am - 11:30am) - $130/month2 Year Old - 2day AM Class - Tu/Thu (9am - 11:30am) - $130/month3 Year Old - 3day AM Class - Mon/Wed/Thu (9am - 11:30am) - $140/month3 Year Old - 3day ALL DAY Class - Mon/Wed/Thu (9am - 2:45pm) - $275/month3 Year Old - 4day AM Class - Mon/Tu/Wed/Thu (9am - 11:30am) - $160/month3 Year Old - 4day ALL DAY Class - Mon/Tu/Wed/Thu (9am - 2:45pm) - $310/monthPreK 1 - 3day AM Class - Mon/Wed/Thu (9am - 11:30am) - $140/monthPreK 1 - 3day ALL DAY Class - Mon/Wed/Thu (9am - 2:45pm) - $260/monthPreK 1 - 4day ALL DAY Class - Mon/Tue/Wed/Thu (9am - 2:45pm) - $295/month

1/2 day classes have a one-time Workbook fee of $55 due by June 1st.
Full Day classes have a one-time Workbook & Materials fee of $80 due by June 1st.

*Tuition is based on an annual fee and broken down into nine (9) monthly payments for your convenience. First month's tuition is due by August 30th. All other payments are due by the end of each month, the last payment being the end of April. All accounts must be paid in full by April 30th in order to attend the last month of school and graduation.

Enrollment fee for 2024/2025 is $60.00 (Early Enrollment fee is $50.00 thru March)

*You may pay the Enrollment Fee by mailing it to us, dropping it off in our church office or preschool office, or online payment via paypal. If you choose to pay online there is a transaction fee of $4.00.

Mailing Address is: 1500 Lower Huntington Road, Fort Wayne, IN 46819

By pressing "Submit Form", you are stating that you understand that the $60 enrollment fee is non-refundable, and is needed to secure your child's place on the enrollment list.

Enrollment Fee*

ONLINE PAYMENT (PayPal - select option below)MAIL PAYMENT (1500 Lower Huntington Road, Fort Wayne, IN 46819)DROP OFF PAYMENT (1500 Lower Huntington Road, Fort Wayne, IN 46819)WAITING LIST - Please Call Me At First Opening . . . (DO NOT PAY ANY FEE)

ONLINE PAYMENT - PayPal Selection

Enrollment w/Book & Materials Fee - 1/2 Day (includes transaction fee)$119.00

Book and Materials Fee is REQUIRED after June 1st for enrollment.

Enrollment w/Book & Materials Fee - Full Day (includes transaction fee) 2$144.00

Book and Materials Fee is REQUIRED after June 1st for enrollment.

Total $0.00

ENROLLMENT FORM 2024/2025