Application for Enrollment
Please Select One
LFC Ministry Partner
LFC Staff Member
Community Member
Child's Name
*
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Gender
Female
Male
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent #1
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Parent #2
First Name
Last Name
E-mail
example@example.com
Phone Number
-
Area Code
Phone Number
Sibling Enrolling
Yes
No
Name & Age of Sibling
Does your child have any special conditions, disabilities, or allergies?
Yes
No
If yes, please specify
Please indicate your class selection and number of days per week 3 or 5 days. Age as of 8/31/2018
Infant Room Interest
Part Time (20 hours a week or less)
Full Time ( 21 hours a week of more)
Two Year Old Class. Diaper or potty training
3 Days ($260 monthly)
5 Days ($365 monthly)
Three Year Old Class. Potty training in progress
3 Days ($255 monthly)
5 Days ($360 monthly)
Three Four Combo Class. Potty trained
3 Days ($255 monthly)
5 Days ($360 monthly)
Four Year Old Class.
3 Days ($255 monthly)
5 Days ($360 monthly)
Transitional to Kindergarten (TK) Class.
5 Days ($365 monthly)
Extended Care. 7:00am-8:30am & 12:30pm-6:00pm
No
Yes ($650 monthly)
Registration Fee is $50 per child for Preschool and $25 per child for the extended day option. Registration Fee is due with application to be enrolled. Fee is refundable before February 28 only if you do not want to remain on the wait list by notifying Libby at ljkornegay@lakeforest.org. After February 28, the fee is non-refundable.
Please Select One
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( X )
Preschool Only Registration
$
50.00
Preschool with Extended Care Registration
$
75.00
Applied for Scholarship (you will be redirected to an additional form to fill out)
$
Free
Total
$
0.00
Submit
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