PRESCHOOL- 3K and 4K Preschool Registration Form- NEW OR RETURNING 2020- 2021

3K and 4K Preschool Registration 2021- 2022 (ALL PRESCHOOL STUDENTS)
Our 3 day class is currently full. We are keeping a wait list. If that is what you desire, please fill out the registration and choose the 3 day option.

*To be eligible for preschool, students must be fully toilet-trained and must be 3 or 4 by September 1st.

* Special exceptions may be made with testing for classroom readiness for those with birthdays between September 1st and 5th.

*Our class size is limited to 14 students.

* 3 day class will be Monday, Tuesday, and Wednesday from 8:15 - 11:30 am. Tuition is $1620 for the year or $180 per month from September - May and is due on the 1st of the month.

* 2 day class will be Thursday and Friday from 8:15 - 11:30 am. Tuition is $1080 for the year or $120 per month from September - May and is due on the 1st of the month.

*Tuition assistance is not offered for preschool students.

*Credit is not given for days absent.
Student's Name*

First NameMiddle InitialLast Name
Birth Date*

MonthDayYear
Gender*

MaleFemale
2nd Student Name

First NameMiddle InitialLast Name
Birth Date

MonthDayYear
Gender

MaleFemale

Parents' Information
Student is living with

Both ParentsFatherMotherOther
Father's Name

First NameLast Name
Cell Phone

Area CodePhone Number
Employer
Work Phone

Area CodePhone Number
E-mail Address
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Church
Pastor's Name
Mother's Name

First NameLast Name
Cell Phone

Area CodePhone Number
Employer
Work Phone

Area CodePhone Number
E-mail Address
example@example.com
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Church
Pastor's Name

Additional Information
We are planning to offer after- care and possible Mon/Fri daycare. If interested, please specify what you would need. Billing for the Mt. Zion Daycare is separate from MZ Preschool.
Emergency Contact
Name, Phone number, Relationship to student
If you are applying for the first time, how did you hear about us?

Payment Information

3 day preschool payments will be $1,620 for the year in full or $180 per month for 9 months. Payments are due by the 1st of the month. Credit is not given for days absent.
Please Select a Tuition Payment Plan*

9 Month Plan (Sept- May)Automatic Withdrawal (9 month plan)Pay in Full (by August 1st)

Preschool Deposit

Each class is limited to 14 students. To reserve your spot, submit 1 month's tuition. Placement will be reserved once the money is received, not based on this application. (This payment will count as your September tuition payment)
Payment Method:*

Automatic WithdrawalMail a CheckIn-person at school
Which Class option would you like :

2 Day Class ( Thursday and Friday)3 Day Class (Monday, Tuesday, and Wednesday)
Should be Empty: