I am paying registration in the amount of $________ for the above-named child to be enrolled in the Preschool Summer Session for the following weeks. I will pay the weekly tuition in the amount of $_______ by June 10th. I understand that if tuition is not received by that date, I forfeit my child's place in your school. Tuition is due on the first day of each week for any additional weeks added. I understand that I will be charged a late fee in the amount of $5.00 if my payment is received after the 2nd day of the week. Furthermore, I give my permission for emergency treatment in the event that I/we the parent(s) or legal guardian(s) cannot be reached. I certify that I have read and completed the above information. I also understand that the registration fee and tuition are non-refundable. No refunds or substitutions for weeks missed.
Please type name below as parent/legal guardian.