Registration Form


GINGERBREAD FAMILY PRESCHOOL
5201 W 109TH Ave. Crown Point, IN 46307
219-238-6388
info@gingerbread.cc

Dear Parents,You have expressed an interest in enrolling your child at the Gingerbread Family Preschool for the 2019-2020 school year. He/She has been placed in the class checked below.

Beginner Class

Beginner Supply Fee $75.00
Beginner Monthly Tuition $135.00


3-Day Pre-K

3-Day Pre-K Supply Fee $75.00
3-Day Monthly Tuition $165.00


4-Day Pre-K

4-Day Pre-K Supply Fee $75.00
4-Day Monthly Tuition $180.00


Once you submit this form you will receive a QuickBooks invoice via email to pay your $75 registration fee that is payable online. This fee will guarantee your child a place in class and will also cover supplies for the first semester.
*This fee is non-refundable if you cancel after July 1st.
*Second semester supply fee of $75.00 will be due for each student on February 1st.

An Open House will be held in late August for all registered students and parents. Your child will receive an invitation in early August. The 2-day Beginner & 4-day Pre-K Classes start the Tuesday after Labor Day. 3-day Pre-K Class starts the Wednesday after Labor Day.

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By signing below, you understand the financial obligation for the full tuition to be paid even if you withdrawal your child early once classes have begun. No exceptions.

Student’s Name:  
Telephone No.:  
Parent or Legal Guardian:  

Child’s Full Name:  
Preferred Name:  

Parent’s Names:  
Custodial Parent/Guardian:  
Address: City: State:   Zip:  
Phone Number: Cell Number:  
Email Address :  
Emergency Contact Person: Phone Number:  
Father’s Place of Employment: Phone Number:  
Mother’s Place of Employment: Phone Number:  

Brother’s and Sister’s
Name:  

Future Student? State Year & Class:  

Name:  

Future Student? State Year & Class:  

Name:  

Future Student? State Year & Class:  


Give a brief description of your child. Include strong points as well as areas that you feel need attention.

Previous School Experience?

 
Name of School:  
Name of Kindergarten child will attend:  
Year:  
Family Doctor:  
Phone Number:  
Allergies:  
Regular Medication:  
Are all Immunizations Current? Text

 
If emergency medical care is required and no one can be reached, do we have permission to have child treated at St Anthony Medical Center Emergency Room?
Text

May we share your child’s Name, Address, and Phone Number with His/Her classmates?

 

Leave this empty:

Gingerbread Family Preschool http://gingerbreadfamilypreschool.com
Signature Certificate
Document name: Registration Form
Unique Document ID: b1a5e85de3fe0d79532ef5fcfb1e43404807402d
Timestamp Audit
March 21, 2019 2:55 pm CDTRegistration Form Uploaded by Ryan Dykema - info@gingerbread.cc IP 173.15.10.2