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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 2024/2025 school year. He/She has been placed in the class checked below.

2-Day Beginner Class

A.M. Beginner Class (T & Th 9:00-11:30)

P.M. Beginner Class (T & Th 12:15-2:45)

Beginner Supply Fee $85.00
Beginner Monthly Tuition $165.00

3-Day Pre-K

A.M. 3-Day Pre-K (M, W, F 9:00-11:30)

P.M. 3-Day Pre-K (M, W, F 12:15-2:45)

3-Day Pre-K Supply Fee $85.00
3-Day Monthly Tuition $190.00

4-Day Pre-K

A.M. 4-Day Pre-K (M-Thu 9:15-11:45)

P.M. 4ADay Pre-K (M-Thu 12:30-3:00)

4-Day Pre-K Supply Fee $85.00
4-Day Monthly Tuition $210.00

Once you submit this form you will receive an invoice via email to pay your $85 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 June 1st.
*Second semester supply fee of $85.00 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.

Text

Yes, this class assignment will be satisfactory.

No, a change is requested, (subject to availability)

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:
Date

Child’s Full Name:
Preferred Name:
Birthdate
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:
Birthdate
Future Student? State Year & Class:

Name:
Birthdate
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?

Yes

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

Yes

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

Yes

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

Yes

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

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Timestamp

Audit

March 21, 2019 2:55 pm CDT

Registration Form Uploaded by Gingerbread Preschool - info@gingerbread.cc IP 49.145.35.0