Waynedale United Methodist Church
Saturday, February 22, 2020
Making Disciples of Jesus for the Transformation of the World!
 Waynedale United Methodist Preschool
 2019/2020 School Year   
   (Please fill out the following form and return it to the preschool office with the $55.00 reg. fee)
Today's Date _____________________
Child's Name _________________________________________________ 
Child's Birthdate ___________________Gender:  (circle one)        Male       Female
Father's Name ______________________________________
Mother's Name______________________________________
Address ______________________________________Zip Code ________
Father's Cell ___________________Mother's Cell ____________________
Two year old program:        $95 month   Mon & Wed or Tues & Friday                             9:00 - 11:30_____ 
* Three year PreK program: $125 month   Mon-Wed-Thur                                                 9:00 - 11:30 _____  
* Four year PreK program:   $135 month  Mon thru Thur                                                   9:00 - 11:30 _____
* Five year PreK program:   $135.00 month  Mon thru Thur                                              9:00 - 11:30 _____
*Four/Five year PreK Academic Enrichment Program  $255 month  Mon thru Thur           9:00 -  3:00 _____
*The Birthday cut off for each age level is September 1st.
Tuition costs are figured on a yearly basis and divided into nine monthly payments for your convenience.  Payments are due on the 1st of each month.
There will be an "early bird discount" of $10.00 for those registering before June 1st.
I understand that the $55.00 registration fee secures my child's place on the enrollment list and is non refundable.
Parents Signature ___________________________________________________
Mail to:   Waynedale United Methodist Preschool
             2501 Church Street
             Fort Wayne, IN  46809