Waynedale United Methodist Church
Thursday, December 14, 2017
Making Disciples of Jesus for the Transformation of the World!
 Waynedale United Methodist Preschool
 2017/2018 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 ________
 
Home Phone ___________Father's Cell __________Mother's Cell __________
 
 
 
 
Two year old program:     $110 month   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